CClinicalTrials.gg
CompletedNCT00560573Updated Mar 21, 2013Results posted

Study Of CP-751,871 In Combination With Cisplatin And Gemcitabine In Chemotherapy-Naïve Patients With Advanced Non-Small Cell Lung Cancer

A Phase 1 interventional study of CP-751,871 and Cisplatin in Carcinoma, Non-Small-Cell Lung, sponsored by Pfizer. Completed at 4 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-03-21.

Sponsored by Pfizer · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
46
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

CP 751,871 is a fully human monoclonal antibody against the Insulin-Like Growth Factor 1 Receptor (IGF-1R). Preclinical and clinical data indicate that CP 751,871 augments the anti-tumor activity of chemotherapy. This study will identify the Maximal Tolerated Dose of CP 751,871 (or the Maximal Feasible Dose) in combination with standard gemcitabine-cisplatin chemotherapy for the treatment of advanced Non-Small Cell Lung cancer.

02

Conditions studied

  • Carcinoma, Non-Small-Cell Lung
03

In context

Carcinoma, Non-Small-Cell Lung

6,485 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,630 are open to participants now.

This study's enrollment of 46 is below the median of 62 across 5,211 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically or cytologically proven diagnosis of Stage IIIB (N3 and/or T4) or Stage IV Non-Small Cell Lung Cancer in patients 18-year-old or older, with Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 not amenable to curative surgery or radiation therapy and an adequate organ function (bone marrow, hepatic, renal, and cardiac) within 14 days prior to enrollment.

Exclusion criteria

Exclusion Criteria:

  • Any prior treatment for Non-Small Cell Lung Cancer including chemotherapy, biologic response modifiers or therapy with any investigational agents.
  • Patients with known brain metastases, spinal cord compression, uncontrolled superior vein cava syndrome or carcinomatous meningitis.
  • Patients with gastrointestinal abnormalities including active gastrointestinal bleeding, pre-diabetes (pre-fasting glycemia > 120 g/dL and/or glycosylate haemoglobin level > 7.5%), known HIV or AIDS-related illness, significant active cardiac disease or receiving chronic steroid therapy or concurrent use of growth hormones or growth hormone inhibitors or aminoglycoside antibiotics should be excluded from the study.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
46 participants (actual)

Study arms

  • Experimental
    1

    Drug: CP-751,871 · Drug: Cisplatin · Drug: Gemcitabine · Drug: Pemetrexed

Interventions

  • DrugCP-751,871

    CP-751,871 at doses ranging from 6 to 20 mg/Kg on Day 1 of each 21-day cycle. CP-751,871 may be administered even after active comparators discontinuation, for a total number of 17 cycles (1 year).

  • DrugCisplatin

    Cisplatin 75\* mg/m2 or 80\* mg/m2, IV on Day 1 of each 21-day cycle up to 6 cycles. \* 75 mg/m2 when in combination with pemetrexed, 80 mg/m2 when in combination with gemcitabine

  • DrugGemcitabine

    Gemcitabine 1250 mg/m2, IV on Days 1 and 8 of each 21-day cycle up to 6 cycles

  • DrugPemetrexed

    Pemetrexed 500 mg/m2, IV on Day 1 of each 21-day cycle up to 6 cycle

06

What researchers measure

Primary outcomes

  1. Number of Participants With Dose-limiting Toxicities (DLT)

    Cycle 1 figitumumab attributed: Grade (Gr) 4 neutropenia (absolute neutrophil count \<500 cells/cubic millimeter \[mm\^3\]) \>=7 days, febrile neutropenia (Gr 3, fever \>=38.5 degrees Celsius), neutropenic infection (Gr 3 neutropenia, infection); Gr 4 thrombocytopenia (platelet \<25,000 cells/mm\^3), Gr 3 thrombocytopenia \>=7 days/bleeding; other Gr 3 not blood/bone marrow Common Terminology Criteria for Adverse Events bar gastrointestinal toxicity, treatment-managed hyperglycemia/fatigue, hypersensitivity; Gr 3-4 hyperglycemia despite treatment; fail to adequately recover to continue study treatment

    Time frame: Start of treatment up to end of Cycle 1, Day 21

Secondary outcomes

  1. Concentration at the End of Infusion (Cinf) for Figitumumab

    Figitumumab pharmacokinetic (PK) data was analyzed using noncompartmental methods

    Time frame: Cycle 1 for dose escalation and Cycle 4 for dose expansion

  2. Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Figitumumab

    Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Figitumumab PK data was analyzed using noncompartmental methods

