A Study of Ramucirumab (IMC-1121B) and Paclitaxel in Participants With Solid Tumors

NCT ID: NCT01515306

Last Updated: 2022-03-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2
• Total Enrollment: 48 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2012-07-19
• Study Completion Date: 2021-02-22

Brief Summary

The purpose of this study is to investigate whether there are no clinically significant pharmacokinetic effects of concomitant ramucirumab (IMC-1121B) on paclitaxel by investigating the pharmacokinetics (PK) of each in participants with advanced malignant solid tumors.

Part A of this study will investigate the potential of concomitant ramucirumab (IMC-1121B) to affect the pharmacokinetics of paclitaxel. Part B of this study will investigate the pharmacokinetics of ramucirumab (IMC-1121B) as monotherapy.

Conditions

Malignant Solid Tumor

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Part A: ramucirumab (IMC-1121B) and paclitaxel

Experimental: Part A: ramucirumab (IMC-1121B) and paclitaxel Cycle 1: paclitaxel administered on Day 1 of 2-week cycle. Cycle 2 and beyond : ramucirumab (IMC-1121B) administered on Day 1 and Day 15, paclitaxel administered on Day 1, Day 8 and Day 15 of 4-week cycle.

Group Type: EXPERIMENTAL

ramucirumab (IMC-1121B)

Intervention Type: BIOLOGICAL

ramucirumab (IMC-1121B) 8 milligrams/kilogram (mg/kg) intravenous infusion, administered on Day 1and Day 15 of each 4-week cycle, unless otherwise specified.

paclitaxel

Intervention Type: DRUG

paclitaxel 80 milligrams/square meter (mg/m²) intravenous infusion, administered on Days 1, 8 and 15 of each 4-week cycle, unless otherwise specified.

Part B: ramucirumab (IMC-1121B) and paclitaxel

Cycle 1: ramucirumab (IMC-1121B) administered as monotherapy on Day 1 of 3-week cycle.

Cycle 2 and beyond: ramucirumab (IMC-1121B) administered on Day 1 and Day 15, paclitaxel administered on Day 1, Day 8 and Day 15 of 4- week cycle.

*After Cycle 1 (mandatory pharmacokinetic phase) is completed, participants may continue to receive ramucirumab (IMC-1121B) monotherapy or combination therapy with paclitaxel as described in Part A.

Group Type: EXPERIMENTAL

ramucirumab (IMC-1121B)

Intervention Type: BIOLOGICAL

ramucirumab (IMC-1121B) 8 milligrams/kilogram (mg/kg) intravenous infusion, administered on Day 1and Day 15 of each 4-week cycle, unless otherwise specified.

paclitaxel

Intervention Type: DRUG

paclitaxel 80 milligrams/square meter (mg/m²) intravenous infusion, administered on Days 1, 8 and 15 of each 4-week cycle, unless otherwise specified.

Interventions

ramucirumab (IMC-1121B)

ramucirumab (IMC-1121B) 8 milligrams/kilogram (mg/kg) intravenous infusion, administered on Day 1and Day 15 of each 4-week cycle, unless otherwise specified.

Intervention Type: BIOLOGICAL

paclitaxel

paclitaxel 80 milligrams/square meter (mg/m²) intravenous infusion, administered on Days 1, 8 and 15 of each 4-week cycle, unless otherwise specified.

Intervention Type: DRUG

Other Intervention Names

LY3009806

Eligibility Criteria

Inclusion Criteria

• Has histologic or cytologic documentation of a malignant solid tumor
• Has an advanced solid tumor that is refractory to standard therapy or for which no standard therapy is available
• Part A only: Has had 0-1 prior taxane-containing treatment regimens (including taxane monotherapy), which must have been completed at least 6 months before the first dose of study medication (prior bevacizumab is allowed)
• Part B only: Prior bevacizumab- and taxane-containing treatment regimens (including taxane monotherapy) are allowed, provided these regimens have been completed at least 6 months before the first dose of study medication
• Has resolution to Grade ≤ 1 of all clinically significant toxic effects of prior chemotherapy, surgery, radiotherapy, or hormonal therapy with the exception of peripheral neuropathy, which must not have exceeded Grade 1, by the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 4.0 (NCI-CTCAE v 4.0)
• Has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 - 2
• Has adequate hematologic function. Blood transfusion is allowed but must be completed 48 hours before study drug administration
• Has adequate hepatic function (bilirubin ≤ 1.5 times the upper limit of normal [ULN], aspartate transaminase [AST] and alanine transaminase [ALT] ≤ 1.5 x ULN
• Has serum creatinine ≤ 1.5 x ULN. If serum creatinine > 1.5 x ULN, the calculated creatinine clearance (CrCl) should be ≥ 40 milliliter/minute (mL/min)
• Urinary protein is <2+ on dipstick or routine urinalysis (UA)
• Must have adequate coagulation function as defined by an international normalized ratio (INR) of ≤ 1.5 and a partial thromboplastin time (PTT) or an activated PTT (aPTT) ≤ 1.5 x ULN
• Eligible participants of reproductive potential agree to use adequate method of contraception during the study period and for 12 weeks after the last dose of study medication

