NCT01160744

Brief Summary

The purpose of this study is to determine if participants with Stage IV NSCLC have a better outcome when treated with IMC-1121B in combination with pemetrexed + carboplatin/cisplatin or gemcitabine + carboplatin/cisplatin than when treated with pemetrexed + carboplatin/cisplatin or gemcitabine + carboplatin/cisplatin alone.

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
280

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Sep 2010

Longer than P75 for phase_2

Geographic Reach
6 countries

53 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 8, 2010

Completed
4 days until next milestone

First Posted

Study publicly available on registry

July 12, 2010

Completed
2 months until next milestone

Study Start

First participant enrolled

September 1, 2010

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2014

Completed
12 months until next milestone

Results Posted

Study results publicly available

December 29, 2014

Completed
3.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2018

Completed
Last Updated

September 13, 2019

Status Verified

August 1, 2019

Enrollment Period

3.3 years

First QC Date

July 8, 2010

Results QC Date

December 17, 2014

Last Update Submit

August 28, 2019

Conditions

Keywords

Lung neoplasmsLung cancerNon-small Cell Lung Cancerpemetrexedsquamousnonsquamous

Outcome Measures

Primary Outcomes (1)

  • Progression-Free Survival (PFS)

    PFS was the time from randomization to the first objective progression as defined by Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v 1.1) or death from any cause, whichever occurred first. Progressive disease (PD) was defined as ≥20% increase in sum of diameter (SOD) of target lesions and short axes of target lymph nodes, taking as reference the smallest sum of the longest diameters recorded since treatment started and an absolute increase in sum diameter of ≥5 millimeters (mm); appearance of ≥1 new lesions and/or unequivocal progression of existing non-target lesions. Participants alive and without disease progression were censored at the time of the last objective tumor assessment. Participants who did not progress and were lost to follow-up were censored at their last radiographic assessment. If no baseline or post baseline radiologic assessments were available, participants were censored at date of randomization.

    Randomization to PD or death (up to 24 months)

Secondary Outcomes (4)

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

    Day 1, Cycle 1 (3-week cycles) and every 6 weeks thereafter to PD (up to 24 months)

  • Overall Survival (OS)

    Randomization to the date of death from any cause (up to 31.3 months)

  • Duration of Response (DOR)

    Time of first response (CR or PR) until PD or death (up to 24 months)

  • Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs) and Who Died

    Day 1, Cycle 1 (3-week cycles) Up to 3 Years

Other Outcomes (2)

  • Percentage of Participants With CR, PR, or Stable Disease (SD) [Disease Control Rate (DCR)]

    Day 1, Cycle 1 (3-week cycles) and every 6 weeks thereafter to PD (up to 24 months)

  • Change in Tumor Size (CTS)

    Baseline, 6 weeks

Study Arms (4)

IMC-1121B + Pemetrexed + Carboplatin (AUC 6) or Cisplatin

EXPERIMENTAL

IMC-1121B + Pemetrexed + Carboplatin \[Area Under the Concentration Time Curve 6 (AUC 6)\] or Cisplatin

Biological: IMC-1121B (ramucirumab)Drug: PemetrexedDrug: Carboplatin (AUC 6)Drug: Cisplatin

Pemetrexed + Carboplatin (AUC 6) or Cisplatin

ACTIVE COMPARATOR

Pemetrexed + Carboplatin (AUC 6) or Cisplatin

Drug: PemetrexedDrug: Carboplatin (AUC 6)Drug: Cisplatin

IMC-1121B + Gemcitabine + Carboplatin (AUC 5) or Cisplatin

EXPERIMENTAL

IMC-1121B + Gemcitabine + Carboplatin \[Area Under the Concentration Time Curve 5 (AUC 5)\] or Cisplatin

Biological: IMC-1121B (ramucirumab)Drug: CisplatinDrug: GemcitabineDrug: Carboplatin (AUC 5)

Gemcitabine + Carboplatin (AUC 5) or Cisplatin

ACTIVE COMPARATOR

Gemcitabine + Carboplatin (AUC 5) or Cisplatin

Drug: CisplatinDrug: GemcitabineDrug: Carboplatin (AUC 5)