    Time frame: 0 (pre-dose), 1, 24, 72, 168, 336, 504 hr in Cycle 1 for dose escation and 0 (pre-dose), 1, 24, 72, 168, 336, 504 hr in Cycle 4 for expansion

  3. Minimum Observed Plasma Trough Concentration (Cmin) for Figitumumab

    Concentration at the end of Cycle 4

    Time frame: 0 (pre-dose) in Cycle 5 Day 1

  4. Maximum Observed Plasma Concentration (Cmax) for Cisplatin

    Cisplatin PK data was analyzed using noncompartmental methods. Plasma exposure parameters for cisplatin were analyzed in the absence (Cycle 1) and presence of (Cycle 2) figitumumab

    Time frame: 0 (pre-dose), 1.917, 2.5, 3, 4, 5, 24 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 75 mg/m^2 and 0 (pre-dose), 0.917, 1.5, 2, 3, 4, 23 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 80 mg/m^2

  5. Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Cisplatin

    Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Cisplatin PK data was analyzed using noncompartmental methods. Plasma exposure parameters for cisplatin were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab

    Time frame: 0 (pre-dose), 1.917, 2.5, 3, 4, 5, 24 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 75 mg/m^2 and 0 (pre-dose), 0.917, 1.5, 2, 3, 4, 23 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 80 mg/m^2

  6. Maximum Observed Plasma Concentration (Cmax) for Gemcitabine

    Gemcitabine PK data was analyzed using noncompartmental methods. Plasma exposure parameters for gemcitabine were analyzed in the absence (Cycle) 1 and presence (Cycle 2) of figitumumab

    Time frame: 0 (pre-dose), 0.417, 1, 1.5, 2.5, 3.5 hr on Cycle 1, Day 1 and Cycle 2, Day 8

  7. Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Gemcitabine

    Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Gemcitabine PK data was analyzed using noncompartmental methods. Plasma exposure parameters for gemcitabine were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab

    Time frame: 0 (pre-dose), 0.417, 1, 1.5, 2.5, 3.5 hr on Cycle 1, Day 1 and Cycle 2, Day 8

  8. Maximum Observed Plasma Concentration (Cmax) for Pemetrexed

    Pemetrexed PK data was analyzed using noncompartmental methods. Plasma exposure parameters for pemetrexed were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab

    Time frame: 0, 0.167, 1.167, 2.167, 4.167, 6.167, 24.167 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for pemetrexed 500 mg/m^2

  9. Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Pemetrexed

    Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Pemetrexed PK data was analyzed using noncompartmental methods. Plasma exposure parameters for pemetrexed were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab

    Time frame: 0, 0.167, 1.167, 2.167, 4.167, 6.167, 24.167 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for pemetrexed 500 mg/m^2

  10. Percentage of Participants With Objective Response or Prolonged Stabilization

    Percentage of participants with a confirmed complete response (CR), confirmed partial response (PR), or stable disease (SD) for at least 12 weeks on study according to Response Evaluation Criteria in Solid Tumors (RECIST). Participants with non measurable disease were considered having a clinical benefit response only in the case of achievement of CR. Participants who developed early progressive disease post dosing and prior to response evaluation were considered to have progressed on study. Confirmed responses were those that persisted on repeat imaging \>= 4 weeks after initial response

    Time frame: Screening, from Cycle 2 onwards computerized tomography (CT) scan done within 7-10 days prior to next cycle (approximately Day 15 of each cycle), follow-up (30 days after last study treatment dose)

  11. Progression-Free Survival (PFS)

    Time from the date of enrollment to date of documented disease progression, or death due to any cause

    Time frame: Screening, from Cycle 2 onwards CT scan done within 7-10 days prior to next cycle (approximately Day 15 of each cycle), follow-up (30 days after last study treatment dose)

  12. Duration of Response (DR)

    For responding patients (CR and PR): Time from the date that CR or PR was first recorded to the date of the first documentation of progression

    Time frame: Screening, from Cycle 2 onwards CT scan done within 7-10 days prior to next cycle (approximately Day 15 of each cycle), follow-up (30 days after last study treatment dose)

  13. Percentage of Participants With Blood Anti-drug Antibody (ADA) Specific for Figitumumab

    Percentage of participants with positive total or neutralizing anti-drug antibody (ADA) for figitumumab

    Time frame: 30 min prior to figitumumab infusion in Cycle 1 and Cycle 4, end of study, fourth follow up visit (approximately 150 days after last dose)

