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Phase 2 N=148 Randomized Treatment

Study of Ramucirumab or Icrucumab (IMC-18F1) With Docetaxel or Docetaxel Alone as Second-Line Therapy in Participants With Bladder,Urethra, Ureter, or Renal Pelvis Carcinoma

Carcinoma of Urinary Tract · Urethral Carcinoma · Carcinoma of Ureter · Carcinoma of Renal Pelvis

Enrolled (actual)
148
Serious AEs
47.1%
Results posted
Jul 2019
Primary outcome: Primary: Progression-Free Survival (PFS) — 2.8; 5.4; 1.6 months

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Docetaxel (Drug); Ramucirumab DP (Biological); Icrucumab (Biological)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Eli Lilly and Company
Primary completion
Feb 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Progression-Free Survival (PFS)
2.8; 5.4; 1.6
SECONDARY
Percentage of Participants Achieving Objective Response Rate (ORR)
8.9; 23.9; 12.2
SECONDARY
Duration of Response
4.6; 4.6; NA
SECONDARY
Number of Participants With Adverse Events (AEs)
45; 46; 49; 19; 25; 22
SECONDARY
Pharmacokinetics (PK) Maximum Concentration (Cmax) Ramucirumab
258; 304; 300; 279; 252
SECONDARY
PK: Minimum Concentration (Cmin) Ramucirumab
19.5; 39.9; 35.3; 31.2
SECONDARY
PK: Cmax Icrucumab
474; 599
SECONDARY
PK: Cmin Icrucumab
NA; 153
SECONDARY
Number of Participants With Serum Anti-Ramucirumab Antibody Assessment
1
SECONDARY
Number of Participants With Serum Anti-Icrucumab Antibody Assessment
SECONDARY
Pharmacodynamics (PD): Change in Circulating Levels of Placental Growth Factor (PlGF)
SECONDARY
PD: Change in Circulating Levels of Vascular Endothelial Growth Factor-A (VEGF-A)
SECONDARY
PD: Change in Circulating Levels of Vascular Endothelial Growth Factor-B (VEGF-B)
SECONDARY
PD: Change in Circulating Levels of Soluble Vascular Endothelial Growth Factor-1 (VEGFR-1)
SECONDARY
PD: Change in Circulating Levels of Soluble Vascular Endothelial Growth Factor-2 (VEGFR-2)

Summary

This multicenter trial will enroll participants with metastatic transitional cell carcinoma of the bladder, urethra, ureter, or renal pelvis who have had disease progression on first-line platinum-based chemotherapy regimens. Participants will be enrolled into 1 of 3 treatment arms: docetaxel; docetaxel and ramucirumab; or docetaxel and icrucumab.

Eligibility Criteria

Inclusion Criteria

  • Histologically or cytologically confirmed transitional cell carcinoma of the bladder, urethra, ureter, or renal pelvis
  • Locally advanced or metastatic and unresectable transitional cell carcinoma of the bladder, urethra, ureter, or renal pelvis
  • Had treatment with a platinum-containing regimen
  • Disease progression within 12 months of after receiving the last dose of a platinum containing regimen in the neoadjuvant or adjuvant setting, and/or had disease progression while on a platinum-containing regimen or within 12 months after the last dose of therapy in the locally advanced or metastatic setting
  • Has measurable or nonmeasurable disease
  • Life expectancy of ≥ 3 months
  • Received no more than 2 prior systemic chemotherapy regimens in any setting
  • Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
  • Has adequate hematologic, coagulation, hepatic and renal function
  • Does not have:
  • cirrhosis at a level of Child-Pugh B (or worse)
  • cirrhosis (any degree) and a history of hepatic encephalopathy or ascites resulting from cirrhosis and requiring ongoing treatment with diuretics and/or paracentesis
  • If female, is surgically sterile, postmenopausal, or compliant with a highly effective contraceptive method during and for 12 weeks after the treatment period
  • If male, the patient is surgically sterile or compliant with a contraceptive regimen during and for 12 weeks after the treatment period

Exclusion Criteria

  • Received more than one prior systemic treatment regimen for metastatic disease
  • Received prior systemic taxane therapy (except for prior paclitaxel therapy) for Transitional Cell Carcinoma of the bladder, urethra, ureter, or renal pelvis in any setting (neoadjuvant, adjuvant, metastatic). Prior intravesical taxane therapy is allowed
  • Has received more than one prior anti-angiogenic agent for Transitional Cell Carcinoma of the bladder, urethra, ureter, or renal pelvis
  • Has received radiation therapy within 4 weeks prior to randomization
  • Has a history of uncontrolled hereditary or acquired bleeding or thrombotic disorders
  • Has experienced a Grade ≥ 3 bleeding event (eg, via gastric ulcers, gastric varices, or gross hematuria) within 3 months prior to randomization
  • Has uncontrolled intercurrent illness including, but not limited to symptomatic anemia, uncontrolled hypertension, symptomatic congestive heart failure, unstable angina pectoris, symptomatic or poorly controlled cardiac arrhythmia, psychiatric illness/social situations, or any other serious uncontrolled medical disorders
  • Has experienced any arterial thrombotic or thromboembolic events, including but not limited to myocardial infarction, transient ischemic attack or cerebrovascular accident, within 6 months prior to randomization
  • Has known brain metastases, uncontrolled spinal cord compression, or leptomeningeal disease
  • Has an ongoing or active infection requiring parenteral antibiotic, antifungal, or antiviral therapy
  • Has known human immunodeficiency virus infection or acquired immunodeficiency syndrome
  • Has received a prior autologous or allogeneic organ or tissue transplantation
  • Received chemotherapy within 21 days prior to randomization; and/or is currently enrolled in, or discontinued within 21 days prior to randomization from, a clinical trial involving an investigational product or unapproved use of a drug or device (other than the study drug[s] used in this study), or is concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study; and/or was treated with anti-angiogenic therapy within 28 days prior to randomization
  • Has undergone major surgery within 28 days prior to randomization, or subcutaneous venous access device placement within 7 days prior to randomization
  • Has had a serious nonhealing wound, ulcer, or bone fracture within 28 days prior to randomization
  • Has an elective or planned major surgery to be pe
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01282463). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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