Interventions

10 milligrams/kilogram (mg/kg) once every 3 weeks beginning Day 1, Cycle 1

Also known as: ramucirumab, IMC-1121B, LY3009806
IMC-1121B + Gemcitabine + Carboplatin (AUC 5) or CisplatinIMC-1121B + Pemetrexed + Carboplatin (AUC 6) or Cisplatin

500 milligrams/square meter (mg/m²) on Day 1 of every 21-day cycle

IMC-1121B + Pemetrexed + Carboplatin (AUC 6) or CisplatinPemetrexed + Carboplatin (AUC 6) or Cisplatin

Day 1 of every 21-day cycle

IMC-1121B + Pemetrexed + Carboplatin (AUC 6) or CisplatinPemetrexed + Carboplatin (AUC 6) or Cisplatin

75 mg/m² intravenous (IV) on Day 1 of each 21-day cycle

Gemcitabine + Carboplatin (AUC 5) or CisplatinIMC-1121B + Gemcitabine + Carboplatin (AUC 5) or CisplatinIMC-1121B + Pemetrexed + Carboplatin (AUC 6) or CisplatinPemetrexed + Carboplatin (AUC 6) or Cisplatin

1000 mg/m² on Days 1 and 8 of every 21-day cycle

Gemcitabine + Carboplatin (AUC 5) or CisplatinIMC-1121B + Gemcitabine + Carboplatin (AUC 5) or Cisplatin

Day 1 of every 21-day cycle

Gemcitabine + Carboplatin (AUC 5) or CisplatinIMC-1121B + Gemcitabine + Carboplatin (AUC 5) or Cisplatin

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Confirmed NSCLC
  • Stage IV disease at the time of study entry
  • Measurable disease at the time of study entry
  • Resolution to Grade ≤ 1 Adverse Events, of all clinically significant toxic effects of prior chemotherapy, surgery, radiotherapy, or hormonal therapy (except alopecia)
  • Adequate hematologic function, hepatic function, renal function and coagulation function
  • If sexually active, must be post-menopausal, surgically sterile, or using effective contraception; and agrees to use adequate contraception during the study period and for up to 6 months after the last dose of study medication
  • Female participants of childbearing potential must have a negative serum pregnancy test

You may not qualify if:

  • Has cirrhosis at a level of Child-Pugh B (or worse), or cirrhosis and a history of hepatic encephalopathy, or ascites resulting from cirrhosis and requiring ongoing treatment with diuretics and/or paracentesis
  • Tumor wholly or partially contains small cell lung cancer
  • Untreated central nervous system (CNS) metastases, eligible if they are clinically stable with regard to neurologic function, off all steroids after cranial irradiation at least 2 weeks prior or after surgical resection performed at least 4 weeks prior to randomization
  • Concurrent active malignancy other than adequately treated basal cell carcinoma of the skin or pre-invasive carcinoma of the cervix. A participant with previous history of malignancy other than NSCLC is eligible, provided that he/she has been free of disease for ≥ 3 years
  • Received prior therapy with monoclonal antibodies, signal transduction inhibitors, or any therapies targeting the vascular endothelial growth factor (VEGF) or vascular endothelial growth factor receptor (VEGFR)
  • Receiving concurrent treatment with other anticancer therapy
  • Has received previous chemotherapy for Stage IV NSCLC (participants who have received adjuvant chemotherapy are eligible if the last administration of the prior adjuvant regimen occurred at least 6 months prior to randomization)
  • Has radiologically documented evidence of major blood vessel invasion or encasement by cancer
  • Has undergone chest irradiation within 12 weeks prior to randomization (except palliative irradiation of bone lesions)
  • Ongoing or active infection
  • History of significant neurological or psychiatric disorders
  • Experienced clinically relevant coronary artery disease, myocardial infarction within 6 months prior to randomization, uncontrolled congestive heart failure, or symptomatic poorly controlled arrhythmia
  • Poorly-controlled hypertension
  • Experienced any serious Grade 3-4 gastrointestinal bleeding within 3 months prior to study entry
  • Receiving chronic daily treatment with aspirin (\> 325 mg/day) or other known inhibitors of platelet function
  • +7 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (53)