  14. Serum Total Circulating Insulin-like Growth Factor (IGF-1) Levels

    To monitor serum total IGF-1 levels as a potential pharmacodynamic response to figitumumab treatment

    Time frame: Baseline, Day 8, end of study

Other outcomes

  1. Maximum Tolerated Dose (MTD)

    The MTD was defined as the highest dose level below the maximum administered dose which caused 0 or 1 out of 6 participants to experience a DLT in that given cohort at Cycle 1

    Time frame: Cycle 1, up to Day 21

  2. Recommended Phase 2 Dose (RP2D)

    The RP2D was determined after review and discussion by sponsor and investigators of the study data. Consideration was given to type and severity of toxicity as well as clinical suitability for long-term administration

    Time frame: Baseline to end of dose escalation, which was assessed in the last participant of the dose escalation portion of the study in Month 19

07

Results

Posted Feb 25, 2013
Limitations and caveats
A total of 46 patients were enrolled in this study but only 45 of them were evaluable because 1 patient was enrolled but did not participate due to early symptomatic deterioration prior to starting treatment.

Participant flow

Participant flow — Overall Study
MilestoneFigitumumab 6 mg/kgFigitumumab 10 mg/kgFigitumumab 20 mg/kg Dose EscalationFigitumumab 20 mg/kg RP2D Expansion 1.0 InfusionFigitumumab 20 mg/kg RP2D Expansion 2.5 InfusionFigitumumab 20 mg/kg Pemetrexed Expansion
Started63610813
Treated63610713
Completed000010
Not completed63610713
Withdrew: Death4145110
Withdrew: Lost to follow-up000110
Withdrew: Withdrawal by subject000110
Withdrew: Other222333
Withdrew: Enrolled, not treated000010

Outcome measures

PrimaryNumber of Participants With Dose-limiting Toxicities (DLT)

Cycle 1 figitumumab attributed: Grade (Gr) 4 neutropenia (absolute neutrophil count \<500 cells/cubic millimeter \[mm\^3\]) \>=7 days, febrile neutropenia (Gr 3, fever \>=38.5 degrees Celsius), neutropenic infection (Gr 3 neutropenia, infection); Gr 4 thrombocytopenia (platelet \<25,000 cells/mm\^3), Gr 3 thrombocytopenia \>=7 days/bleeding; other Gr 3 not blood/bone marrow Common Terminology Criteria for Adverse Events bar gastrointestinal toxicity, treatment-managed hyperglycemia/fatigue, hypersensitivity; Gr 3-4 hyperglycemia despite treatment; fail to adequately recover to continue study treatment

Time frame:
Start of treatment up to end of Cycle 1, Day 21
Reported as:
Number · participants
Number of Participants With Dose-limiting Toxicities (DLT)
participantsFigitumumab 6 mg/kgFigitumumab 10 mg/kgFigitumumab 20 mg/kg Dose Escalation
Number of Participants With Dose-limiting Toxicities (DLT)001
SecondaryConcentration at the End of Infusion (Cinf) for Figitumumab

Figitumumab pharmacokinetic (PK) data was analyzed using noncompartmental methods

Time frame:
Cycle 1 for dose escalation and Cycle 4 for dose expansion
Reported as:
Mean · mg/liter (L)
Concentration at the End of Infusion (Cinf) for Figitumumab
mg/liter (L)Figitumumab 6 mg/kgFigitumumab 10 mg/kgFigitumumab 20 mg/kg Dose EscalationFigitumumab 20 mg/kg Expansion
Concentration at the End of Infusion (Cinf) for Figitumumab120.4 ± 26.690137.0 ± NA435.0 ± 129.01513.4 ± 136.58
SecondaryArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Figitumumab

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Figitumumab PK data was analyzed using noncompartmental methods

Time frame:
0 (pre-dose), 1, 24, 72, 168, 336, 504 hr in Cycle 1 for dose escation and 0 (pre-dose), 1, 24, 72, 168, 336, 504 hr in Cycle 4 for expansion
Reported as:
Mean · mg*hr/L
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Figitumumab
mg*hr/LFigitumumab 6 mg/kgFigitumumab 10 mg/kgFigitumumab 20 mg/kg Dose EscalationFigitumumab 20 mg/kg Expansion
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Figitumumab26020 ± 6780.621500 ± NA84100 ± 18983121200 ± 50493
SecondaryMinimum Observed Plasma Trough Concentration (Cmin) for Figitumumab

