A Study of Necitumumab and Chemotherapy in Participants With Stage IV Squamous Non-Small Cell Lung Cancer
A Randomized, Multicenter, Open-Label, Phase 2 Study of Paclitaxel-Carboplatin Chemotherapy Plus Necitumumab (IMC-11F8) Versus Paclitaxel-Carboplatin Chemotherapy Alone in the First-Line Treatment of Patients With Stage IV Squamous Non-Small Cell Lung Cancer (NSCLC)
3 other identifiers
interventional
167
6 countries
51
Brief Summary
The main purpose of this study is to evaluate if necitumumab added to standard chemotherapy of paclitaxel and carboplatin is more effective to treat cancer than the standard chemotherapy of paclitaxel and carboplatin 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 Jan 2013
Typical duration for phase_2
51 active sites
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
Study Start
First participant enrolled
January 1, 2013
CompletedFirst Submitted
Initial submission to the registry
January 14, 2013
CompletedFirst Posted
Study publicly available on registry
January 16, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2015
CompletedResults Posted
Study results publicly available
May 5, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2017
CompletedSeptember 20, 2019
September 1, 2019
2.2 years
January 14, 2013
March 31, 2016
September 5, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Who Achieve Best Overall Tumor Response of Complete Response (CR) or Partial Response (PR) (Objective Response Rates [ORR])
The denominator of ORR (Objective Response Rate) includes each participant enrolled who received any amount of study drug (necitumumab, gemcitabine, and/or cisplatin), and who had a complete radiographic assessment at baseline and at least one complete radiographic assessment post-baseline. The numerator includes those participants counted in the denominator with a confirmed best overall tumor response of partial or complete response (Complete Response (CR): disappearance of all non-nodal target lesions, with the short axes of any target lymph nodes reduced to \<10 millimeters (mm). Partial Response (PR): at least a 30% decrease in the sum of the diameters of target lesions (including the short axes of any target lymph nodes), taking as reference the baseline sum diameter.) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.
Baseline to Disease Progression or Death (Up to 24 Months)
Secondary Outcomes (7)
Overall Survival (OS)
Randomization to Date of Death (Up to 24 Months)
Pharmacokinetics (PK): Maximum Concentration (Cmax) of Necitumumab
Pre-infusion Cycle 1, Day 1; Cycle 3, Day 1; Cycle 5; Day 1 (within 2 hours prior to beginning of infusion)
Percentage of Participants With Anti Necitumumab Antibodies
Baseline to End of Cycle 6
Progression-Free Survival
Randomization to Progressive Disease or Death (Up to 24 Months)
Percentage of Participants Who Achieve Best Overall Disease Response of Complete Response (CR), Partial Response (PR) or Stable Disease (SD) (Disease Control Rate [DCR])
Baseline to Progressive Disease and/or Death (Estimated up to 24 Months)
- +2 more secondary outcomes
Study Arms (2)
Necitumumab +Paclitaxel+Carboplatin
EXPERIMENTALNecitumumab 800 milligram (mg) administered intravenously (IV) on Days 1 and 8 of every 3 week cycle. Paclitaxel 200 milligram per square meter (mg/m²) administered IV on Day 1 of every 3 week cycle. Carboplatin Area Under the Curve (AUC)6 (mg•min/mL) administered IV on Day 1 of every 3 week cycle. The combination of paclitaxel-carboplatin and necitumumab may continue for a maximum of 6 cycles. Necitumumab may continue until Progressive Disease (PD), toxicity requiring cessation, protocol noncompliance, or withdrawal of consent.
Paclitaxel + Carboplatin
ACTIVE COMPARATORPaclitaxel 200 mg/m² administered IV on Day 1 of every 3 week cycle. Carboplatin AUC=6 administered IV on Day 1 of every 3 week cycle. The combination of paclitaxel-carboplatin may continue for a maximum of 6 cycles. After completion of chemotherapy, participants will be followed until radiographic documentation of PD.
