A Phase 2 interventional study of Necitumumab and Gemcitabine in Malignant Solid Tumor, sponsored by Eli Lilly and Company. Completed at 4 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-09-30.
Sponsored by Eli Lilly and Company · Phase 2, Interventional, and Treatment
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.
9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.
This study's enrollment of 35 is below the median of 50 across 7,253 interventional studies indexed under Neoplasms.
Browse Neoplasms studies →Eli Lilly and Company is the lead sponsor of 2,048 studies on the registry; 140 are open to participants now.
Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
The study will be conducted in two sequential periods: a 3-week PK run-in participants will be treated sequentially with single doses of cisplatin, gemcitabine, and necitumumab. Cycle 1 will begin immediately following the PK run-in period.
Biological: Necitumumab · Drug: Gemcitabine · Drug: Cisplatin
PK Run-In Period: Necitumumab administered on Day 3 of the 3-week PK run-in period as an intravenous (I.V.) infusion at an absolute dose of 800 mg Treatment Cycles: Necitumumab administered on Days 1 and 8 of every 3-week cycle as an intravenous (I.V.) infusion at an absolute dose of 800 mg Participants in Cohort 1 will receive necitumumab Process C drug product and participants in Cohort 2 will receive necitumumab Process D drug product
Also known as: IMC-11F8, LY3012211
PK Run-In Period: Gemcitabine administered on Day 1 of the 3-week PK run-in period as an I.V. infusion at a dose of 1250 milligram per square meter (mg/m2) Treatment Cycles: Gemcitabine administered on Days 1 and 8 of every 3-week cycle as an I.V. infusion at a dose of 1250 mg/m2
Also known as: Gemzar®, LY188011
PK Run-In Period: Cisplatin administered on Day 1 of the 3-week PK run-in period as an I.V. infusion at a dose of 75 mg/m2 Treatment Cycles: Cisplatin administered on Day 1 of every 3-week cycle as an I.V. infusion at a dose of 75 mg/m2
Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) of Necitumumab
Time frame: Run-In Period Day 3 Cohort 1: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 Hour (h) Post Start of Infusion; Cycle 1, Day 1: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion
PK: Dose-Normalized Cmax of Gemcitabine
Time frame: Run-In Period Day 1 Cohort 1: 0,0.5,1,1.5,3,4,6.67 and 24h Post Start of Infusion; Cycle 1, Day 1: 0, 0.50, 1, 1.5, 3, 4.67, 6.67 and 24 h Post Start of Infusion
PK: Dose-Normalized Cmax of Cisplatin
Time frame: Run-In Period Day 1 Cohort 1: 0, 2, 2.03, 2.25, 3, 3.67 and 5.67 h Post Start of Infusion; Cycle 1, Day 1: 0, 2, 2.03, 2.25, 3, 3.67 and 5.67 h Post Start of Infusion
PK: Area Under Concentration-Time Curve From Zero to Time 168 (AUC[-168]) of Necitumumab
Time frame: Run-In Period Day 3 Cohort 1: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion; Cycle 1, Day 1: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion
PK: Dose-Normalized AUC(0-24) of Gemcitabine
Time frame: Run-In Period Day 1 Cohort 1: 0,0.5,1,1.5,3,4,6.67 and 24h Post Start of Infusion; Cycle 1, Day 1: 0, 0.50, 1, 1.5, 3, 4.67, 6.67 and 24 h Post Start of Infusion
PK: Dose-Normalized AUC(0-5) of Cisplatin
Time frame: Run-In Period Day 1 Cohort 1: 0, 2, 2.03, 2.25, 3, 3.67 and 5.67 h Post Start of Infusion; Cycle 1, Day 1: 0, 2, 2.03, 2.25, 3, 3.67 and 5.67 h Post Start of Infusion
PK: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity, (AUC[0-∞]) of Necitumumab
Time frame: Run-In Period Day 3 Cohort 1: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion; Cycle 1 Day 1: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion
PK: Dose Normalized AUC(0-∞) of Gemcitabine
Time frame: Run-In Period Day 1 Cohort 1: 0,0.5,1,1.5,3,4,6.67 and 24h Post Start of Infusion; Cycle 1, Day 1: 0, 0.50, 1, 1.5, 3, 4.67, 6.67 and 24 h Post Start of Infusion
Number of Participants With Anti-Necitumumab Antibodies
A participant was considered to have an anti-necitumumab antibody response if anti-drug antibodies (ADA) were confirmed positive. Treatment emergent antibodies were defined as any anti-necitumumab antibody titer equal to or greater than 4-fold the participant's baseline titer.