Concentration at the end of Cycle 4

Time frame:
0 (pre-dose) in Cycle 5 Day 1
Reported as:
Mean · mg/L
Minimum Observed Plasma Trough Concentration (Cmin) for Figitumumab
mg/LFigitumumab 20 mg/kg Expansion
Minimum Observed Plasma Trough Concentration (Cmin) for Figitumumab113.6 ± 47.266
SecondaryMaximum Observed Plasma Concentration (Cmax) for Cisplatin

Cisplatin PK data was analyzed using noncompartmental methods. Plasma exposure parameters for cisplatin were analyzed in the absence (Cycle 1) and presence of (Cycle 2) figitumumab

Time frame:
0 (pre-dose), 1.917, 2.5, 3, 4, 5, 24 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 75 mg/m^2 and 0 (pre-dose), 0.917, 1.5, 2, 3, 4, 23 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 80 mg/m^2
Reported as:
Mean · nanogram (ng)/mL
Maximum Observed Plasma Concentration (Cmax) for Cisplatin
nanogram (ng)/mLCisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 1)Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 2)Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 1)Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 2)
Maximum Observed Plasma Concentration (Cmax) for Cisplatin3.816 ± 1.54853.880 ± 0.84902.845 ± 0.88043.490 ± 1.1435
SecondaryArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Cisplatin

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Cisplatin PK data was analyzed using noncompartmental methods. Plasma exposure parameters for cisplatin were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab

Time frame:
0 (pre-dose), 1.917, 2.5, 3, 4, 5, 24 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 75 mg/m^2 and 0 (pre-dose), 0.917, 1.5, 2, 3, 4, 23 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for cisplatin 80 mg/m^2
Reported as:
Mean · ng*hr/L
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Cisplatin
ng*hr/LCisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 1)Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 2)Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 1)Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 2)
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Cisplatin38.23 ± 7.276245.18 ± 15.00537.12 ± 8.797548.29 ± 13.931
SecondaryMaximum Observed Plasma Concentration (Cmax) for Gemcitabine

Gemcitabine PK data was analyzed using noncompartmental methods. Plasma exposure parameters for gemcitabine were analyzed in the absence (Cycle) 1 and presence (Cycle 2) of figitumumab

Time frame:
0 (pre-dose), 0.417, 1, 1.5, 2.5, 3.5 hr on Cycle 1, Day 1 and Cycle 2, Day 8
Reported as:
Mean · ng/L
Maximum Observed Plasma Concentration (Cmax) for Gemcitabine
ng/LCisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 1)Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 2)
Maximum Observed Plasma Concentration (Cmax) for Gemcitabine12.85 ± 6.964423.97 ± 18.764
SecondaryArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Gemcitabine

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Gemcitabine PK data was analyzed using noncompartmental methods. Plasma exposure parameters for gemcitabine were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab

Time frame:
0 (pre-dose), 0.417, 1, 1.5, 2.5, 3.5 hr on Cycle 1, Day 1 and Cycle 2, Day 8
Reported as:
Mean · ng*hr/L
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Gemcitabine
ng*hr/LCisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 1)Cisplatin 80 mg/m^2/Gemcitabine Expansion (Cycle 2)
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Gemcitabine6.665 ± 3.029912.53 ± 7.5062
SecondaryMaximum Observed Plasma Concentration (Cmax) for Pemetrexed

Pemetrexed PK data was analyzed using noncompartmental methods. Plasma exposure parameters for pemetrexed were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab

Time frame:
0, 0.167, 1.167, 2.167, 4.167, 6.167, 24.167 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for pemetrexed 500 mg/m^2
Reported as:
Mean · ng/mL
Maximum Observed Plasma Concentration (Cmax) for Pemetrexed
ng/mLCisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 1)Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 2)
Maximum Observed Plasma Concentration (Cmax) for Pemetrexed72.96 ± 25.58193.13 ± 12.560
SecondaryArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Pemetrexed

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast). Pemetrexed PK data was analyzed using noncompartmental methods. Plasma exposure parameters for pemetrexed were analyzed in the absence (Cycle 1) and presence (Cycle 2) of figitumumab

Time frame:
0, 0.167, 1.167, 2.167, 4.167, 6.167, 24.167 hr on Cycle 1, Day 1 and Cycle 2, Day 1 for pemetrexed 500 mg/m^2
Reported as:
Mean · ng*hr/L
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Pemetrexed
ng*hr/LCisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 1)Cisplatin 75 mg/m^2/Pemetrexed Expansion (Cycle 2)
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Pemetrexed132.2 ± 71.512161.6 ± 39.335
SecondaryPercentage of Participants With Objective Response or Prolonged Stabilization

