A Phase 2 interventional study of ramucirumab (IMC-1121B) and paclitaxel in Malignant Solid Tumor, sponsored by Eli Lilly and Company. Completed at 6 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-03-08.
Sponsored by Eli Lilly and Company · Phase 2, Interventional, and Treatment
The purpose of this study is to investigate whether there are no clinically significant pharmacokinetic effects of concomitant ramucirumab (IMC-1121B) on paclitaxel by investigating the pharmacokinetics (PK) of each in participants with advanced malignant solid tumors.
Part A of this study will investigate the potential of concomitant ramucirumab (IMC-1121B) to affect the pharmacokinetics of paclitaxel. Part B of this study will investigate the pharmacokinetics of ramucirumab (IMC-1121B) as monotherapy.
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Exclusion Criteria:
The participant has:
Experimental: Part A: ramucirumab (IMC-1121B) and paclitaxel Cycle 1: paclitaxel administered on Day 1 of 2-week cycle. Cycle 2 and beyond : ramucirumab (IMC-1121B) administered on Day 1 and Day 15, paclitaxel administered on Day 1, Day 8 and Day 15 of 4-week cycle.
Biological: ramucirumab (IMC-1121B) · Drug: paclitaxel
Cycle 1: ramucirumab (IMC-1121B) administered as monotherapy on Day 1 of 3-week cycle. Cycle 2 and beyond: ramucirumab (IMC-1121B) administered on Day 1 and Day 15, paclitaxel administered on Day 1, Day 8 and Day 15 of 4- week cycle. \*After Cycle 1 (mandatory pharmacokinetic phase) is completed, participants may continue to receive ramucirumab (IMC-1121B) monotherapy or combination therapy with paclitaxel as described in Part A.
Biological: ramucirumab (IMC-1121B) · Drug: paclitaxel
ramucirumab (IMC-1121B) 8 milligrams/kilogram (mg/kg) intravenous infusion, administered on Day 1and Day 15 of each 4-week cycle, unless otherwise specified.
Also known as: LY3009806
paclitaxel 80 milligrams/square meter (mg/m²) intravenous infusion, administered on Days 1, 8 and 15 of each 4-week cycle, unless otherwise specified.
Part A: Pharmacokinetics - Dose-Normalized Area Under the Concentration Versus Time Curve of Paclitaxel From Time Zero to Infinity [AUC(0-∞)] in Cycle 1
Dose-normalized AUC(0-∞) was calculated from AUC(0-∞) divided by the dose. Data presented are Geometric Least Squares (Geo LS) means. Geo LS means were adjusted for cycle, participant and random error.
Time frame: Cycle 1: 0, 1, 1.5, 2, 5, 7, 24, 48, 72 and 168 hours post paclitaxel infusion
Part A: Pharmacokinetics - Dose-Normalized Area Under the Concentration Versus Time Curve of Paclitaxel From Time Zero to Infinity [AUC(0-∞)] in Cycle 2
Dose-normalized AUC(0-∞) was calculated from AUC(0-∞) divided by the dose. Data presented are Geometric Least Squares (Geo LS) means. Geo LS means were adjusted for cycle, participant and random error.
Time frame: Cycle 2: -1, 0, 1, 1.5, 2, 5, 7, 24, 48, 72, 96, 168, 264 and 336 hours post paclitaxel infusion
Part A: Pharmacokinetics - Dose-Normalized Maximum Observed Drug Concentration (Cmax) of Paclitaxel in Cycle 1
Dose-normalized Cmax was calculated from Cmax divided by the dose. Data presented are Geometric Least Squares (Geo LS) means. Geo LS means were adjusted for cycle, participant and random error.
Time frame: Cycle 1: 0,1, 1.5, 2, 5, 7, 24, 48, 72 and 168 hours post paclitaxel infusion
Part A: Pharmacokinetics - Dose-Normalized Maximum Observed Drug Concentration (Cmax) of Paclitaxel in Cycle 2
Dose-normalized Cmax was calculated from Cmax divided by the dose. Data presented are Geometric Least Squares (Geo LS) means. Geo LS means were adjusted for cycle, participant and random error.
