A Study of IMC-A12 (Cixutumumab) With and Without Other Standard Chemotherapies in Participants With Lung Cancer Who Have Not Received Chemotherapy Before

NCT ID: NCT00870870

Last Updated: 2018-06-01

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-03-31

Study Completion Date

2012-05-31

Brief Summary

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The purpose of this study is to determine the number of participants whose cancer shrinks or disappears after treatment on the study.

Detailed Description

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Participants with Stage IIIb or IV non-small cell lung cancer (NSCLC) who have not received previous chemotherapy will be stratified, based on disease histology (squamous versus \[vs.\] nonsquamous).

Conditions

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Non-Small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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GCiC + IMC-A12 (Gemcitabine/Cisplatin/Cetuximab + Cixutumumab)

Cycles repeat every 3 weeks for first 6 cycles (18 weeks) and then once every 2 weeks (maintenance therapy) until disease progression, intolerable toxicity, withdrawal of consent or other withdrawal criteria met

\*Cisplatin will replace Carboplatin. Gemcitabine/Carboplatin/Cetuximab (GCC) plus cixutumumab will change to Gemcitabine/Cisplatin/Cetuximab (GCiC) plus cixutumumab (participants enrolled subsequent to this change will receive gemcitabine, cisplatin and cetuximab, plus cixutumumab)

Group Type EXPERIMENTAL

Gemcitabine

Intervention Type DRUG

1000 milligrams per square meter (mg/m\^2) on Days 1 and 8 of each cycle

\[First 6 cycles (18 weeks)\]

Cisplatin

Intervention Type DRUG

75 mg/m\^2 on Day 1 of each cycle

\[First 6 cycles (18 weeks)\]

IMC-A12 (cixutumumab)

Intervention Type BIOLOGICAL

6 milligrams per kilogram (mg/kg) intravenous (IV) infusion, administered once per week (on Days 1, 8, and 15 of each cycle)

\[First 6 cycles (18 weeks)\]

Cetuximab

Intervention Type BIOLOGICAL

400 mg/m\^2 IV infusion, administered on Day 1 of Cycle 1, 250 mg/m\^2 once per week thereafter

\[First 6 cycles (18 weeks)\]

IMC-A12 (cixutumumab)

Intervention Type BIOLOGICAL

10 mg/kg IV infusion, administered once every 2 weeks

(Maintenance therapy)

Cetuximab

Intervention Type BIOLOGICAL

500 mg/m\^2 IV infusion, administered once every 2 weeks

(Maintenance therapy)

Carboplatin

Intervention Type DRUG

Area under the curve (AUC) = 5, Day 1 of each cycle

\[First 6 cycles (18 weeks)\]

\*Carboplatin will be replaced by Cisplatin

GCiC (Gemcitabine/Cisplatin/Cetuximab)

Cycles repeat every 3 weeks for 6 cycles (18 weeks) and then once every 2 weeks (maintenance therapy) until disease progression, intolerable toxicity, withdrawal of consent or other withdrawal criteria met

\*Cisplatin will replace Carboplatin. GCC plus cixutumumab will change to GCiC plus cixutumumab (participants enrolled subsequent to this change will receive gemcitabine, cisplatin and cetuximab, plus cixutumumab)

Group Type ACTIVE_COMPARATOR

Gemcitabine

Intervention Type DRUG

1000 milligrams per square meter (mg/m\^2) on Days 1 and 8 of each cycle

\[First 6 cycles (18 weeks)\]

Cisplatin

Intervention Type DRUG

75 mg/m\^2 on Day 1 of each cycle

\[First 6 cycles (18 weeks)\]

Cetuximab

Intervention Type BIOLOGICAL

400 mg/m\^2 IV infusion, administered on Day 1 of Cycle 1, 250 mg/m\^2 once per week thereafter

\[First 6 cycles (18 weeks)\]

Cetuximab

Intervention Type BIOLOGICAL

500 mg/m\^2 IV infusion, administered once every 2 weeks

(Maintenance therapy)

Carboplatin

Intervention Type DRUG

Area under the curve (AUC) = 5, Day 1 of each cycle

\[First 6 cycles (18 weeks)\]

\*Carboplatin will be replaced by Cisplatin

Interventions

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Gemcitabine

1000 milligrams per square meter (mg/m\^2) on Days 1 and 8 of each cycle

\[First 6 cycles (18 weeks)\]

