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Phase 2 Completed N=35 Treatment

A Drug-Interaction Study of Necitumumab (IMC-11F8) in Combination With Gemcitabine-Cisplatin

Malignant Solid Tumor
Source: ClinicalTrials.gov NCT01606748 ↗
Enrolled (actual)
35
Serious AEs
37.1%
Results posted
Aug 2016
Primary outcomePrimary: Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) of Necitumumab — 277; 315 microgram/milliliter (ug/mL)

Summary

The purpose of this study is to investigate the pharmacokinetics (PK) of necitumumab in combination with gemcitabine-cisplatin in participants with advanced malignant solid tumors and to assess the potential for drug-drug interactions between necitumumab and gemcitabine-cisplatin.

Outcome Measures

OutcomeResultp-value
PRIMARY
Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) of Necitumumab
277; 315
PRIMARY
PK: Dose-Normalized Cmax of Gemcitabine
4.83; 7.87
PRIMARY
PK: Dose-Normalized Cmax of Cisplatin
19.2; 22.1
PRIMARY
PK: Area Under Concentration-Time Curve From Zero to Time 168 (AUC[-168]) of Necitumumab
21900; 22900
PRIMARY
PK: Dose-Normalized AUC(0-24) of Gemcitabine
2.71; 3.31
PRIMARY
PK: Dose-Normalized AUC(0-5) of Cisplatin
61.5; 67.3
PRIMARY
PK: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity, (AUC[0-∞]) of Necitumumab
33800; 26400
PRIMARY
PK: Dose Normalized AUC(0-∞) of Gemcitabine
2.72; 3.32
SECONDARY
Number of Participants With Anti-Necitumumab Antibodies
3; 0; 1; 0; 0; 0
SECONDARY
Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR]) (Antitumor Activity of Necitumumab in Combination With Gemcitabine-cisplatin Chemotherapy)
16.7; 5.9
SECONDARY
PK: Cmax of Necitumumab After Administration of Process C and Process D Drug Product
277; 300
SECONDARY
PK: AUC(0-∞) of Necitumumab After Administration of Process C and Process D Drug Product
33800; 35500

Eligibility Criteria

Inclusion Criteria

  • Have documented advanced or metastatic malignant solid tumors (except for colorectal tumors with KRAS mutation) that are resistant to standard therapy or for which no standard therapy is available
  • May have measurable or non-measurable disease
  • Have resolution to Grade 0 or 1 by the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 4.0 (NCI-CTCAE 4.0) of all clinically significant toxic effects (other than alopecia) of prior chemotherapy, surgery, radiotherapy, or hormonal therapy
  • Have an Eastern Cooperative Oncology Group performance status (ECOG PS) score of 0 or 1
  • Have adequate hepatic, hematologic and renal function
  • If female, are surgically sterile, postmenopausal, or agree to be compliant with a highly effective contraceptive method during and for 6 months after the treatment period. If male, are surgically sterile or agree to be compliant with a highly effective contraceptive regimen during and for 6 months after the treatment period
  • Female participants of childbearing potential have a negative serum pregnancy test within 7 days prior to the first dose of study therapy

Exclusion Criteria

  • Have received a systemic anticancer agent (including EGFR tyrosine kinase inhibitors) or device within 28 days prior to first dose of study therapy
  • The most recent anticancer therapy received by the participant included either gemcitabine or cisplatin (or both)
  • Have received radiotherapy within 14 days prior to first dose of study therapy
  • Have received cytotoxic chemotherapy within 21 days prior to first dose of study therapy
  • Are receiving concurrent treatment with another anticancer therapy, including chemotherapy, immunotherapy, hormonal therapy, radiation therapy, chemoembolization, or targeted therapy
  • Are considered surgical candidates (with resectable disease)
  • Have brain metastases that are symptomatic or require ongoing treatment with steroids or anticonvulsants
  • Have narrowing of or blockage in large veins
  • Have coronary artery disease or uncontrolled congestive heart failure
  • Have uncontrolled angina pectoris, or experienced myocardial infarction within 6 months prior to first dose of study therapy
  • Have an ongoing or active infection (requiring treatment), including active tuberculosis or known infection with the human immunodeficiency virus
  • Have a history of significant neurological or psychiatric disorders, including dementia, seizures, or bipolar disorder
  • Have known drug or alcohol abuse
  • If female, are pregnant or breastfeeding
  • Have had major surgery within 28 days prior to first dose of study medication or subcutaneous venous access device implantation within 7 days prior to first dose of study therapy
  • Are currently enrolled in, or discontinued within the 30 days prior to first dose of study therapy from a clinical trial involving an investigational product or nonapproved use of a drug or device, or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01606748). 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. Informational only — not medical advice.

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