Time frame: Baseline through, 30-Day Follow-Up
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)
ORR is confirmed best overall tumor response of CR or PR. According to RECIST v1.1, CR was defined as the disappearance of all target and non-target lesions; PR defined as a \>30% decrease in the sum of the longest diameters (LD) of the target lesions, taking as reference the baseline sum of the LD. Percentage of participants was calculated as: (total number of participants with CR or PR from start of the treatment until disease progression or recurrence)/total number of participants treated) \* 100.
Time frame: Baseline to Measured Progressive Disease (Up to 14 Months)
PK: Cmax of Necitumumab After Administration of Process C and Process D Drug Product
Time frame: Run-In Period Day 3 Cohort 1 and Cohort 2: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion
PK: AUC(0-∞) of Necitumumab After Administration of Process C and Process D Drug Product
Time frame: Run-In Period Day 3 Cohort 1 and Cohort 2: 0, 0.83, 1.33, 1.83, 3.83, 7.5, 24.83, 72 and 168 h Post Start of Infusion
| Milestone | Necitumumab Cohort 1 | Necitumumab Cohort 2 |
|---|---|---|
| Started | 18 | 17 |
| Received at least 1 dose of study drug | 18 | 17 |
| Completed | 15 | 17 |
| Not completed | 3 | 0 |
| Withdrew: Adverse event | 1 | 0 |
| Withdrew: Progressive disease | 1 | 0 |
| Withdrew: Withdrawal by subject | 1 | 0 |
| microgram/milliliter (ug/mL) | Necitumumab Cohort 1 Day 3 Run-in | Necitumumab Cohort 1 Day 1, Cycle 1, Combination |
|---|---|---|
| Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) of Necitumumab | 277 ± 22 | 315 ± 23 |
| nanogram(ng)/mL/mg | Gemcitabine Cohort 1 Day 1 PK Run-In | Gemcitabine Cohort 1 Day 1, Cycle 1, Combination |
|---|---|---|
| PK: Dose-Normalized Cmax of Gemcitabine | 4.83 ± 66 | 7.87 ± 43 |
| nanogram (ng)/mL/mg | Cisplatin Cohort 1 Day 1 Run-in | Cisplatin Cohort 1 Day 1, Cycle 1, Combination |
|---|---|---|
| PK: Dose-Normalized Cmax of Cisplatin | 19.2 ± 21 | 22.1 ± 30 |
| ug*hour(h)/mL | Necitumumab Cohort 1 Day 3 Run-In | Necitumumab Cohort 1 Day 1, Cycle 1, Combination |
|---|---|---|
| PK: Area Under Concentration-Time Curve From Zero to Time 168 (AUC[-168]) of Necitumumab | 21900 ± 24 | 22900 ± 34 |
A participant was considered to have an anti-necitumumab antibody response if anti-drug antibodies (ADA) were confirmed positive. Treatment emergent antibodies were defined as any anti-necitumumab antibody titer equal to or greater than 4-fold the participant's baseline titer.
