A Study of IMC-1121B (Ramucirumab) in Colorectal Cancer

NCT00862784 | Completed Phase 2 Results DMC

• 4 other identifiers: 138972008-004936-19CP12-0709I4T-IE-JVBH
• Study Type: interventional
• Target: 48
• Locations: 2 countries
• Sites: 7

Brief Summary

The purpose of this study is to test how long participants with colorectal cancer live without progressive disease when being treated with IMC-1121B (ramucirumab) and the modified FOLFOX-6 chemotherapy.

Conditions

Colorectal Carcinoma

Keywords

Colorectal carcinoma; CRC; Colon Cancer

Outcome Measures

Primary Outcomes (1)

• Progression-Free Survival (PFS)

  PFS was defined as the time from date of first dose to the first observation of progression of disease (PD) or death due to any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0. PD is ≥20% increase in sum of longest diameter of target lesions and/or unequivocal progression of non-target lesion and/or new lesion. For participants who had no PD or death or had started new therapeutic anticancer treatment, PFS was censored at their last radiographic tumor assessment.

  First dose to measured progressive disease or death due to any cause up to 28.1 months

Secondary Outcomes (16)

• Percentage of Participants With Complete Response or Partial Response [Objective Response Rate (ORR)]

  First dose to date of objective progressive disease up to 23.8 months

• Overall Survival (OS)

  First dose to death due to any cause up to 28.1 months

• Duration of Response

  Time of response to time of measured progressive disease up to 22.2 months

• Number of Participants With IMC-1121B (Ramucirumab)-Related Adverse Events (AEs)

  First dose to 25.2 months

• Number of Participants With IMC-1121B (Ramucirumab)-Related Severe Adverse Events (SAEs)

  First dose to 25.2 months

Study Arms (1)

IMC-1121B (ramucirumab) + mFOLFOX-6

EXPERIMENTAL

This regimen will be repeated every 2 weeks until disease progression, unacceptable toxicity, or withdrawal.

Biological: IMC-1121B (ramucirumab); Drug: Oxaliplatin; Drug: Folinic acid; Drug: 5-FU

Interventions

IMC-1121B (ramucirumab) BIOLOGICAL

8 milligrams/kilogram (mg/kg) IMC-1121B (ramucirumab) infusions every 2 weeks

Also known as: ramucirumab, LY3009806

IMC-1121B (ramucirumab) + mFOLFOX-6

Oxaliplatin DRUG

85 milligrams/square meter (mg/m²) intravenous infusion over 2 hours on Day 1

IMC-1121B (ramucirumab) + mFOLFOX-6

Folinic acid DRUG

400 mg/m² intravenous infusion over 2 hours on Day 1

IMC-1121B (ramucirumab) + mFOLFOX-6

5-FU DRUG

400 mg/m² intravenous bolus injection over 2-4 minutes, immediately following folinic acid infusion

IMC-1121B (ramucirumab) + mFOLFOX-6

Eligibility Criteria

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

You may qualify if:

• The participant must have histologically confirmed adenocarcinoma of the colon or rectum that is locally-advanced or metastatic and unresectable
• The participant has at least one unidimensionally-measurable target lesion \[≥ 2 centimeters (cm) with conventional techniques or ≥ 1 cm with spiral computed tomography (CT) scan or magnetic resonance imaging (MRI), as defined by Response Evaluation Criteria in Solid Tumors (RECIST)\]; target lesion(s) must not lie within an irradiated area. Participants with locally advanced rectal carcinoma who have undergone previous radiation must have documented evidence of disease progression in the pelvis in order to participate
• The participant is age ≥ 18 years
• The participant has a life expectancy of ≥ 6 months
• The participant has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) 0-1 at study entry
• The participant has adequate hematologic function, as evidenced by an absolute neutrophil count (ANC) ≥ 1500/microliter (μL), hemoglobin ≥ 10 grams/deciliter (g/dL), and platelets ≥ 100,000/μL
• The participant has adequate hepatic function as defined by: total bilirubin ≤ 1.5 x upper limit of normal (ULN), aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 3.0 x ULN (or 5.0 x ULN in the case of liver metastases), and serum albumin ≥ lower limit of normal (LLN) institutional range or (if \< LLN) within 10% of the LLN
• The participant has adequate renal function as defined by a serum creatinine ≤ 1.5 x ULN, or creatinine clearance (measured via 24-hour urine collection) ≥ 60 milliliters/minute (mL/min)
• The participant's urinary protein ≤ 1+ on dipstick or routine urinalysis \[(UA); if urine dipstick or routine analysis is ≥ 2+, a 24-hour urine for protein must demonstrate \< 1000 milligrams (mg) of protein in 24 hours to allow participation in the study\]
• The participant must have adequate coagulation function as defined by International Normalized Ratio (INR) ≤ 1.5 and a partial thromboplastin time (PTT) ≤ 5 seconds above the ULN. Participants on full-dose anticoagulation must be on a stable dose of oral anticoagulant or low molecular weight (LMW) heparin and if on warfarin, must have an INR between 2 and 3 and no active bleeding or pathological condition present that carries a high risk of bleeding (for example, tumor involving major vessels or known varices)
• The participant has resolution to Grade ≤ 1 by the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 3 (NCI-CTCAE v 3.0) of all clinically significant toxic effects of prior chemotherapy, surgery, radiotherapy, or hormonal therapy with the exception of peripheral neuropathy which must have resolved to Grade 0
• The participant agrees to use adequate contraception during the study period and for 8 weeks after the last dose of study treatment
• The participant has provided signed informed consent

