Carcinoma, Squamous CellPhase 3NCT00596830
Carboplatin And Paclitaxel With Or Without CP-751, 871 (An IGF-1R Inhibitor) For Advanced NSCLC Of Squamous, Large Cell And Adenosquamous Carcinoma Histology
A Phase 3 study testing CP-751,871 (Figitumumab), Carboplatin and Paclitaxel in people with Carcinoma, Squamous Cell and Carcinoma, Adenosquamous, run by Pfizer at 280 sites in 26 countries.
Trial summary
Determine whether the addition of CP- 751,871 in combination with paclitaxel plus carboplatin prolongs survival in patients with locally advanced (Stage IIIB with pleural effusion) or metastatic (Stage IV or recurrent) NSCLC of non adenocarcinoma histology. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Squamous Cell, Carcinoma, Adenosquamous, Carcinoma, Large Cell
- What is being tested?
- CP-751,871 (Figitumumab), Carboplatin and Paclitaxel
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 681 participants
- Where
- 280 sitesin 26 countries
- Study dates
- Apr 2008to Sep 2012
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Confirmed diagnosis of non small cell lung cancer with a primary histology of predominantly squamous cell, large cell or adenosquamous carcinoma.
- Advanced NSCLC with documented Stage IIIB (with pleural effusion) or Stage IV or recurrent disease.
- No prior systemic treatment for NSCLC, except for adjuvant chemotherapy. Adjuvant chemotherapy must have completed for greater than or equal to 12 months prior to randomization.
- Prior surgery or radiation therapy is permitted if completed at least 3 weeks prior to randomization and all acute toxicities have resolved.
- ECOG performance status (PS) 0 or 1.
Who cannot join
- Patients with symptomatic central nervous system (CNS) metastases are not permitted.
- Patients requiring chronic steroid use or patients with uncontrolled diabetes are not permitted.
- Patients with other active cancer types are not permitted.
Trial locations and contacts
280 sites in 26 countries.
280 sites in 26 countries
United States169 sites
Pfizer Investigational Site
Alpharetta, Georgia, 30005
Pfizer Investigational Site
Arlington, Virginia, 22205
Pfizer Investigational Site
Arlington Heights, Illinois, 60005
Pfizer Investigational Site
Atlanta, Georgia, 30318
Pfizer Investigational Site
Atlanta, Georgia, 30341
Pfizer Investigational Site
Atlanta, Georgia, 30342
Pfizer Investigational Site
Aurora, Colorado, 80012
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Aurora, Illinois, 60504
Pfizer Investigational Site
Austin, Texas, 78705
Pfizer Investigational Site
Austin, Texas, 78731
Pfizer Investigational Site
Austin, Texas, 78745
Pfizer Investigational Site
Austin, Texas, 78758
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Avon, Indiana, 46123
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Baltimore, Maryland, 21225
Pfizer Investigational Site
Baltimore, Maryland, 21237
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Bartlett, Tennessee, 38133
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Beech Grove, Indiana, 46107
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Boulder, Colorado, 80303
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Bountiful, Utah, 84010
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Burlington, North Carolina, 27215
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Canton, Ohio, 44718
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Cedar Rapids, Iowa, 52402
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Chicago, Illinois, 60637
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Christiansburg, Virginia, 24073
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Clairton, Pennsylvania, 15025
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Cleveland, Ohio, 44195
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Coeur d'Alene, Idaho, 83814
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Colorado Springs, Colorado, 80907
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Colorado Springs, Colorado, 80909
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Columbia, South Carolina, 29203
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Columbus, Mississippi, 39705
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Conyers, Georgia, 30094
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Corinth, Mississippi, 38834
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Cumming, Georgia, 30041
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Dallas, Texas, 75230-2510
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Decatur, Georgia, 30033
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Denver, Colorado, 80218
Pfizer Investigational Site
Denver, Colorado, 80220
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Detroit, Michigan, 48201
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Dover, Ohio, 44622
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Duluth, Georgia, 30096
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Elk Grove Village, Illinois, 60007
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Fairfax, Virginia, 22031
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Farmington Hills, Michigan, 48334
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Florence, Alabama, 35630
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Fort Sam Houston, Texas, 78234
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Fort Worth, Texas, 76111
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Fort Worth, Texas, 76177
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Gainesville, Virginia, 20155
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Galesburg, Illinois, 61401
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Grapevine, Texas, 76051
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Greensburg, Pennsylvania, 15601
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Hobart, Indiana, 46342
Pfizer Investigational Site
Hobart, Indiana, 46432
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Hot Springs, Arkansas, 71913
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Houston, Texas, 77030
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Hudson, Florida, 34667
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Huntsville, Alabama, 35805
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Indianapolis, Indiana, 46237
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Indianapolis, Indiana, 46260
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Irving, Texas, 75063
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Jacksonville, Florida, 32207
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Johnstown, Pennsylvania, 15901
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Kansas City, Kansas, 66112
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Kansas City, Missouri, 64131
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Kansas City, Missouri, 64154
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Knoxville, Tennessee, 37909
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Knoxville, Tennessee, 37916
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Knoxville, Tennessee, 37932
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Lake City, Florida, 32024
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Lake City, Florida, 32055
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Lake Spivey, Georgia, 30236
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Lake Success, New York, 11042
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Lakewood, Colorado, 80228
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Las Vegas, Nevada, 89102
Pfizer Investigational Site
Las Vegas, Nevada, 89106