Time frame: Cycle 2: -1, 0, 1, 1.5, 2, 5, 7, 24, 48, 72, 96, 168, 264 and 336 hours post paclitaxel infusion
Part B: Pharmacokinetics - Dose-Normalized Area Under the Concentration Versus Time Curve of Ramucirumab From Time Zero to Infinity [AUC(0-∞)] as Monotherapy
Dose-normalized AUC(0-∞) was calculated from AUC(0-∞) divided by the dose.
Time frame: Cycle 1: 0,1, 1.5, 2, 5, 7, 24, 48, 72,168, 264, 336, 408, and 504 hours post ramucirumab infusion
Part A: Pharmacokinetics - Dose-Normalized Area Under the Concentration Versus Time Curve of Ramucirumab From Time Zero to Infinity [AUC(0-∞)] in the Presence of Paclitaxel
Dose-normalized AUC(0-∞) was calculated from AUC(0-∞) divided by the dose.
Time frame: Cycle 2: 0, 1, 2, 2.5, 3, 6, 8, 25, 49, 73, 97, 169, 265 and 337 hours post ramucirumab infusion
Part A: Pharmacokinetics - Dose-Normalized Maximum Observed Drug Concentration (Cmax) of Ramucirumab in the Presence of Paclitaxel
Dose-normalized Cmax was calculated from Cmax divided by the dose.
Time frame: Cycle 2: 0, 1, 2, 2.5, 3, 6, 8, 25, 49, 73, 97, 169, 265 and 337 hours post ramucirumab infusion
Part A: Immunogenicity of Ramucirumab in Combination With Paclitaxel - Number of Participants With Anti-Ramucirumab Antibodies
Number of participants with positive treatment emergent anti-ramucirumab antibodies was summarized by treatment group. A treatment-emergent anti-drug antibodies (TEADA) sample was defined as: a post treatment sample with at least a 4-fold increase in titer from pre treatment sample; or 1:20 post treatment titer for participants that had no detectable ADA titer at baseline.
Time frame: -1 hour on Day 1 of Cycle 2, and 30 days after last dose of study drug
Part B: Immunogenicity of Ramucirumab as Monotherapy - Number of Participants With Anti-Ramucirumab Antibodies
Number of participants with positive treatment emergent anti-ramucirumab antibodies was summarized by treatment group. A treatment-emergent anti-drug antibodies (TEADA) sample was defined as: a post treatment sample with at least a 4-fold increase in titer from pre treatment sample; or 1:20 post treatment titer for participants that had no detectable ADA titer at baseline.
Time frame: 0 hour on Day 1 of Cycle 1, and 30 days after last dose of study drug
| Milestone | Part A: Paclitaxel and Ramucirumab | Part B: Ramucirumab With or Without Paclitaxel |
|---|---|---|
| Started | 24 | 16 |
| Received at least 1 dose of study drug | 24 | 16 |
| Cycle 1 | 24 | 16 |
| Cycle 2 | 21 | 15 |
| Drug-drug interaction population | 21 | 0 |
| Completed | 0 | 2 |
| Not completed | 24 | 14 |
| Withdrew: Adverse event | 3 | 2 |
| Withdrew: Progressive disease | 19 | 9 |
| Withdrew: Withdrawal by subject | 1 | 2 |
| Withdrew: Physician decision | 1 | 1 |
Dose-normalized AUC(0-∞) was calculated from AUC(0-∞) divided by the dose. Data presented are Geometric Least Squares (Geo LS) means. Geo LS means were adjusted for cycle, participant and random error.
| nanograms*hour/milliliter/milligram | Part A: Paclitaxel Alone (Cycle 1) |
|---|---|
| Part A: Pharmacokinetics - Dose-Normalized Area Under the Concentration Versus Time Curve of Paclitaxel From Time Zero to Infinity [AUC(0-∞)] in Cycle 1 | 29 (24.50 to 34.34) |
Dose-normalized AUC(0-∞) was calculated from AUC(0-∞) divided by the dose. Data presented are Geometric Least Squares (Geo LS) means. Geo LS means were adjusted for cycle, participant and random error.
