A Study in Head and Neck Cancer
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Purpose
The primary purpose of this study is to help answer the following research question(s):
- To see how the body absorbs, processes, and gets rid of cetuximab when the drug is taken in combination with carboplatin [pharmacokinetic (PK) analysis]
- To see if any drug interactions occur between cetuximab and carboplatin.
| Condition | Intervention | Phase |
|---|---|---|
|
Head and Neck Neoplasms |
Drug: Cetuximab Drug: Carboplatin Drug: 5 - Fluorouracil |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Pharmacokinetics Study Intervention Model: Single Group Assignment Masking: Open Label |
| Official Title: | Phase 2 Study to Evaluate the Pharmacokinetics and Drug-Drug Interaction of Cetuximab and Carboplatin in Patients With Recurrent or Metastatic Carcinoma of the Head and Neck |
- Carboplatin pharmacokinetics: Area under the curve (AUC) [ Time Frame: Baseline (prior to Carboplatin infusion); 1, 1:30, 2, 3, 5, 8, 24, 72 hours (after the start of Carboplatin infusion) on Day 1 of weeks 1 and 5 ] [ Designated as safety issue: No ]
- Cetuximab pharmacokinetics: Area under the curve (AUC) [ Time Frame: Baseline (prior to Cetuximab infusion); 1, 2, 4, 8, 24, 72, 120, and 160 hours (after the start of Cetuximab infusion) on Day 1 of weeks 4 and 5 ] [ Designated as safety issue: No ]
- Carboplatin pharmacokinetics: Maximum plasma concentration (Cmax) [ Time Frame: Baseline (prior to Carboplatin infusion); 1, 1:30, 2, 3, 5, 8, 24, 72 hours (after the start of Carboplatin infusion) on Day 1 of weeks 1 and 5 ] [ Designated as safety issue: No ]
- Cetuximab pharmacokinetics: Maximum plasma concentration (Cmax) [ Time Frame: Baseline (prior to Cetuximab infusion); 1, 2, 4, 8, 24, 72, 120, and 160 hours (after the start of Cetuximab infusion) on Day 1 of weeks 4 and 5 ] [ Designated as safety issue: No ]
- Carboplatin pharmacokinetics: Measurement of the time after administration when the maximum plasma concentration is reached (Tmax) [ Time Frame: Baseline (prior to Carboplatin infusion); 1, 1:30, 2, 3, 5, 8, 24, 72 hours (after the start of Carboplatin infusion) on Day 1 of weeks 1 and 5 ] [ Designated as safety issue: No ]
- Cetuximab pharmacokinetics: Measurement of the time after administration when the maximum plasma concentration is reached (Tmax) [ Time Frame: Baseline (prior to Cetuximab infusion); 1, 2, 4, 8, 24, 72, 120, and 160 hours (after the start of Cetuximab infusion) on Day 1 of weeks 4 and 5 ] [ Designated as safety issue: No ]
- Anti-Cetuximab antibodies [ Time Frame: Day 1 of week 1 in Cycles 1, 3, 5, and 30 days after last dose (estimated at up to 6 months) ] [ Designated as safety issue: No ]
- Objective response rate (ORR) The proportion of participants achieving a best overall response of confirmed partial or complete response (CR + PR), according to RECIST [ Time Frame: From randomization until the date of disease progression/recurrence (estimated at up to 12 months) ] [ Designated as safety issue: No ]
- Overall survival [ Time Frame: Baseline to date of death from any cause (estimated at up to 36 months) ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 15 |
| Study Start Date: | March 2010 |
| Estimated Study Completion Date: | October 2016 |
| Estimated Primary Completion Date: | October 2016 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Cetuximab and Carboplatin