Exclusion Criteria

• Is receiving concomitant therapy with clinically relevant inhibitors or inducers of cytochrome P450, CYP2C8, CYP3AY and/or isoenzymes
• Are currently enrolled in, or discontinued within the last 14 days from, a clinical trial involving an investigational product or non-approved use of a drug or device, or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study
• Has received a monoclonal antibody within 42 days prior to first dose of study medication
• Has received radiotherapy within 14 days prior to first dose of study medication
• Has received cytotoxic chemotherapy within 21 days (6 weeks for nitrosoureas or mitomycin C) prior to first dose of study medication
• Has a cardiac left ventricular ejection fraction (LVEF) not within institutional limits of normal on a multigated acquisition scan (MUGA) or echocardiogram
• Is receiving concurrent treatment with another anticancer therapy, including chemotherapy, immunotherapy, hormonal therapy, radiation therapy, chemoembolization, targeted or other investigational anticancer therapy
• Is receiving chronic therapy with nonsteroidal anti-inflammatory agents or other antiplatelet agents. Aspirin use at doses up to 325 milligrams/day (mg/day) and analgesic agents with no or low bleeding risk are permitted
• Has a history of uncontrolled hereditary or acquired bleeding or thromboembolic disorders
• Has experienced any arterial thromboembolic event, including myocardial infarction (MI), unstable angina stroke or transient ischemic attack (TIA), within 6 months prior to first dose of study medication
• Has a history of deep vein thrombosis, pulmonary embolism, or any other significant thromboembolism during the 3 months prior to first dose of study medication
• Has experienced a Grade 3 or 4 hemorrhagic event within 3 months prior to first dose of study medication
• Has experienced peripheral neuropathy ≥ Grade 2 at any time prior to study entry
• Has a bowel obstruction, history or presence of inflammatory enteropathy or extensive intestinal resection, Crohn's disease, ulcerative colitis, or chronic diarrhea
• History of gastrointestinal perforation and / or fistulae within 6 months prior to randomization
• Has an ongoing or active infection requiring treatment with intravenous antibiotics
• Has a serious or nonhealing wound, peptic ulcer, or bone fracture within 28 days prior to first dose of study medication
• Has uncontrolled hypertension
• Has symptomatic congestive heart failure
• Has known brain or leptomeningeal disease
• Has known positive status for human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome-related illness
• Has known active drug or alcohol abuse that would affect participant's ability to comply with study treatment
• Has pulmonary lymphangitic involvement that results in pulmonary dysfunction requiring active treatment, including the use of oxygen
• Has had major surgery within 28 days prior to first dose of study medication or subcutaneous venous access device implantation within 7 days prior to first dose of study medication
• Has an elective or planned major surgery during the course of the trial
• If a primary cancer is non-small-cell lung cancer (NSCLC), participant has intratumor cavitation, radiologically documented evidence of major blood vessel invasion or encasement by cancer, or proximity of cancer to major airways
• Has received prior ramucirumab (IMC-1121B) therapy
• The participant has:

• cirrhosis at a level of Child-Pugh B (or worse)
• cirrhosis (any degree) and a history of hepatic encephalopathy or ascites resulting from cirrhosis and requiring ongoing treatment with diuretics and/or paracentesis

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Eli Lilly and Company

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

ImClone Investigational Site

Ann Arbor, Michigan, United States

ImClone Investigational Site

Detroit, Michigan, United States

ImClone Investigational Site

New Brunswick, New Jersey, United States

ImClone Investigational Site

Cleveland, Ohio, United States

ImClone Investigational Site

Philadelphia, Pennsylvania, United States

ImClone Investigational Site

Seattle, Washington, United States

Countries

United States

Other Identifiers

I4T-IE-JVCA

Identifier Type: OTHER

Identifier Source: secondary_id

CP12-1032

Identifier Type: OTHER

Identifier Source: secondary_id

14432

Identifier Type: -

Identifier Source: org_study_id