A Drug-Interaction Study of Necitumumab (IMC-11F8) in Combination With Gemcitabine-Cisplatin
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Purpose
The purpose of this study is to investigate the pharmacokinetics (PK) of necitumumab in combination with gemcitabine-cisplatin in patients with advanced malignant solid tumors and to assess the potential for drug-drug interactions between necitumumab and gemcitabine-cisplatin.
| Condition | Intervention | Phase |
|---|---|---|
|
Malignant Solid Tumor |
Biological: Necitumumab Drug: Gemcitabine Drug: Cisplatin |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Pharmacokinetics Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open-Label, Non-controlled, Non-randomized Sequential Design, Drug-Interaction Study of Necitumumab (IMC-11F8) in Combination With Gemcitabine-Cisplatin in Patients With Advanced Solid Cancers |
- Pharmacokinetics: maximum observed drug concentration (Cmax) of necitumumab, gemcitabine, and cisplatin [ Time Frame: PK Run-in Period and Treament Period: Predose, up to 168 hours post dose ] [ Designated as safety issue: No ]
- Pharmacokinetics: area under concentration-time curve [AUC(0-t)] of necitumumab, gemcitabine, and cisplatin [ Time Frame: PK Run-in Period and Treament Period: Predose, up to 168 hours post dose ] [ Designated as safety issue: No ]
- Pharmacokinetics: area under the plasma concentration-time curve from time zero to infinity [AUC(0-∞)] of gemcitabine and cisplatin [ Time Frame: PK Run-in Period and Treament Period: Predose, up to 168 hours post dose ] [ Designated as safety issue: No ]
- Incidence of anti-necitumumab antibodies [ Time Frame: Pretreatment, Day 1 of Cycle 1, 2, 4 and 6, and at 30-day follow-up ] [ Designated as safety issue: No ]
- Antitumor activity of necitumumab in combination with gemcitabine-cisplatin chemotherapy (tumor response evaluated per the Response Evaluation Criteria in Solid Tumors, Version 1.1 [RECIST 1.1]) [ Time Frame: Every 6 weeks post first dose ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 15 |
| Study Start Date: | August 2012 |
| Estimated Study Completion Date: | January 2014 |
| Estimated Primary Completion Date: | July 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Necitumumab, Gemcitabine and Cisplatin
The study will be conducted in two sequential periods: a 3-week PK run-in period and a combination treatment period. During the PK run-in period patients will be treated sequentially with single doses of cisplatin, gemcitabine, and necitumumab. Cycle 1 will begin immediately following the PK run-in period.
|
Biological: Necitumumab
PK Run-In Period: Necitumumab administered on Day 3 of the 3-week PK run-in period as an intravenous (I.V.) infusion at an absolute dose of 800 mg Treatment Cycles: Necitumumab administered on Days 1 and 8 of every 3-week cycle as an intravenous (I.V.) infusion at an absolute dose of 800 mg Other Names:
Drug: Gemcitabine
PK Run-In Period: Gemcitabine administered on Day 1 of the 3-week PK run-in period as an I.V. infusion at a dose of 1250 mg/m2 Treatment Cycles: Gemcitabine administered on Days 1 and 8 of every 3-week cycle as an I.V. infusion at a dose of 1250 mg/m2 Other Names:
Drug: Cisplatin
PK Run-In Period: Cisplatin administered on Day 1 of the 3-week PK run-in period as an I.V. infusion at a dose of 75 mg/m2 Treatment Cycles: Cisplatin administered on Day 1 of every 3-week cycle as an I.V. infusion at a dose of 75 mg/m2 |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Have documented advanced or metastatic malignant solid tumors (except for colorectal tumors with KRAS mutation) that are resistant to standard therapy or for which no standard therapy is available
- May have measurable or non-measurable disease
- Have resolution to Grade 0 or 1 by the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 4.0 (NCI-CTCAE 4.0) of all clinically significant toxic effects (other than alopecia) of prior chemotherapy, surgery, radiotherapy, or hormonal therapy
- Have an Eastern Cooperative Oncology Group performance status (ECOG PS) score of 0 or 1
- Have adequate hepatic, hematologic and renal function
- If female, are surgically sterile, postmenopausal, or agree to be compliant with a highly effective contraceptive method during and for 6 months after the treatment period. If male, are surgically sterile or agree to be compliant with a highly effective contraceptive regimen during and for 6 months after the treatment period
- Female patients of childbearing potential have a negative serum pregnancy test within 7 days prior to the first dose of study therapy
Exclusion Criteria:
- Have received a systemic anticancer agent (including EGFR tyrosine kinase inhibitors) or device within 28 days prior to first dose of study therapy
- The most recent anticancer therapy received by the patient included either gemcitabine or cisplatin (or both)
- Have received radiotherapy within 14 days prior to first dose of study therapy
- Have received cytotoxic chemotherapy within 21 days prior to first dose of study therapy
- Are receiving concurrent treatment with another anticancer therapy, including chemotherapy, immunotherapy, hormonal therapy, radiation therapy, chemoembolization, or targeted therapy
- Are considered surgical candidates (with resectable disease)
- Have brain metastases that are symptomatic or require ongoing treatment with steroids or anticonvulsants
- Have narrowing of or blockage in large veins
- Have coronary artery disease or uncontrolled congestive heart failure
- Have uncontrolled angina pectoris, or experienced myocardial infarction within 6 months prior to first dose of study therapy
- Have an ongoing or active infection (requiring treatment), including active tuberculosis or known infection with the human immunodeficiency virus
- Have a history of significant neurological or psychiatric disorders, including dementia, seizures, or bipolar disorder
- Have known drug or alcohol abuse
- If female, are pregnant or breastfeeding
- Have 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 therapy
- Are currently enrolled in, or discontinued within the 30 days prior to first dose of study therapy from a clinical trial involving an investigational product or nonapproved 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
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, Michigan | |
| 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 |
| Detroit, Michigan, United States, 48201 | |
| Contact: ImClone | |
| United States, Nevada | |
| 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 |
| Las Vegas, Nevada, United States, 89169 | |
| Contact: ImClone | |
| United States, Pennsylvania | |
| 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 |
| Pittsburgh, Pennsylvania, United States, 15213 | |
| Contact: ImClone | |
| Study Director: | 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) | ImClone LLC |
More Information
No publications provided
| Responsible Party: | ImClone LLC |
| ClinicalTrials.gov Identifier: | NCT01606748 History of Changes |
| Other Study ID Numbers: | 14473, CP11-1115, I4X-IE-JFCJ |
| Study First Received: | May 24, 2012 |
| Last Updated: | May 15, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by ImClone LLC:
|
Advanced Malignant Solid Tumors Solid Cancers Non-small Cell Lung Cancer NSCLC Breast Cancer |
Additional relevant MeSH terms:
|
Neoplasms Gemcitabine Cisplatin Antibodies, Monoclonal Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Radiation-Sensitizing Agents Physiological Effects of Drugs |
Antimetabolites, Antineoplastic Antimetabolites Molecular Mechanisms of Pharmacological Action Antiviral Agents Anti-Infective Agents Enzyme Inhibitors Immunosuppressive Agents Immunologic Factors |
ClinicalTrials.gov processed this record on May 16, 2013