You may not qualify if:

• The participant has received prior systemic chemotherapy for locally-advanced unresectable or metastatic colorectal cancer (CRC). Prior adjuvant chemotherapy is allowed if disease progression has been documented \> 6 months after the end of the last cycle of adjuvant chemotherapy or \> 12 months after the end of the last cycle of adjuvant oxaliplatin-containing regimens
• The participant has documented and/or symptomatic brain or leptomeningeal metastases
• The participant has participated in clinical studies of non-approved experimental agents or procedures within 12 weeks of study entry
• The participant has received previous therapy with monoclonal antibodies
• The participant has received previous therapy with any agent that targets vascular endothelial growth factor (VEGF) or VEGF receptor-2 (VEGFR-2) (including multi-targeted tyrosine kinase inhibitors)
• The participant has an ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, symptomatic or poorly controlled cardiac arrhythmia, psychiatric illness/social situations, or any other serious uncontrolled medical disorders in the opinion of the investigator
• The participant is on chronic non-topical corticosteroid treatment for \> 6 months at doses \> 10 mg/day of prednisolone or equivalent before study entry, which in the opinion of the investigator could compromise the participant or the study
• The participant has a known dihydropyrimidine dehydrogenase (DPD) deficiency
• The participant has a known allergy to any of the treatment components
• The participant has an acute or subacute intestinal obstruction
• The participant has uncontrolled or poorly controlled hypertension on a standard regimen of anti-hypertensive therapy
• The participant has a concurrent active malignancy other than adequately treated nonmelanomatous skin cancer, other noninvasive carcinoma, or in situ neoplasm. A participant with previous history of malignancy is eligible, provided that he/she has been disease free for \> 3 years
• The participant, if female, is pregnant
• Has had prior autologous or allogeneic organ or tissue transplantation
• Has interstitial pneumonia or interstitial fibrosis of the lung, which in the opinion of the investigator could compromise the participant or the study

Sponsors & Collaborators

• Eli Lilly and Company: lead

Study Sites (7)

ImClone Investigational Site

Ottawa, Ontario, K1H 8L6, Canada

Location

ImClone Investigational Site

Toronto, Ontario, M5G-2M9, Canada

Location

ImClone Investigational Site

Montreal, Quebec, H2L 4M1, Canada

Location

ImClone Investigational Site

Barcelona, Spain

Location

ImClone Investigational Site

Santander, Spain

Location

ImClone Investigational Site

Seville, Spain

Location

ImClone Investigational Site

Valencia, Spain

Location

MeSH Terms

Conditions

Colorectal Neoplasms; Colonic Neoplasms

Interventions

Ramucirumab; Oxaliplatin; Leucovorin; Fluorouracil

Condition Hierarchy (Ancestors)

Intestinal Neoplasms; Gastrointestinal Neoplasms; Digestive System Neoplasms; Neoplasms by Site; Neoplasms; Digestive System Diseases; Gastrointestinal Diseases; Colonic Diseases; Intestinal Diseases; Rectal Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, Humanized; Antibodies, Monoclonal; Antibodies; Immunoglobulins; Immunoproteins; Blood Proteins; Proteins; Amino Acids, Peptides, and Proteins; Serum Globulins; Globulins; Coordination Complexes; Organic Chemicals; Formyltetrahydrofolates; Tetrahydrofolates; Folic Acid; Pterins; Pteridines; Heterocyclic Compounds, 2-Ring; Heterocyclic Compounds, Fused-Ring; Heterocyclic Compounds; Coenzymes; Enzymes and Coenzymes; Uracil; Pyrimidinones; Pyrimidines; Heterocyclic Compounds, 1-Ring

Results Point of Contact

• Title: Chief Medical Officer
• Organization: Eli Lilly and Company

800-545-5979

Study Officials

• 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)

  Eli Lilly and Company

  STUDY DIRECTOR

Publication Agreements

• PI is Sponsor Employee: No
• Restriction Type: OTHER
• Restrictive Agreement: Yes

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 16, 2009
• First Posted: March 17, 2009
• Study Start: April 1, 2009
• Primary Completion: April 1, 2011
• Study Completion: August 1, 2011
• Last Updated: June 17, 2014
• Results First Posted: June 17, 2014

Record last verified: 2014-05

Locations

CA (3); ES (4)