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Lawrence, Massachusetts, 01842
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Lawrenceville, Georgia, 30046
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Layton, Utah, 84041
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Lebanon, New Hampshire, 03756-0001
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Lee's Summit, Missouri, 64064
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Leesburg, Virginia, 20176
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Lincoln, Nebraska, 68506
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Lincoln, Nebraska, 68510
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Lincoln, Nebraska, 68516
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Littleton, Colorado, 80120
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Lone Tree, Colorado, 80124
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Longmont, Colorado, 80501
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Longview, Texas, 75601
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Louisville, Kentucky, 40202
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Louisville, Kentucky, 40207
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Macon, Georgia, 31217
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Manchester, New Hampshire, 03102
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Manhasset, New York, 11030
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Marietta, Georgia, 30060
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Maryville, Tennessee, 37804
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McKeesport, Pennsylvania, 15132
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Memphis, Tennessee, 38119
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Memphis, Tennessee, 38120
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Miramar Beach, Florida, 32550
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Mooresville, Indiana, 46158-1737
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Mooresville, Indiana, 46158
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Munster, Indiana, 46321
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Murray, Utah, 84157
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Muscle Shoals, Alabama, 35661
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New Hyde Park, New York, 11040
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New Port Richey, Florida, 34655
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Norwalk, Connecticut, 06856
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Norwich, Connecticut, 06360
Pfizer Investigational Site
Oneida, New York, 13421
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Orlando, Florida, 32803
Pfizer Investigational Site
Orlando, Florida, 32804
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Oswego, New York, 13126
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Overland Park, Kansas, 66210
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Oxford, Mississippi, 38655
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Parker, Colorado, 80138
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Pensacola, Florida, 32504
Pfizer Investigational Site
Pensacola, Florida, 32514
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Philadelphia, Pennsylvania, 19104
Pfizer Investigational Site
Philadelphia, Pennsylvania, 19106
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Phoenix, Arizona, 85012
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Pittsburgh, Pennsylvania, 15215
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Pittsburgh, Pennsylvania, 15232
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Pittsburgh, Pennsylvania, 15237
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Plano, Texas, 75075-7787
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Port Saint Lucie, Florida, 34952
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Provo, Utah, 84604
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Quincy, Massachusetts, 02169
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Radnor, Pennsylvania, 19087
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Roanoke, Virginia, 24014
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Round Rock, Texas, 78665
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Round Rock, Texas, 78681
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Saint Joseph, Michigan, 49085
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Saint Louis Park, Minnesota, 55426
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Salem, Virginia, 24153
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Salt Lake City, Utah, 84102
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Salt Lake City, Utah, 84106
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San Antonio, Texas, 78229
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San Marcos, Texas, 78666
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Sayre, Pennsylvania, 18840
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Scottsdale, Arizona, 85258
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Seattle, Washington, 98104
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Seattle, Washington, 98122
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Shawnee Mission, Kansas, 66204
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Snellville, Georgia, 30078
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Southaven, Mississippi, 38671
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Spokane, Washington, 99216
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Spokane, Washington, 99218
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Spokane Valley, Washington, 99202
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Spring Hill, Florida, 34608
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Stoneham, Massachusetts, 02180
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Sumter, South Carolina, 29150
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Syracuse, New York, 13210-2306
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Syracuse, New York, 13210
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Thornton, Colorado, 80260
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Tulsa, Oklahoma, 74104
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Tulsa, Oklahoma, 74133
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Tulsa, Oklahoma, 74136
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Tupelo, Mississippi, 38801
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Tyler, Texas, 75702
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West Valley City, Utah, 84120
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Wexford, Pennsylvania, 15090
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Weymouth, Massachusetts, 02189
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Winchester, Virginia, 22601
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Winfield, Illinois, 60190
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Woodbridge, Virginia, 22191
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Worcester, Massachusetts, 01605
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Wytheville, Virginia, 24382
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Yorkville, Illinois, 60560
Japan11 sites
Pfizer Investigational Site
Akashi, Hyōgo
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Chuo-Ku, Tokyo
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Gifu, Gifu
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Kashiwa, Chiba
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Matsuyama, Ehime
