A Study of Pemetrexed and Carboplatin/Cisplatin or Gemcitabine and Carboplatin/Cisplatin With or Without IMC-1121B in Participants Previously Untreated With Recurrent or Advanced Non-Small Cell Lung Cancer (NSCLC)

NCT ID: NCT01160744

Last Updated: 2019-09-13

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

280 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2018-04-30

Brief Summary

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The purpose of this study is to determine if participants with Stage IV NSCLC have a better outcome when treated with IMC-1121B in combination with pemetrexed + carboplatin/cisplatin or gemcitabine + carboplatin/cisplatin than when treated with pemetrexed + carboplatin/cisplatin or gemcitabine + carboplatin/cisplatin alone.

Detailed Description

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Conditions

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Carcinoma, Non-Small-Cell Lung

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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IMC-1121B + Pemetrexed + Carboplatin (AUC 6) or Cisplatin

IMC-1121B + Pemetrexed + Carboplatin \[Area Under the Concentration Time Curve 6 (AUC 6)\] or Cisplatin

Group Type EXPERIMENTAL

IMC-1121B (ramucirumab)

Intervention Type BIOLOGICAL

10 milligrams/kilogram (mg/kg) once every 3 weeks beginning Day 1, Cycle 1

Pemetrexed

Intervention Type DRUG

500 milligrams/square meter (mg/m²) on Day 1 of every 21-day cycle

Carboplatin (AUC 6)

Intervention Type DRUG

Day 1 of every 21-day cycle

Cisplatin

Intervention Type DRUG

75 mg/m² intravenous (IV) on Day 1 of each 21-day cycle

Pemetrexed + Carboplatin (AUC 6) or Cisplatin

Pemetrexed + Carboplatin (AUC 6) or Cisplatin

Group Type ACTIVE_COMPARATOR

Pemetrexed

Intervention Type DRUG

500 milligrams/square meter (mg/m²) on Day 1 of every 21-day cycle

Carboplatin (AUC 6)

Intervention Type DRUG

Day 1 of every 21-day cycle

Cisplatin

Intervention Type DRUG

75 mg/m² intravenous (IV) on Day 1 of each 21-day cycle

IMC-1121B + Gemcitabine + Carboplatin (AUC 5) or Cisplatin

IMC-1121B + Gemcitabine + Carboplatin \[Area Under the Concentration Time Curve 5 (AUC 5)\] or Cisplatin

Group Type EXPERIMENTAL

IMC-1121B (ramucirumab)

Intervention Type BIOLOGICAL

10 milligrams/kilogram (mg/kg) once every 3 weeks beginning Day 1, Cycle 1

Cisplatin

Intervention Type DRUG

75 mg/m² intravenous (IV) on Day 1 of each 21-day cycle

Gemcitabine

Intervention Type DRUG

1000 mg/m² on Days 1 and 8 of every 21-day cycle

Carboplatin (AUC 5)

Intervention Type DRUG

Day 1 of every 21-day cycle

Gemcitabine + Carboplatin (AUC 5) or Cisplatin

Gemcitabine + Carboplatin (AUC 5) or Cisplatin

Group Type ACTIVE_COMPARATOR

Cisplatin

Intervention Type DRUG

75 mg/m² intravenous (IV) on Day 1 of each 21-day cycle

Gemcitabine

Intervention Type DRUG

1000 mg/m² on Days 1 and 8 of every 21-day cycle

Carboplatin (AUC 5)

Intervention Type DRUG

Day 1 of every 21-day cycle

Interventions

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IMC-1121B (ramucirumab)

10 milligrams/kilogram (mg/kg) once every 3 weeks beginning Day 1, Cycle 1

Intervention Type BIOLOGICAL

Pemetrexed

500 milligrams/square meter (mg/m²) on Day 1 of every 21-day cycle

Intervention Type DRUG

Carboplatin (AUC 6)

Day 1 of every 21-day cycle

Intervention Type DRUG

Cisplatin

75 mg/m² intravenous (IV) on Day 1 of each 21-day cycle

Intervention Type DRUG

Gemcitabine

1000 mg/m² on Days 1 and 8 of every 21-day cycle

Intervention Type DRUG

Carboplatin (AUC 5)

Day 1 of every 21-day cycle

Intervention Type DRUG

Other Intervention Names

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ramucirumab IMC-1121B LY3009806

Eligibility Criteria

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Inclusion Criteria

* Confirmed NSCLC
* Stage IV disease at the time of study entry
* Measurable disease at the time of study entry
* Resolution to Grade ≤ 1 Adverse Events, of all clinically significant toxic effects of prior chemotherapy, surgery, radiotherapy, or hormonal therapy (except alopecia)
* Adequate hematologic function, hepatic function, renal function and coagulation function
* If sexually active, must be post-menopausal, surgically sterile, or using effective contraception; and agrees to use adequate contraception during the study period and for up to 6 months after the last dose of study medication
* Female participants of childbearing potential must have a negative serum pregnancy test