Percentage of participants with a confirmed complete response (CR), confirmed partial response (PR), or stable disease (SD) for at least 12 weeks on study according to Response Evaluation Criteria in Solid Tumors (RECIST). Participants with non measurable disease were considered having a clinical benefit response only in the case of achievement of CR. Participants who developed early progressive disease post dosing and prior to response evaluation were considered to have progressed on study. Confirmed responses were those that persisted on repeat imaging \>= 4 weeks after initial response

Time frame:
Screening, from Cycle 2 onwards computerized tomography (CT) scan done within 7-10 days prior to next cycle (approximately Day 15 of each cycle), follow-up (30 days after last study treatment dose)
Reported as:
Number · Percentage of participants
Percentage of Participants With Objective Response or Prolonged Stabilization
Percentage of participantsOverall PopulationFigitumumab 20 mg/kg With Gemcitabine and CisplatinFigitumumab 20 mg/kg Expansion With Pemetrexed
Percentage of Participants With Objective Response or Prolonged Stabilization53.3 (37.9 to 68.3)56.5 (34.5 to 76.8)46.2 (19.2 to 74.9)
SecondaryProgression-Free Survival (PFS)

Time from the date of enrollment to date of documented disease progression, or death due to any cause

Time frame:
Screening, from Cycle 2 onwards CT scan done within 7-10 days prior to next cycle (approximately Day 15 of each cycle), follow-up (30 days after last study treatment dose)
Reported as:
Median · months
Progression-Free Survival (PFS)
monthsOverall PopulationFigitumumab 20 mg/kg With Gemcitabine and CisplatinFigitumumab 20 mg/kg Expansion With Pemetrexed
Progression-Free Survival (PFS)5.7 (2.0 to 6.5)6.5 (1.7 to 10.2)5.4 (1.6 to 5.7)
SecondaryDuration of Response (DR)

For responding patients (CR and PR): Time from the date that CR or PR was first recorded to the date of the first documentation of progression

Time frame:
Screening, from Cycle 2 onwards CT scan done within 7-10 days prior to next cycle (approximately Day 15 of each cycle), follow-up (30 days after last study treatment dose)

No measurements were reported for this outcome.

SecondaryPercentage of Participants With Blood Anti-drug Antibody (ADA) Specific for Figitumumab

Percentage of participants with positive total or neutralizing anti-drug antibody (ADA) for figitumumab

Time frame:
30 min prior to figitumumab infusion in Cycle 1 and Cycle 4, end of study, fourth follow up visit (approximately 150 days after last dose)
Reported as:
Number · Percentage of participants
Percentage of Participants With Blood Anti-drug Antibody (ADA) Specific for Figitumumab
Percentage of participantsFigitumumab 6 mg/kgFigitumumab 10 mg/kgFigitumumab 20 mg/kg Dose EscalationFigitumumab 20 mg/kg RP2D Expansion 1.0 InfusionFigitumumab 20 mg/kg RP2D Expansion 2.5 InfusionFigitumumab 20 mg/kg Pemetrexed Expansion
C1D1 - Negative50.033.350.080.0100100
C1D1 - Positive000000
C1D1 - Not determined50.066.750.020.000
C4D1 - Negative16.7050.030.071.453.8
C4D1 - Positive000000
C4D1 - Not determined83.310050.070.028.646.2
End of Study - Negative83.3050.020.042.946.2
End of Study - Positive000000
End of Study - Not determined16.710050.080.051.753.8
Follow Up - Negative000014.30
Follow Up - Positive000000
Follow Up - Not determined10010010010085.7100
SecondarySerum Total Circulating Insulin-like Growth Factor (IGF-1) Levels

To monitor serum total IGF-1 levels as a potential pharmacodynamic response to figitumumab treatment

Time frame:
Baseline, Day 8, end of study
Reported as:
Mean · ng/mL
Serum Total Circulating Insulin-like Growth Factor (IGF-1) Levels
ng/mLOverall Population
Baseline124.88 (91 to 143)
End of study543.63 (343 to 694)
Other pre-specifiedMaximum Tolerated Dose (MTD)

The MTD was defined as the highest dose level below the maximum administered dose which caused 0 or 1 out of 6 participants to experience a DLT in that given cohort at Cycle 1

Time frame:
Cycle 1, up to Day 21
Reported as:
Number · mg/kg
Maximum Tolerated Dose (MTD)
mg/kgOverall Population
Maximum Tolerated Dose (MTD)20
Other pre-specifiedRecommended Phase 2 Dose (RP2D)