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Osaka, Osaka
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Osakasayama-shi, Osaka
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Sakai-shi, Osaka
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Sapporo, Hokkaido
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Tokyo
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Yokohama, Kanagawa
France9 sites
Pfizer Investigational Site
Caen, 14033
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Caen, 14076
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Clermond-Ferrand Cedex 01, 63003
Pfizer Investigational Site
Dijon, 21079
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Lyon, 69317
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Nantes, 44202
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Rennes, 35033
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Saint Pierre La Réunion Cedex, 97448
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Saint-Herblain, 44805
Poland7 sites
Pfizer Investigational Site
Gdansk, 80-952
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Krakow, 31-115
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Siedlce, 08-110
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Warsaw, 01-138
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Warsaw, 02-097
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Warsaw, 02-781
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Wroclaw, 53-439
Russia7 sites
Pfizer Investigational Site
Moscow, 111033
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Moscow, 115478
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Saint Petersburg, 194044
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Saint Petersburg, 197089
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Saint Petersburg, 198255
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Samara, 443066
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Sochi, 354057
Brazil6 sites
Pfizer Investigational Site
Higienópolis, Sao Paulo/ Brazil, 01224-010
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Rio de Janeiro, Rio de Janeiro, 20230-130
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Rio de Janeiro, Rio de Janeiro, 20231 -050
Pfizer Investigational Site
São Paulo, São Paulo, 01219-000
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São Paulo, São Paulo, 01221-020
Pfizer Investigational Site
São Paulo, São Paulo, 01224-010
Spain6 sites
Pfizer Investigational Site
Córdoba, Cordoba, 14004
Pfizer Investigational Site
L'Hospitalet de Llobregat, Barcelona, 08907
Pfizer Investigational Site
Madrid, Madrid, 28033
Pfizer Investigational Site
Pamplona, Navarre, 31008
Pfizer Investigational Site
Santander, Cantabria, 39008
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Valencia, Valencia, 46010
Germany5 sites
Pfizer Investigational Site
Großhansdorf, 22927
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Karlsruhe, 76137
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Leipzig, 04207
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Mainz, 55131
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Oldenburg, 26121
Hungary5 sites
Pfizer Investigational Site
Budapest, 1525
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Deszk, 6772
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Székesfehérvár, 8000
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Szombathely, 9700
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Törökbálint, 2045
India5 sites
Pfizer Investigational Site
Bangalore, Karnataka, 560 078
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Mumbai, Maharashtra, 400 012
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Nagpur, Maharashtra, 440012
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Navrangpura / Ahmedabad, Gujarat, 380 009
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New Delhi, New Delhi, 110 030
Ukraine5 sites
Pfizer Investigational Site
Dnipropetrovsk, 49102
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Donetsk, 83092
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Kyiv, 03115
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Lviv, 79031
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Sumy, 40005
Australia4 sites
Pfizer Investigational Site
Albury, New South Wales, 2640
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Geelong, Victoria, 3220
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Port Macquarie, New South Wales, 2444
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Wodonga, Victoria, 3690
Bulgaria4 sites
Pfizer Investigational Site
Sofia, Bulgaria, 1527
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Sofia, Bulgaria, 1756
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Sofia, 1233
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Varna, 9000
Czechia4 sites
Pfizer Investigational Site
Nová Ves pod Pleší, 262 04
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Prague, 180 81
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Pribram I, 261 26
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Pribram V, 261 95
Greece4 sites
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Athens, 10676
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Athens, 11527
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Thessaloniki, Pylaia, 57001
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Thessaloniki, 56429
Italy4 sites
Pfizer Investigational Site
Genova, 16132
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Orbassano (TO), 10043
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Padova, 35128
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Roma, 00152
South Korea4 sites
Pfizer Investigational Site
Gyeonggi-do, 410-769
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Seoul, 110-744
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Seoul, 135-710
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Seoul, 138-736
Taiwan4 sites
Pfizer Investigational Site
Niao Sung Hsiang, Kaohsiung Hsien, 833
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Tainan, 704
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Taipei, 100
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Taipei, 112
Hong Kong3 sites
Pfizer Investigational Site
Kowloon, 0
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Shatin, New Territories
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Tuenmen
Slovakia3 sites
Pfizer Investigational Site
Nitra-Zobor, 949 88
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Nové Zámky, 94034
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Poprad, 058 01
Austria2 sites
Pfizer Investigational Site
Linz, A-4010
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Vienna, A-1090
Canada2 sites
Pfizer Investigational Site
Edmonton, Alberta, T6G 1Z2
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Lévis, Quebec, G6V 3Z1
Finland2 sites
Pfizer Investigational Site
Helsinki, 00290
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Pori, 28500
Switzerland2 sites
Pfizer Investigational Site
Fribourg, 1708
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Zurich, 8091
Turkey (Türkiye)2 sites
Pfizer Investigational Site
Adana, 01330
Pfizer Investigational Site
Ankara, 06100
About this study
Official title: Randomized, Open Label, Phase III Trial Of CP- 751,871 In Combination With Paclitaxel And Carboplatin Versus Paclitaxel And Carboplatin In Patients With Non Small Cell Lung Cancer
Determine whether the addition of CP- 751,871 in combination with paclitaxel plus carboplatin prolongs survival in patients with locally advanced (Stage IIIB with pleural effusion) or metastatic (Stage IV or recurrent) NSCLC of non adenocarcinoma histology.