Interventions
Eligibility Criteria
You may qualify if:
- Histologically or cytologically confirmed squamous NSCLC
- Stage IV disease at time of study entry based on American Joint Committee on Cancer (AJCC) 7th edition
- Measurable disease at time of study entry as defined by Response Evaluation Criteria in Solid Tumors, (RECIST) Version 1.1
- Archived or recent tumor tissue (minimum of 5 unstained tissue slides or a paraffin-embedded tissue block) available for analysis of epidermal growth factor receptor (EGFR) protein expression by immunohistochemistry (IHC) and other biomarker assessments
You may not qualify if:
- Nonsquamous NSCLC
- Prior anticancer therapy with monoclonal antibodies, signal transduction inhibitors, or any therapies targeting the EGFR, vascular endothelial growth factor (VEGF), or VEGF receptor
- Previous chemotherapy for NSCLC
- Major surgery or received any investigational therapy in the 4 weeks prior to randomization
- Chest irradiation within 12 weeks prior to randomization (except palliative irradiation of bone lesions, which is allowed)
- Brain metastases that are symptomatic or require ongoing treatment with steroids or anticonvulsants (Participants who have undergone previous radiotherapy for brain metastases, who are now nonsymptomatic and no longer require treatment with steroids or anticonvulsants, are eligible)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (51)
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Jonesboro, Arkansas, 72401, United States
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Los Angeles, California, 90048, United States
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Sacramento, California, 95816, United States
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Colorado Springs, Colorado, 80907, United States
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Fleming Island, Florida, 32003, United States
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Fort Myers, Florida, 33916, United States
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Miami Beach, Florida, 33140, United States
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Port Saint Lucie, Florida, 34952, United States
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St. Petersburg, Florida, 33705, United States
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Macon, Georgia, 31201, United States
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Marietta, Georgia, 30060, United States
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Savannah, Georgia, 31404, United States
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Valdosta, Georgia, 31602, United States
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Wichita, Kansas, 67214, United States
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Louisville, Kentucky, 40202, United States
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Kalamazoo, Michigan, 49007, United States
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Lansing, Michigan, 48910, United States
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Woodbury, Minnesota, 55125, United States
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Billings, Montana, 59101, United States
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Lincoln, Nebraska, 68510, United States
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Cherry Hill, New Jersey, 08003, United States
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Hackensack, New Jersey, 07601, United States
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Latham, New York, 12110, United States
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Cincinnati, Ohio, 45242, United States
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Eugene, Oregon, 97401, United States
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Charleston, South Carolina, 29425, United States
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Columbia, South Carolina, 29210, United States
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Chattanooga, Tennessee, 37404, United States
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Memphis, Tennessee, 38120, United States
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Nashville, Tennessee, 37203, United States
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Fort Worth, Texas, 76104, United States
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The Woodlands, Texas, 77380, United States
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Richmond, Virginia, 23230, United States
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Großhansdorf, 22927, Germany
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Heidelberg, 69126, Germany
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Immenhausen, 34376, Germany
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Münster, 48149, Germany
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Chihuahua City, 31000, Mexico
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León, 37000, Mexico
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Mexico City, 6700, Mexico
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Monterrey, 64000, Mexico
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Głuchołazy, 48-340, Poland
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Olsztyn, 10-357, Poland
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Otwock, 05-400, Poland
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Poznan, 60-693, Poland
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Radom, 26-617, Poland
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Warsaw, 02-781, Poland
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Saint Petersburg, 194291, Russia
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Incheon, 405-760, South Korea
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Seoul, 135-710, South Korea
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Ulsan, 682-714, South Korea
MeSH Terms
Interventions
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
- GT60
- 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
January 14, 2013
First Posted
January 16, 2013
Study Start
January 1, 2013
Primary Completion
April 1, 2015
Study Completion
July 1, 2017
Last Updated
September 20, 2019
Results First Posted
May 5, 2016
Record last verified: 2019-09
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.