A Multicenter, Phase 2 Study of Gemcitabine-Carboplatin Plus Necitumumab in Chemotherapy-Naïve Patients With Locally Advanced or Metastatic Squamous Non-Small Cell Lung Cancer (NSCLC)
Overview
- Phase
- Phase 2
- Intervention
- Gemcitabine
- Conditions
- Locally Advanced Squamous Non-Small Cell Lung Cancer
- Sponsor
- Eli Lilly and Company
- Locations
- 2
- Primary Endpoint
- Objective Response Rate (ORR): Percentage of Participants With a Complete or Partial Response
- Status
- Withdrawn
- Last Updated
- 6 years ago
Overview
Brief Summary
The main purpose of this study is to evaluate the effectiveness and safety of gemcitabine-carboplatin plus necitumumab in chemotherapy-naïve participants with locally advanced or metastatic squamous non-small cell lung cancer.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Have confirmed diagnosis of locally advanced or metastatic NSCLC in Cohort 1 and metastatic NSCLC in Cohort 2, predominantly squamous histology. Squamous NSCLC diagnosis must be confirmed by histology or cytology local pathology report.
- •Participants in Cohort 1 are required to have epidermal growth factor receptor (EGFR) protein expressing tumor (defined by local immunohistochemistry test). This is not required for participants in Cohort
- •Measurable disease at the time of study entry as defined by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
- •The participant has an Eastern Cooperative Oncology Group performance status (ECOG PS) score of 0-1
- •Have discontinued all previous treatments for cancer and recovered from the acute effects of therapy: Biologic agents (for example, antibodies) and Immunotherapy ≥4 weeks; Chest radiotherapy ≥4 weeks; Major surgery, excluding biopsy ≥4 weeks)
- •The participant has archived tumor tissue available for biomarker analyses.
- •Participants in Cohort 2 are required to have received 1 prior single-agent immune checkpoint inhibitor for squamous NSCLC.
Exclusion Criteria
- •The participant has nonsquamous NSCLC
- •The participant has received prior anticancer therapy targeting the EGFR, vascular endothelial growth factor (VEGF), or VEGF receptor.
- •The participant has received previous chemotherapy (including concurrent chemoradiation) for advanced NSCLC (participants who have received neo-adjuvant and/or adjuvant chemotherapy are eligible if the last administration occurred at least 1 year prior to start of therapy).
- •The participant has brain metastases that are symptomatic or require ongoing treatment with steroids or anticonvulsants.
- •The participant has a bleeding tumor.
- •The participant has a history of arterial or venous thromboembolism within 3 months prior to study enrollment.
- •The participant has a history or evidence of current clinically-relevant coronary artery disease of current ≥ Class III as defined by Canadian Cardiovascular Society Angina Grading Scale (Campeau 1976) or congestive heart failure of current ≥ Class III as defined by the New York Heart Association.
- •The participant has experienced myocardial infarction within 6 months prior to study enrollment.
Arms & Interventions
Cohort 2: Necitumumab + Gemcitabine and Carboplatin
Predominately United States sites. Gemcitabine administered IV and carboplatin IV plus necitumumab IV.
Intervention: Gemcitabine
Cohort 1: Necitumumab + Gemcitabine and Carboplatin
Predominately European sites. Gemcitabine administered intravenously (IV) and carboplatin IV plus necitumumab IV.
Intervention: Necitumumab
Cohort 1: Necitumumab + Gemcitabine and Carboplatin
Predominately European sites. Gemcitabine administered intravenously (IV) and carboplatin IV plus necitumumab IV.
Intervention: Gemcitabine
Cohort 1: Necitumumab + Gemcitabine and Carboplatin
Predominately European sites. Gemcitabine administered intravenously (IV) and carboplatin IV plus necitumumab IV.
Intervention: Carboplatin
Cohort 2: Necitumumab + Gemcitabine and Carboplatin
Predominately United States sites. Gemcitabine administered IV and carboplatin IV plus necitumumab IV.
Intervention: Necitumumab
Cohort 2: Necitumumab + Gemcitabine and Carboplatin
Predominately United States sites. Gemcitabine administered IV and carboplatin IV plus necitumumab IV.
Intervention: Carboplatin
Outcomes
Primary Outcomes
Objective Response Rate (ORR): Percentage of Participants With a Complete or Partial Response
Time Frame: Baseline to Measured Progressive Disease or Start of New Anti-Cancer Therapy (Approximately 18 Months)
Secondary Outcomes
- Overall Survival (OS)(Baseline to Date of Death Due to Any Cause (Approximately 24 Months))
- Pharmacokinetics (PK): Minimum Concentration (Cmin) of Necitumumab(Cycle 1 Day 1 through Cycle 6 Day 1 (Approximately 4 Months))
- Progression Free Survival (PFS)(Baseline to Measured Progressive Disease or Death (Approximately 24 Months))
- Disease Control Rate (DCR): Percentage of Participants With a Best Overall Response of Complete Response, Partial Response, and Stable Disease(Baseline to Measured Progressive Disease or Start of New Anti-Cancer Therapy (Approximately 24 Months))