The RP2D was determined after review and discussion by sponsor and investigators of the study data. Consideration was given to type and severity of toxicity as well as clinical suitability for long-term administration

Time frame:
Baseline to end of dose escalation, which was assessed in the last participant of the dose escalation portion of the study in Month 19
Reported as:
Number · mg/kg
Recommended Phase 2 Dose (RP2D)
mg/kgOverall Participapnts
Recommended Phase 2 Dose (RP2D)20

Adverse events

Collected over Treatment-emergent adverse events (AE) were reported from the time of the first dose of study treatment up to 150 days after the last dose of study treatment.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Figitumumab 6 mg/kg—3/6 (50%)6/6 (100%)
Figitumumab 10 mg/kg—2/3 (66.7%)3/3 (100%)
Figitumumab 20 mg/kg Dose Escalation—3/6 (50%)6/6 (100%)
Figitumumab 20 mg/kg RP2D Expansion 1.0 Infusion—7/10 (70%)10/10 (100%)
Figitumumab 20 mg/kg RP2D Expansion 2.5 Infusion—2/7 (28.6%)7/7 (100%)
Figitumumab 20 mg/kg Pemetrexed Expansion—8/13 (61.5%)13/13 (100%)
Most frequent serious events
Showing 10 of 53
Most frequent serious events
EventFigitumumab 6 mg/kgFigitumumab 10 mg/kgFigitumumab 20 mg/kg Dose EscalationFigitumumab 20 mg/kg RP2D Expansion 1.0 InfusionFigitumumab 20 mg/kg RP2D Expansion 2.5 InfusionFigitumumab 20 mg/kg Pemetrexed Expansion
DiarrhoeaGastrointestinal disorders1/61/30/61/100/71/13
Therapeutic agent toxicityInjury, poisoning and procedural complications0/61/30/60/100/70/13
HyperglycaemiaMetabolism and nutrition disorders2/60/30/60/100/70/13
Renal failureRenal and urinary disorders0/61/30/61/101/70/13
NeutropeniaBlood and lymphatic system disorders1/60/30/60/100/70/13
Abdominal painGastrointestinal disorders0/60/31/60/100/70/13
NauseaGastrointestinal disorders0/60/31/60/100/70/13
Chest painGeneral disorders1/60/30/60/100/70/13
Disease progressionGeneral disorders0/60/31/60/101/72/13
PainGeneral disorders0/60/31/60/100/70/13
Most frequent other events
Showing 10 of 201
Most frequent other events
EventFigitumumab 6 mg/kgFigitumumab 10 mg/kgFigitumumab 20 mg/kg Dose EscalationFigitumumab 20 mg/kg RP2D Expansion 1.0 InfusionFigitumumab 20 mg/kg RP2D Expansion 2.5 InfusionFigitumumab 20 mg/kg Pemetrexed Expansion
NauseaGastrointestinal disorders6/61/34/65/105/78/13
NeutropeniaBlood and lymphatic system disorders5/62/35/63/105/78/13
ThrombocytopeniaBlood and lymphatic system disorders5/61/32/62/103/75/13
AstheniaGeneral disorders4/62/35/66/105/76/13
HyperglycaemiaMetabolism and nutrition disorders5/62/35/65/104/710/13
AnaemiaBlood and lymphatic system disorders4/60/33/62/105/75/13
Decreased appetiteMetabolism and nutrition disorders3/60/32/60/105/76/13
ConstipationGastrointestinal disorders4/60/33/62/104/73/13
VomitingGastrointestinal disorders2/61/34/62/104/75/13
Disease progressionGeneral disorders2/62/32/61/100/74/13

Baseline characteristics

Age Continuous
Age Continuous(Years)All Participants
Mean59.2 ± 8.0
Sex: Female, Male
Sex: Female, Male(Participants)All Participants
Female9
Male36
08

Study locations

4 sites
  • Pfizer Investigational Site
    Charleroi, 6000, Belgium
  • Pfizer Investigational Site
    Dublin, 8, Ireland
  • Pfizer Investigational Site
    Madrid, 28041, Spain
  • Pfizer Investigational Site
    Sevilla, 41013, Spain
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 21, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00560573
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Nov 19, 2007
Start date
Nov 2007
Primary completion
Jun 2008
Completion
Mar 2010
Results posted
Feb 25, 2013
Last update
Mar 21, 2013

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2013. You cannot join it, but the record below documents what was studied.

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