ABX-EGF as Second Line Treatment of Advanced Non-Small-Cell Lung Cancer (NSCLC)

NCT00101920 | Completed Phase 2

• 1 other identifier: 20025408
• Study Type: interventional
• Target: 50
• Locations: 0 countries
• Sites: N/A

Brief Summary

Rationale: Overexpression of epidermal growth factor receptor (EGFR) has been observed in kidney, prostate, colon, lung, breast, and other cancers, and is often associated with a poor prognosis. TGFa and EGF, the ligands for EGFR, are also overexpressed in some of these tumor types, suggesting a self-propagating stimulus that may be responsible for rapid tumor growth. Blocking this stimulus by blocking activation of EGFR with ABX-EGF, a fully human monoclonal antibody against EGFR, may prevent tumor growth and perhaps shrink tumors. Purpose: This is a Phase 2 clinical trial to evaluate the safety and efficacy of ABX-EGF in the treatment of advanced NSCLC following failure of paclitaxel and carboplatin therapy on treatment arm 1 of Immunex Protocol 054.0004 (Amgen Protocol 20025404), Part 2.

Conditions

Non-small Cell Lung Cancer; Neoplasm Metastasis; Lung Cancer

Outcome Measures

Primary Outcomes (1)

• Objective Tumor Response

  End of initial 6 week treatment period

Study Arms (1)

ABX-EGF

EXPERIMENTAL

Open-label, single arm panitumamab monotherapy

Drug: ABX-EGF

Interventions

ABX-EGF DRUG

2.5 mg/kg by an infusion pump over one hour

ABX-EGF

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years of age or older.
• Diagnosis of NSCLC.
• Unidimensionally measurable disease.
• Documented disease progression within 6 months of the subject's last dose of carboplatin and paclitaxel in treatment arm 1, part 2 of Immunex Protocol 054.0004 (Amgen Protocol 20025404).
• Disease stage IIIB with pericardial or pleural effusion, or stage IV.
• Life expectancy of at least 12 weeks.
• ANC greater than or equal to 1.5 x 10\^9/L, platelet count greater than or equal to 100 x 10\^9/L.
• Adequate hematology function
• Adequate renal function
• Adequate hepatic function
• ECOG score of less than 2.
• Brain metastases, if present, must be controlled and asymptomatic.

You may not qualify if:

• Calcium \>ULN (treatment for hypercalcemia allowed).
• Use of any investigational therapy within 30 days of ABX-EGF infusion.
• Any cancer therapy for NSCLC other than paclitaxel and carboplatin per Immunex Protocol 054.0004 (Amgen Protocol 20025404), such as radiation therapy, surgery, or steroids.
• Paclitaxel or carboplatin within 30 days before the first ABX-EGF infusion.
• Radiation therapy within 2 weeks before ABX-EGF infusion.
• LVEF less than 45% as measured by MUGA.
• Symptomatic ventricular arrhythmia or symptomatic conduction abnormality.
• Myocardial infarction within 1 year before first dose of study drug.
• History of cancer that has required treatment or been active within past 5 years, other than NSCLC, basal cell carcinoma, or cervical carcinoma in situ.
• Women (e.g., of childbearing potential, who are post-menopausal for less than six months, not surgically sterilized or not abstinent) who are not willing to use an oral or implanted contraceptive, double barrier birth control, or an IUD during the course of the study and for 6 months following treatment.
• Men not willing to use contraception upon enrollment into this study and for 1 month following treatment.
• Women who are breast-feeding or have a positive pregnancy test within 72 hours of first study drug administration.
• Known to be HIV positive.
• Any patient who's best medical interests would not be met by entry in the study in the opinion of the Investigators.

Sponsors & Collaborators

• Amgen: lead

Related Links

• AmgenTrials clinical trials website

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung; Neoplasm Metastasis; Lung Neoplasms

Interventions

Panitumumab

Condition Hierarchy (Ancestors)

Carcinoma, Bronchogenic; Bronchial Neoplasms; Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Respiratory Tract Diseases; Neoplastic Processes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, Humanized; Antibodies, Monoclonal; Antibodies; Immunoglobulins; Immunoproteins; Blood Proteins; Proteins; Amino Acids, Peptides, and Proteins; Serum Globulins; Globulins

Study Officials

• MD

  Amgen

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY

Study Record Dates

• First Submitted: January 18, 2005
• First Posted: January 19, 2005
• Study Start: June 1, 2003
• Primary Completion: December 1, 2004
• Study Completion: December 1, 2004
• Last Updated: October 15, 2010

Record last verified: 2010-10