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Scottsdale, Arizona, 85258, United States

Location

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Tucson, Arizona, 85704, United States

Location

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Corona, California, 92879, United States

Location

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Fountain Valley, California, 92708, United States

Location

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Riverside, California, 92501, United States

Location

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Aurora, Colorado, 80045, United States

Location

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Fort Myers, Florida, 33916, United States

Location

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Miami, Florida, 33176, United States

Location

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Chicago, Illinois, 60612, United States

Location

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Peoria, Illinois, 61615, United States

Location

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Louisville, Kentucky, 40202, United States

Location

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Alexandria, Louisiana, 71301, United States

Location

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Minneapolis, Minnesota, 55404, United States

Location

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Columbia, Missouri, 65201, United States

Location

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Lincoln, Nebraska, 68506, United States

Location

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Neptune City, New Jersey, 07754, United States

Location

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Latham, New York, 12110, United States

Location

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The Bronx, New York, 10467, United States

Location

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Langhorne, Pennsylvania, 19047, United States

Location

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Hilton Head Island, South Carolina, 29926, United States

Location

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Nashville, Tennessee, 37203, United States

Location

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Bedford, Texas, 76022, United States

Location

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Dallas, Texas, 75231, United States

Location

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El Paso, Texas, 79915, United States

Location

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Fort Worth, Texas, 76104, United States

Location

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Kerrville, Texas, 78028, United States

Location

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Longview, Texas, 75601, United States

Location

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McAllen, Texas, 78503, United States

Location

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Midland, Texas, 79701, United States

Location

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Paris, Texas, 75460, United States

Location

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San Antonio, Texas, 78229, United States

Location

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The Woodlands, Texas, 77380, United States

Location

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Tyler, Texas, 75702, United States

Location

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Waco, Texas, 76712, United States

Location

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Christiansburg, Virginia, 24073, United States

Location

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Fairfax, Virginia, 22031, United States

Location

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Seattle, Washington, 98133, United States

Location

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Spokane Valley, Washington, 99216, United States

Location

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Ghent, 9000, Belgium

Location

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Toronto, Ontario, M4N 3M5, Canada

Location

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Montreal, Quebec, H2L 4M1, Canada

Location

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Berlin, 14165, Germany

Location

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Erlangen, 91054, Germany

Location

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Großhansdorf, 22927, Germany

Location

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Hemer, 58675, Germany

Location

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Karlsruhe, 76137, Germany

Location

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Regensburg, 93053, Germany

Location

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Ulm, 89081, Germany

Location

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Gdansk, 80-952, Poland

Location

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Olsztyn, 10-357, Poland

Location

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Warsaw, 02-781, Poland

Location

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Bangor, Gwynedo, LL57 2PW, United Kingdom

Location

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Nottingham, Nottinghamshire, NG5 1PB, United Kingdom

Location

Related Publications (1)

  • Doebele RC, Spigel D, Tehfe M, Thomas S, Reck M, Verma S, Eakle J, Bustin F, Goldschmidt J Jr, Cao D, Alexandris E, Yurasov S, Camidge DR, Bonomi P. Phase 2, randomized, open-label study of ramucirumab in combination with first-line pemetrexed and platinum chemotherapy in patients with nonsquamous, advanced/metastatic non-small cell lung cancer. Cancer. 2015 Mar 15;121(6):883-92. doi: 10.1002/cncr.29132. Epub 2014 Nov 6.

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungLung Neoplasms

Interventions

RamucirumabPemetrexedCarboplatinCisplatinGemcitabine

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsGuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsGlutamatesAmino Acids, AcidicAmino AcidsAmino Acids, DicarboxylicCoordination ComplexesOrganic ChemicalsChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-Ring

Results Point of Contact

Title
Chief Medical Officer
Organization
Eli Lilly and Company

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
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 8, 2010

First Posted

July 12, 2010

Study Start

September 1, 2010

Primary Completion

January 1, 2014

Study Completion

April 1, 2018

Last Updated

September 13, 2019

Results First Posted

December 29, 2014

Record last verified: 2019-08

Data Sharing

IPD Sharing
Will share

Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
More information

Locations