Intervention Type DRUG

Cisplatin

75 mg/m\^2 on Day 1 of each cycle

\[First 6 cycles (18 weeks)\]

Intervention Type DRUG

IMC-A12 (cixutumumab)

6 milligrams per kilogram (mg/kg) intravenous (IV) infusion, administered once per week (on Days 1, 8, and 15 of each cycle)

\[First 6 cycles (18 weeks)\]

Intervention Type BIOLOGICAL

Cetuximab

400 mg/m\^2 IV infusion, administered on Day 1 of Cycle 1, 250 mg/m\^2 once per week thereafter

\[First 6 cycles (18 weeks)\]

Intervention Type BIOLOGICAL

IMC-A12 (cixutumumab)

10 mg/kg IV infusion, administered once every 2 weeks

(Maintenance therapy)

Intervention Type BIOLOGICAL

Cetuximab

500 mg/m\^2 IV infusion, administered once every 2 weeks

(Maintenance therapy)

Intervention Type BIOLOGICAL

Carboplatin

Area under the curve (AUC) = 5, Day 1 of each cycle

\[First 6 cycles (18 weeks)\]

\*Carboplatin will be replaced by Cisplatin

Intervention Type DRUG

Other Intervention Names

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Cixutumumab LY3012217 Erbitux® Cixutumumab LY3012217 Erbitux®

Eligibility Criteria

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Inclusion Criteria

* Has histologically or cytologically confirmed, Stage IIIb - IV NSCLC
* Has metastatic disease
* Has a tumor measurable according to Response Evaluation Criteria in Solid Tumors (RECIST)
* Has adequate hematologic function
* Has adequate hepatic function
* Has adequate renal function
* Women of childbearing potential must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation

Exclusion Criteria

* Has uncontrolled brain metastases
* Has leptomeningeal disease
* Has received previous chemotherapy for NSCLC (participants who have received adjuvant chemotherapy are eligible if the last administration of the prior adjuvant regimen occurred at least 6 months prior to randomization)
* Receiving any other investigational agent(s)
* Has a history of treatment with other agents targeting the insulin-like growth factor (IGF) or the epidermal growth factor (EGF) receptor
* Has a known allergy / history of hypersensitivity reaction to any of the treatment components
* Has poorly controlled diabetes mellitus. Participants with a history of diabetes mellitus are allowed to participate, provided that their blood glucose is within normal range \[fasting glucose \<160 milligrams per deciliter (mg/dL) or below the upper limit of normal (ULN) and hemoglobin A1C≤ 7%\] and that they are on a stable dietary or therapeutic regimen for this condition
* Has an uncontrolled intercurrent illness
* Pregnant or lactating
* Has a history of another primary cancer, with the exception of: a) curatively resected nonmelanomatous skin cancer; b) curatively treated cervical carcinoma in situ; or c) other primary solid tumor treated with curative intent and no known active disease present and no treatment administered during the last 3 years
* Has superior vena cava syndrome contraindicating hydration
* Has current clinically-relevant coronary artery disease (New York Heart Association III or IV) or uncontrolled congestive heart failure
* Has any National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE) Version (v) 3.0 Grade ≥2 peripheral neuropathy
* Has significant third space fluid retention, requiring repeated drainage
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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E-mail: ClinicalTrials@ ImClone.com

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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ImClone Investigational Site

Anniston, Alabama, United States

Site Status

ImClone Investigational Site

La Jolla, California, United States

Site Status

ImClone Investigational Site

Orange, California, United States

Site Status

ImClone Investigational Site

Orlando, Florida, United States

Site Status

ImClone Investigational Site

Atlanta, Georgia, United States

Site Status

ImClone Investigational Site

Chicago, Illinois, United States

Site Status

ImClone Investigational Site

Chicago, Illinois, United States

Site Status

ImClone Investigational Site

Albuquerque, New Mexico, United States

Site Status

ImClone Investigational Site

New York, New York, United States

Site Status

ImClone Investigational Site

New York, New York, United States

Site Status

ImClone Investigational Site

New York, New York, United States

Site Status

ImClone Investigational Site

Cincinnati, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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CP02-0860

Identifier Type: OTHER

Identifier Source: secondary_id

CP13-0811

Identifier Type: OTHER

Identifier Source: secondary_id

I5A-IE-JAEF

Identifier Type: OTHER

Identifier Source: secondary_id

13930

Identifier Type: -

Identifier Source: org_study_id

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