| participants with immunogenicity samples | Necitumumab Cohort 1 | Necitumumab Cohort 2 |
|---|---|---|
| ADA Positive | 3 | 0 |
| TE Antibodies | 1 | 0 |
| Neutralizing Antibodies | 0 | 0 |
ORR is confirmed best overall tumor response of CR or PR. According to RECIST v1.1, CR was defined as the disappearance of all target and non-target lesions; PR defined as a \>30% decrease in the sum of the longest diameters (LD) of the target lesions, taking as reference the baseline sum of the LD. Percentage of participants was calculated as: (total number of participants with CR or PR from start of the treatment until disease progression or recurrence)/total number of participants treated) \* 100.
| percentage of participants | Necitumumab Cohort 1 | Necitumumab Cohort 2 |
|---|---|---|
| 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 (3.6 to 41.4) | 5.9 (0.1 to 28.7) |
| ug/mL | Necitumumab Cohort 1 | Necitumumab Cohort 2 |
|---|---|---|
| PK: Cmax of Necitumumab After Administration of Process C and Process D Drug Product | 277 ± 22 | 300 ± 36 |
| ng*h/mL/mg | Gemcitabine Cohort 1 Day 1 PK Run-in | Gemcitabine Cohort 1 Day 1, Cycle 1, Combination |
|---|---|---|
| PK: Dose-Normalized AUC(0-24) of Gemcitabine | 2.71 ± 45 | 3.31 ± 33 |
| ug*h/mL | Necitumumab Cohort 1 | Necitumumab Cohort 2 |
|---|---|---|
| PK: AUC(0-∞) of Necitumumab After Administration of Process C and Process D Drug Product | 33800 ± 33 | 35500 ± 35 |
| ng*h/mL/mg | Cisplatin Cohort 1 Day 1 Run-in | Cisplatin Cohort 1 Day 1, Cycle 1, Combination |
|---|---|---|
| PK: Dose-Normalized AUC(0-5) of Cisplatin | 61.5 ± 20 | 67.3 ± 24 |
| ug*h/mL | Necitumumab Cohort 1 Day 3 PK Run-In | Necitumumab Cohort 1 Day 1, Cycle 1, Combination |
|---|---|---|
| PK: Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity, (AUC[0-∞]) of Necitumumab | 33800 ± 33 | 26400 ± 30 |
| ng*h/mL/mg | Gemcitabine Cohort 1 Day 1 PK Run-in | Gemcitabine Cohort 1 Day 1, Cycle 1, Combination |
|---|---|---|
| PK: Dose Normalized AUC(0-∞) of Gemcitabine | 2.72 ± 45 | 3.32 ± 33 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Necitumumab Cohort 1 | — | 5/18 (27.8%) | 18/18 (100%) |
| Necitumumab Cohort 2 | — | 8/17 (47.1%) | 17/17 (100%) |
| Event | Necitumumab Cohort 1 | Necitumumab Cohort 2 |
|---|---|---|
| DehydrationMetabolism and nutrition disorders | 0/18 | 2/17 |
| PancytopeniaBlood and lymphatic system disorders | 0/18 | 1/17 |
| NauseaGastrointestinal disorders | 0/18 | 1/17 |
| Small intestinal obstructionGastrointestinal disorders | 0/18 | 1/17 |
| AstheniaGeneral disorders | 0/18 | 1/17 |
| Urinary tract infection bacterialInfections and infestations | 0/18 | 1/17 |
| FallInjury, poisoning and procedural complications | 0/18 | 1/17 |
| Decreased appetiteMetabolism and nutrition disorders | 0/18 | 1/17 |
| HypokalaemiaMetabolism and nutrition disorders | 0/18 | 1/17 |
| HypomagnesaemiaMetabolism and nutrition disorders | 0/18 | 1/17 |
| Event | Necitumumab Cohort 1 | Necitumumab Cohort 2 |
|---|---|---|
| FatigueGeneral disorders | 14/18 | 13/17 |
| AnaemiaBlood and lymphatic system disorders | 10/18 | 13/17 |
| HypomagnesaemiaMetabolism and nutrition disorders | 10/18 | 12/17 |
| NauseaGastrointestinal disorders | 12/18 | 10/17 |
| ThrombocytopeniaBlood and lymphatic system disorders | 11/18 | 6/17 |
| Aspartate aminotransferase increasedInvestigations | 11/18 | 8/17 |
| VomitingGastrointestinal disorders | 10/18 | 6/17 |
| White blood cell count decreasedInvestigations | 10/18 | 7/17 |
| NeutropeniaBlood and lymphatic system disorders | 8/18 | 9/17 |
| HypoalbuminaemiaMetabolism and nutrition disorders | 4/18 | 9/17 |
All participants who received at least one dose of study drug.