| nanograms*hour/milliliter/milligram | Part A: Paclitaxel + Ramucirumab (Cycle 2) |
|---|---|
| Part A: Pharmacokinetics - Dose-Normalized Area Under the Concentration Versus Time Curve of Paclitaxel From Time Zero to Infinity [AUC(0-∞)] in Cycle 2 | 31.67 (26.58 to 37.73) |
Dose-normalized Cmax was calculated from Cmax divided by the dose. Data presented are Geometric Least Squares (Geo LS) means. Geo LS means were adjusted for cycle, participant and random error.
| nanograms/milliliter/milligram | Part A: Paclitaxel Alone (Cycle 1) |
|---|---|
| Part A: Pharmacokinetics - Dose-Normalized Maximum Observed Drug Concentration (Cmax) of Paclitaxel in Cycle 1 | 18.84 (16.03 to 22.13) |
Dose-normalized Cmax was calculated from Cmax divided by the dose. Data presented are Geometric Least Squares (Geo LS) means. Geo LS means were adjusted for cycle, participant and random error.
| nanograms/milliliter/milligram | Part A: Paclitaxel + Ramucirumab (Cycle 2) |
|---|---|
| Part A: Pharmacokinetics - Dose-Normalized Maximum Observed Drug Concentration (Cmax) of Paclitaxel in Cycle 2 | 18.30 (15.54 to 21.56) |
Dose-normalized AUC(0-∞) was calculated from AUC(0-∞) divided by the dose.
| micrograms*hour/milliliter/milligram | Part B: Ramucirumab Alone (Cycle 1) |
|---|---|
| Part B: Pharmacokinetics - Dose-Normalized Area Under the Concentration Versus Time Curve of Ramucirumab From Time Zero to Infinity [AUC(0-∞)] as Monotherapy | 55.3 ± 27 |
Dose-normalized AUC(0-∞) was calculated from AUC(0-∞) divided by the dose.
| micrograms*hour/milliliters/milligram | Part A: Paclitaxel + Ramucirumab (Cycle 2) |
|---|---|
| Part A: Pharmacokinetics - Dose-Normalized Area Under the Concentration Versus Time Curve of Ramucirumab From Time Zero to Infinity [AUC(0-∞)] in the Presence of Paclitaxel | 55.4 ± 27 |
Dose-normalized Cmax was calculated from Cmax divided by the dose.
| micrograms/milliliter/milligram | Part A: Paclitaxel + Ramucirumab (Cycle 2) |
|---|---|
| Part A: Pharmacokinetics - Dose-Normalized Maximum Observed Drug Concentration (Cmax) of Ramucirumab in the Presence of Paclitaxel | 0.384 ± 31 |
Number of participants with positive treatment emergent anti-ramucirumab antibodies was summarized by treatment group. A treatment-emergent anti-drug antibodies (TEADA) sample was defined as: a post treatment sample with at least a 4-fold increase in titer from pre treatment sample; or 1:20 post treatment titer for participants that had no detectable ADA titer at baseline.
| Participants | Part A: Paclitaxel and Ramucirumab (Cycle 2) |
|---|---|
| Part A: Immunogenicity of Ramucirumab in Combination With Paclitaxel - Number of Participants With Anti-Ramucirumab Antibodies | 0 |
Number of participants with positive treatment emergent anti-ramucirumab antibodies was summarized by treatment group. A treatment-emergent anti-drug antibodies (TEADA) sample was defined as: a post treatment sample with at least a 4-fold increase in titer from pre treatment sample; or 1:20 post treatment titer for participants that had no detectable ADA titer at baseline.
