A Study of Pemetrexed and Carboplatin/Cisplatin or Gemcitabine and Carboplatin/Cisplatin With or Without IMC-1121B in Participants Previously Untreated With Recurrent or Advanced Non-Small Cell Lung Cancer (NSCLC)
An Open-label, Multicenter, Randomized, Phase 2 Study of a Recombinant Human Anti-VEGFR-2 Monoclonal Antibody, IMC-1121B in Combination With Platinum-based Chemotherapy Versus Platinum-based Chemotherapy Alone as First-line Treatment of Patients With Recurrent or Advanced Non-small Cell Lung Cancer (NSCLC)
4 other identifiers
interventional
280
6 countries
53
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Sep 2010
Longer than P75 for phase_2
53 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 8, 2010
CompletedFirst Posted
Study publicly available on registry
July 12, 2010
CompletedStudy Start
First participant enrolled
September 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2014
CompletedResults Posted
Study results publicly available
December 29, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2018
CompletedSeptember 13, 2019
August 1, 2019
3.3 years
July 8, 2010
December 17, 2014
August 28, 2019
Conditions
Keywords
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
EXPERIMENTALIMC-1121B + Pemetrexed + Carboplatin \[Area Under the Concentration Time Curve 6 (AUC 6)\] or Cisplatin
Pemetrexed + Carboplatin (AUC 6) or Cisplatin
ACTIVE COMPARATORPemetrexed + Carboplatin (AUC 6) or Cisplatin
IMC-1121B + Gemcitabine + Carboplatin (AUC 5) or Cisplatin
EXPERIMENTALIMC-1121B + Gemcitabine + Carboplatin \[Area Under the Concentration Time Curve 5 (AUC 5)\] or Cisplatin
Gemcitabine + Carboplatin (AUC 5) or Cisplatin
ACTIVE COMPARATORGemcitabine + Carboplatin (AUC 5) or Cisplatin
Interventions
10 milligrams/kilogram (mg/kg) once every 3 weeks beginning Day 1, Cycle 1
500 milligrams/square meter (mg/m²) on Day 1 of every 21-day cycle
Day 1 of every 21-day cycle
75 mg/m² intravenous (IV) on Day 1 of each 21-day cycle
1000 mg/m² on Days 1 and 8 of every 21-day cycle
Day 1 of every 21-day cycle
Eligibility Criteria
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
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Tucson, Arizona, 85704, United States
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Corona, California, 92879, United States
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Fountain Valley, California, 92708, United States
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Riverside, California, 92501, United States
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Aurora, Colorado, 80045, United States
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Fort Myers, Florida, 33916, United States
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Miami, Florida, 33176, United States
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Chicago, Illinois, 60612, United States
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Peoria, Illinois, 61615, United States
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Louisville, Kentucky, 40202, United States
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Alexandria, Louisiana, 71301, United States
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Minneapolis, Minnesota, 55404, United States
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Columbia, Missouri, 65201, United States
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Lincoln, Nebraska, 68506, United States
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Neptune City, New Jersey, 07754, United States
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Latham, New York, 12110, United States
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The Bronx, New York, 10467, United States
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Langhorne, Pennsylvania, 19047, United States
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Hilton Head Island, South Carolina, 29926, United States
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Nashville, Tennessee, 37203, United States
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Bedford, Texas, 76022, United States
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Dallas, Texas, 75231, United States
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El Paso, Texas, 79915, United States
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Fort Worth, Texas, 76104, United States
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Kerrville, Texas, 78028, United States
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Longview, Texas, 75601, United States
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McAllen, Texas, 78503, United States
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Midland, Texas, 79701, United States
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Paris, Texas, 75460, United States
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San Antonio, Texas, 78229, United States
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The Woodlands, Texas, 77380, United States
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Tyler, Texas, 75702, United States
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Waco, Texas, 76712, United States
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Christiansburg, Virginia, 24073, United States
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Fairfax, Virginia, 22031, United States
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Seattle, Washington, 98133, United States
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Spokane Valley, Washington, 99216, United States
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Ghent, 9000, Belgium
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Toronto, Ontario, M4N 3M5, Canada
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Montreal, Quebec, H2L 4M1, Canada
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Berlin, 14165, Germany
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Erlangen, 91054, Germany
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Großhansdorf, 22927, Germany
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Hemer, 58675, Germany
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Karlsruhe, 76137, Germany
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Regensburg, 93053, Germany
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Ulm, 89081, Germany
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Gdansk, 80-952, Poland
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Olsztyn, 10-357, Poland
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Warsaw, 02-781, Poland
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Bangor, Gwynedo, LL57 2PW, United Kingdom
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Nottingham, Nottinghamshire, NG5 1PB, United Kingdom
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.
PMID: 25377507DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
Study Officials
- 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)
Eli Lilly and Company
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
- 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.
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.