Cycle 1 (4 weeks, combination therapy): Week 1 - Carboplatin AUC5 on day 1; 5-FU 1000 mg/m^2 on days 1-4. Week 2 - Cetuximab 400 mg/m^2 on day 1. Week 3 - Cetuximab 250 mg/m^2 on day 1. Week 4 - Cetuximab 250 mg/m^2 on day 1. Cycle 2-6 (3 weeks, combination therapy): Week 1 - Carboplatin AUC5 on day 1; 5-FU 1000 mg/m^2 on days 1-4; Cetuximab 250 mg/m^2 on day 1. Week 2 - Cetuximab 250 mg/m^2 on day 1. Week 3 - Cetuximab 250 mg/m^2 on day 1. After 6 cycles, participants may then receive weekly Cetuximab monotherapy until progression of disease, unacceptable toxicity, or another withdrawal criterion is met. |
Drug: Cetuximab
Administered Intravenously
Drug: Carboplatin
Administered Intravenously
Drug: 5 - Fluorouracil
Administered Intravenously
|
|
Experimental: Cetuximab on Carboplatin
Cycle 1: Week 1 - Carboplatin AUC5 on day 1; 5-FU 1000 mg/m^2 on days 1-4 Week 2 - Cetuximab 400 mg/m^2 on day 1 Week 3 - Cetuximab 250 mg/m^2 on day 1 Cycle 2-6: Week 1 - Carboplatin AUC5 on day 1; 5-FU 1000 mg/m^2 on days 1-4; Cetuximab 250 mg/m^2 on day 1 Week 2 - Cetuximab 250 mg/m^2 on day 1 Week 3 - Cetuximab 250 mg/m^2 on day 1 After 6 cycles, participants may then receive weekly Cetuximab monotherapy until progression of disease, unacceptable toxicity, or another withdrawal criterion is met. Due to protocol amendment in September 2011, any newly enrolled participants will be placed into Cetuximab and Cisplatin arm only |
Drug: Cetuximab
Administered Intravenously
Drug: Carboplatin
Administered Intravenously
Drug: 5 - Fluorouracil
Administered Intravenously
|
|
Experimental: Carboplatin on Cetuximab
Cycle 1: Week 1 - Cetuximab 400 mg/m^2 on day 1 Week 2 - Cetuximab 250 mg/m^2 on day 1 Week 3 - Cetuximab 250 mg/m^2 on day 1 Cycle 2-7: Week 1 - Carboplatin AUC5 on day 1; 5-FU 1000 mg/m^2 on days 1-4; Cetuximab 250 mg/m^2 on day 1 Week 2 - Cetuximab 250 mg/m^2 on day 1 Week 3 - Cetuximab 250 mg/m^2 on day 1 After 7 cycles, participants may then receive weekly Cetuximab monotherapy until progression of disease, unacceptable toxicity, or another withdrawal criterion is met. Due to protocol amendment in September 2011, any newly enrolled participants will be placed into Cetuximab and Cisplatin arm only |
Drug: Cetuximab
Administered Intravenously
Drug: Carboplatin
Administered Intravenously
Drug: 5 - Fluorouracil
Administered Intravenously
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- The participant has histologically or cytologically confirmed head and neck cancer, with the exception of lymphomas involving the head and neck region. Tumors of unknown origin presenting in the head and neck region or local or recurrent skin cancers in the head and neck region are also acceptable.
- The participant has measurable or non-measurable disease.
- If the patient has received prior treatment with anti-EGFR therapy, the time to recurrence from the last cetuximab or other anti-EGFR agent exposure is > 90 days. If the patient has received therapy with an anti-EGFR tyrosine kinase inhibitor, the time to recurrence from the last exposure is > 30 days.
- The participant has a life expectancy of greater than 3 months.
- The participant has an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.
- The participant has adequate hematologic function as defined by absolute neutrophil count greater than or equal to 1500/microliter (μL), hemoglobin greater than or equal to 9 grams/deciliter (g/dL), and platelet count greater than or equal to 100,000/μL.
- The participant has adequate hepatic function as defined by a total bilirubin less than or equal to 2 x the upper limit of normal (ULN), aspartate transaminase (AST, SGOT) and alanine transaminase (ALT, SGPT) less than or equal to 3 x the ULN (or less than or equal to 5 x the ULN in the presence of known liver metastases).
- The participant has adequate renal function as defined by serum creatinine less than or equal to 1.5 x the institutional ULN or creatinine clearance greater than or equal to 60 mL/min for participants with creatinine levels above the ULN.