| Participants | Part B: Ramucirumab Alone (Cycle 1) |
|---|---|
| Part B: Immunogenicity of Ramucirumab as Monotherapy - Number of Participants With Anti-Ramucirumab Antibodies | 0 |
Collected over Baseline, up to 8 years. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Part A: Paclitaxel Alone (Cycle 1) | — | 1/24 (4.2%) | 18/24 (75%) |
| Part A: Paclitaxel + Ramucirumab (Cycle 2) | — | 6/21 (28.6%) | 21/21 (100%) |
| Part B: Ramucirumab Alone (Cycle 1) | — | 0/16 (0%) | 8/16 (50%) |
| Part B: Ramucirumab + Paclitaxel (Cycle 2) | — | 6/15 (40%) | 14/15 (93.3%) |
| Event | Part A: Paclitaxel Alone (Cycle 1) | Part A: Paclitaxel + Ramucirumab (Cycle 2) | Part B: Ramucirumab Alone (Cycle 1) | Part B: Ramucirumab + Paclitaxel (Cycle 2) |
|---|---|---|---|---|
| ColitisGastrointestinal disorders | 0/24 | 0/21 | 0/16 | 1/15 |
| ConstipationGastrointestinal disorders | 0/24 | 0/21 | 0/16 | 1/15 |
| Large intestinal obstructionGastrointestinal disorders | 0/24 | 0/21 | 0/16 | 1/15 |
| Device related infectionInfections and infestations | 0/24 | 0/21 | 0/16 | 1/15 |
| PneumoniaInfections and infestations | 0/24 | 0/21 | 0/16 | 1/15 |
| SepsisInfections and infestations | 0/24 | 0/21 | 0/16 | 1/15 |
| HyponatraemiaMetabolism and nutrition disorders | 0/24 | 0/21 | 0/16 | 1/15 |
| Back painMusculoskeletal and connective tissue disorders | 0/24 | 0/21 | 0/16 | 1/15 |
| Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/24 | 0/21 | 0/16 | 1/15 |
| HypoxiaRespiratory, thoracic and mediastinal disorders | 0/24 | 0/21 | 0/16 | 1/15 |
| Event | Part A: Paclitaxel Alone (Cycle 1) | Part A: Paclitaxel + Ramucirumab (Cycle 2) | Part B: Ramucirumab Alone (Cycle 1) | Part B: Ramucirumab + Paclitaxel (Cycle 2) |
|---|---|---|---|---|
| FatigueGeneral disorders | 1/24 | 14/21 | 2/16 | 4/15 |
| AnaemiaBlood and lymphatic system disorders | 3/24 | 10/21 | 0/16 | 3/15 |
| EpistaxisRespiratory, thoracic and mediastinal disorders | 0/24 | 7/21 | 0/16 | 6/15 |
| DiarrhoeaGastrointestinal disorders | 1/24 | 8/21 | 1/16 | 3/15 |
| HeadacheNervous system disorders | 2/24 | 7/21 | 0/16 | 2/15 |
| Decreased appetiteMetabolism and nutrition disorders | 1/24 | 6/21 | 1/16 | 3/15 |
| AlopeciaSkin and subcutaneous tissue disorders | 0/24 | 6/21 | 0/16 | 1/15 |
| NauseaGastrointestinal disorders | 2/24 | 5/21 | 4/16 | 4/15 |
| Oedema peripheralGeneral disorders | 0/24 | 5/21 | 1/16 | 4/15 |
| ProteinuriaRenal and urinary disorders | 0/24 | 0/21 | 2/16 | 4/15 |
All participants who received at least 1 dose of study drug.
| Age, Categorical(Participants) | Part A: Paclitaxel and Ramucirumab | Part B: Ramucirumab With or Without Paclitaxel | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 14 | 10 | 24 |
| >=65 years | 10 | 6 | 16 |
| Sex: Female, Male(Participants) | Part A: Paclitaxel and Ramucirumab | Part B: Ramucirumab With or Without Paclitaxel | Total |
|---|---|---|---|
| Female | 13 | 9 | 22 |
| Male | 11 | 7 | 18 |
| Ethnicity (NIH/OMB)(Participants) | Part A: Paclitaxel and Ramucirumab | Part B: Ramucirumab With or Without Paclitaxel | Total |
|---|---|---|---|
| Hispanic or Latino | 1 | 0 | 1 |
| Not Hispanic or Latino | 23 | 16 | 39 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Part A: Paclitaxel and Ramucirumab | Part B: Ramucirumab With or Without Paclitaxel | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 1 | 1 | 2 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 |
| White | 22 | 15 | 37 |
| More than one race | 1 | 0 | 1 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(Participants) | Part A: Paclitaxel and Ramucirumab | Part B: Ramucirumab With or Without Paclitaxel | Total |
|---|---|---|---|
| United States | 24 | 16 | 40 |
This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.
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