| Age, Continuous(years) | Necitumumab Cohort 1 | Necitumumab Cohort 2 | Total |
|---|---|---|---|
| Mean | 55.3 ± 15.54 | 58.2 ± 13.84 | 56.7 ± 14.59 |
| Sex: Female, Male(Participants) | Necitumumab Cohort 1 | Necitumumab Cohort 2 | Total |
|---|---|---|---|
| Female | 11 | 10 | 21 |
| Male | 7 | 7 | 14 |
| Ethnicity (NIH/OMB)(Participants) | Necitumumab Cohort 1 | Necitumumab Cohort 2 | Total |
|---|---|---|---|
| Hispanic or Latino | 1 | 1 | 2 |
| Not Hispanic or Latino | 17 | 16 | 33 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Necitumumab Cohort 1 | Necitumumab Cohort 2 | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 1 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 3 | 3 |
| White | 17 | 14 | 31 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(participants) | Necitumumab Cohort 1 | Necitumumab Cohort 2 | Total |
|---|---|---|---|
| United States | 18 | 17 | 35 |
| Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) at Baseline(participants) | Necitumumab Cohort 1 | Necitumumab Cohort 2 | Total |
|---|---|---|---|
| 0 | 9 | 7 | 16 |
| 1 | 9 | 10 | 19 |
| >=2 | 0 | 0 | 0 |
| Disease Characteristics - Tumor Type(participants) | Necitumumab Cohort 1 | Necitumumab Cohort 2 | Total |
|---|---|---|---|
| Breast Carcinoma | 3 | 4 | 7 |
| Ovarian Carcinoma | 2 | 1 | 3 |
| Small Cell Lung Carcinoma | 2 | 1 | 3 |
| Thymic Tumor | 2 | 0 | 2 |
| Nonsmall Cell Lung Carcinoma | 2 | 0 | 2 |
| Melanoma | 1 | 1 | 2 |
| Head and Neck Carcinoma | 1 | 1 | 2 |
| Endometrial Carcinoma | 1 | 1 | 2 |
| Hepatobilliary Carcinoma | 1 | 0 | 1 |
| Left Parotid | 1 | 0 | 1 |
| Liver | 1 | 0 | 1 |
| Granulosa Cell Tumor of the Ovary | 1 | 0 | 1 |
| Mesothelioma | 0 | 1 | 1 |
| Neuroendocrine Tumor | 0 | 1 | 1 |
| Hepatocellular Carcinoma | 0 | 1 | 1 |
| Esophageal Carcinoma | 0 | 1 | 1 |
| Colorectal Carcinoma | 0 | 1 | 1 |
| Sarcoma, soft tissue | 0 | 1 | 1 |
| Adenocarcinoma of the Ampula of Vater | 0 | 1 | 1 |
| Pancreatic Carcinoma | 0 | 1 | 1 |
| Prior Anti-Cancer Therapy(participants) | Necitumumab Cohort 1 | Necitumumab Cohort 2 | Total |
|---|---|---|---|
| Any Prior Radiotherapy | 13 | 10 | 23 |
| Any Prior (Adjuvant/Neoadjuvant) Systemic Therapy | 17 | 16 | 33 |
Plan to share: Yes — 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.
Supporting information: Study protocol, Sap, Csr
No publications or documents are linked to this record.
This study is completed, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Eli Lilly and Company