Exclusion Criteria

* Has cirrhosis at a level of Child-Pugh B (or worse), or cirrhosis and a history of hepatic encephalopathy, or ascites resulting from cirrhosis and requiring ongoing treatment with diuretics and/or paracentesis
* Tumor wholly or partially contains small cell lung cancer
* Untreated central nervous system (CNS) metastases, eligible if they are clinically stable with regard to neurologic function, off all steroids after cranial irradiation at least 2 weeks prior or after surgical resection performed at least 4 weeks prior to randomization
* Concurrent active malignancy other than adequately treated basal cell carcinoma of the skin or pre-invasive carcinoma of the cervix. A participant with previous history of malignancy other than NSCLC is eligible, provided that he/she has been free of disease for ≥ 3 years
* Received prior therapy with monoclonal antibodies, signal transduction inhibitors, or any therapies targeting the vascular endothelial growth factor (VEGF) or vascular endothelial growth factor receptor (VEGFR)
* Receiving concurrent treatment with other anticancer therapy
* Has received previous chemotherapy for Stage IV 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)
* Has radiologically documented evidence of major blood vessel invasion or encasement by cancer
* Has undergone chest irradiation within 12 weeks prior to randomization (except palliative irradiation of bone lesions)
* Ongoing or active infection
* History of significant neurological or psychiatric disorders
* Experienced clinically relevant coronary artery disease, myocardial infarction within 6 months prior to randomization, uncontrolled congestive heart failure, or symptomatic poorly controlled arrhythmia
* Poorly-controlled hypertension
* Experienced any serious Grade 3-4 gastrointestinal bleeding within 3 months prior to study entry
* Receiving chronic daily treatment with aspirin (\> 325 mg/day) or other known inhibitors of platelet function
* Serious nonhealing wound, ulcer, or bone fracture within 28 days prior to randomization
* Major surgery within 28 days prior the first dose of study medication, or subcutaneous venous access device placement within 7 days prior to randomization
* Elective or a planned major surgery
* Pregnant or lactating
* Any other serious uncontrolled medical disorders or psychological conditions
* Allergy / history of hypersensitivity reaction to any of the treatment components
* History of drug abuse
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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Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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Scottsdale, Arizona, United States

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Tucson, Arizona, United States

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Corona, California, United States

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Fountain Valley, California, United States

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Riverside, California, United States

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Aurora, Colorado, United States

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Fort Myers, Florida, United States

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Miami, Florida, United States

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Chicago, Illinois, United States

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Peoria, Illinois, United States

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Louisville, Kentucky, United States

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Alexandria, Louisiana, United States

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Minneapolis, Minnesota, United States

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Columbia, Missouri, United States

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Lincoln, Nebraska, United States

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Neptune City, New Jersey, United States

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Latham, New York, United States

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The Bronx, New York, United States

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Langhorne, Pennsylvania, United States

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Hilton Head Island, South Carolina, United States

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Nashville, Tennessee, United States

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Bedford, Texas, United States

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Dallas, Texas, United States

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El Paso, Texas, United States

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Fort Worth, Texas, United States

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Kerrville, Texas, United States

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Longview, Texas, United States

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McAllen, Texas, United States

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Midland, Texas, United States

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Paris, Texas, United States

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San Antonio, Texas, United States

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The Woodlands, Texas, United States

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Tyler, Texas, United States

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Waco, Texas, United States

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Christiansburg, Virginia, United States

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Fairfax, Virginia, United States

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Seattle, Washington, United States

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Spokane Valley, Washington, United States

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Ghent, , Belgium

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Berlin, , Germany

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Erlangen, , Germany

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Großhansdorf, , Germany

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Hemer, , Germany

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Karlsruhe, , Germany

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Regensburg, , Germany

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Ulm, , Germany

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Gdansk, , Poland

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Olsztyn, , Poland

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Warsaw, , Poland

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Bangor, Gwynedo, United Kingdom

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Nottingham, Nottinghamshire, United Kingdom

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Countries

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United States Belgium Canada Germany Poland United Kingdom

References

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Doebele RC, Spigel D, Tehfe M, Thomas S, Reck M, Verma S, Eakle J, Bustin F, Goldschmidt J Jr, Cao D, Alexandris E, Yurasov S, Camidge DR, Bonomi P. Phase 2, randomized, open-label study of ramucirumab in combination with first-line pemetrexed and platinum chemotherapy in patients with nonsquamous, advanced/metastatic non-small cell lung cancer. Cancer. 2015 Mar 15;121(6):883-92. doi: 10.1002/cncr.29132. Epub 2014 Nov 6.

Reference Type DERIVED
PMID: 25377507 (View on PubMed)

Other Identifiers

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I4T-IE-JVBL

Identifier Type: OTHER

Identifier Source: secondary_id

CP12-0917

Identifier Type: OTHER

Identifier Source: secondary_id

2009-016784-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

13916

Identifier Type: -

Identifier Source: org_study_id

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