- The participant has the ability to understand, and the willingness to sign, a written informed consent document.
- Prior systemic chemotherapy for head and neck cancer is allowed only if performed as part of a multimodal treatment for locally advanced disease and/or as first-line treatment for recurrent/metastatic disease. The time to recurrence from the last exposure of systemic chemotherapy must be more than 6 weeks. The first-line treatment for recurrent/metastatic disease must not have contained a platinum agent.
Exclusion Criteria:
- The participant has lymphoma involving the head or neck region.
- The participant has symptomatic brain or leptomeningeal metastasis.
- The participant has not recovered from adverse events due to agents administered more than 4 weeks earlier. Neurotoxicity, if present, must have improved to Grade less than 2 per the National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) v 3.0.
- The participant is receiving any other investigational agent(s).
- The participant is receiving concurrent treatment with other anticancer therapy, including chemotherapy, immunotherapy, hormonal therapy, RT, chemoembolization, or targeted therapy. Participants receiving palliative radiation therapy to bony metastases prior to the first dose of study medication are eligible.
- The participant is receiving therapy with immunosuppressive agents.
- The participant has known drug or alcohol abuse.
- The participant has uncontrolled hypertension defined as systolic blood pressure greater than or equal to 180 mm Hg or diastolic blood pressure greater than or equal to 130 millimeters of mercury (mm Hg).
- The participant has a history of allergic reactions attributed to compounds of chemical or biologic composition similar to those of cetuximab or carboplatin.
- The participant has a medical or psychological condition that would not permit the participant to complete the study or sign informed consent.
- The participant has clinically relevant coronary artery disease or history of myocardial infarction in the last 12 months or high risk of uncontrolled arrhythmia or uncontrolled cardiac insufficiency.
- The participant, if female, is pregnant (confirmed by serum or urine beta-human chorionic gonadotropin [β-HCG] pregnancy test) or breastfeeding
- The participant has had a known positive test result for the human immunodeficiency virus.
- The participant has an active infection (requiring intravenous [IV] antibiotics), including tuberculosis.
- The participant has a history of another active primary invasive cancer within the previous 2 years, excluding non-melanoma skin cancer.
Contacts and Locations| Contact: There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or | 1-317-615-4559 |
| United States, Kansas | |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Recruiting |
| Fairway, Kansas, United States, 66205 | |
| Contact: Eli Lilly | |
| United States, Oregon | |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Not yet recruiting |
| Portland, Oregon, United States, 97239 | |
| Contact: Eli Lilly | |
| United States, South Carolina | |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Not yet recruiting |
| Charleston, South Carolina, United States, 29425 | |
| Contact: Eli Lilly | |
| United States, Wisconsin | |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Not yet recruiting |
| Milwaukee, Wisconsin, United States, 53226 | |
| Contact: Eli Lilly | |
| Canada, Ontario | |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Recruiting |
| London, Ontario, Canada, N6A 4L6 | |
| Contact: Eli Lilly | |
| Canada, Quebec | |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Recruiting |
| Montreal, Quebec, Canada, H3G 1A4 | |
| Contact: Eli Lilly | |
| Study Director: | Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST | Eli Lilly and Company |
More Information
No publications provided
| Responsible Party: | Eli Lilly and Company |
| ClinicalTrials.gov Identifier: | NCT01063075 History of Changes |
| Other Study ID Numbers: | 13420, I4E-MC-JXBB |
| Study First Received: | February 3, 2010 |
| Last Updated: | May 14, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Eli Lilly and Company:
|
Cancer of Head Cancer of Head and Neck Cancer of Neck Head and Neck Cancer Head Cancer |
Head Neoplasms Head, Neck Neoplasms Neck Cancer Neck Neoplasms |
Additional relevant MeSH terms:
|
Neoplasms Head and Neck Neoplasms Neoplasms by Site Fluorouracil Cetuximab Carboplatin Antimetabolites Molecular Mechanisms of Pharmacological Action |
Pharmacologic Actions Antimetabolites, Antineoplastic Antineoplastic Agents Therapeutic Uses Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 16, 2013