Read the detailed description
The study was discontinued on December 29, 2009 due to an analysis by an independent Data Safety Monitoring Committee indicating that the addition of CP-751,871 [figitumumab] to paclitaxel plus carboplatin would be unlikely to meet the primary endpoint of improving overall survival compared to paclitaxel plus carboplatin alone. The DSMC recommendation to terminate the trial was based on futility, not on specific safety concerns; however, the DSMC recommended to investigate hyperglycemia as a potential contributor to the morbidity of the patients.
- Conditions
- Carcinoma, Squamous Cell, Carcinoma, Adenosquamous, Carcinoma, Large Cell, Carcinoma, Non-Small-Cell Lung
- Being tested
- CP-751,871 (Figitumumab), Carboplatin, Paclitaxel
- Keywords
- IGF-1R inhibitor, Non-small-cell lung carcinoma, CP-751, 871
- Medical subject headings
- Carcinoma, Squamous Cell, Carcinoma, Adenosquamous, Carcinoma, Large Cell, Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CP-751,871 (Figitumumab)Drug
CP 751,871 is a potent and selective fully human monoclonal antibody against the insulin like growth factor 1 receptor (IGF-1R). Patients in Arm A will receive CP-751, 871 intravenously every 21 days for up to six cycles.
CarboplatinDrug
Carboplatin is a standard chemotherapeutic agent used in patients with lung cancer. Patients in Arm A will receive carboplatin intravenously every 21 days for up to six cycles.
PaclitaxelDrug
Paclitaxel is a standard chemotherapeutic agent used in patients with lung cancer. Patients in Arm A will receive paclitaxel intravenously every 21 days for up to six cycles.
CarboplatinDrug
Carboplatin is a standard chemotherapeutic agent used in patients with lung cancer. Patient in Arm B will receive carboplatin intravenously every 21 days for up to six cycles.
PaclitaxelDrug
Paclitaxel is a standard chemotherapeutic agent used in patients with lung cancer. Patient in Arm B will receive paclitaxel intravenously every 21 days for up to six cycles.
| Study group | Role | What they receive |
|---|---|---|
| A | Experimental | Patients in Arm A will receive CP-751, 871 in combination with paclitaxel and carboplatin intravenously every 21 days for up to six cycles.' Receives: Drug: CP-751,871 (Figitumumab); Drug: Carboplatin; Drug: Paclitaxel |
| B | Active comparator | Patient in Arm B will receive paclitaxel and carboplatin intravenously every 21 days for up to six cycles. Receives: Drug: Carboplatin; Drug: Paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
Overall survival was the duration from randomization to death. For participants who are alive, overall survival was censored at the last contact.
Measured: Baseline until death, assessed monthly after end of treatment, up to 30 months
Secondary outcomes (9)
Progression-Free Survival (PFS)
PFS was defined as the time from randomization to first progression or death due to any cause, whichever came first. Participants last known to be alive and progression-free, with baseline and >=1 on-study assessment, were censored at last disease assessment verifying lack of progression. Progression was determined by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0 (20% increase in the sum of target lesions' longest diameter over nadir, unequivocal progression of non-target disease, or appearance of new lesions).
Measured: At baseline, every 6 weeks until radiological disease progression or the participant begins a subsequent anticancer therapy, up to 22.7 months.
Percentage of Participants With Objective Response (OR)
Percentage of participants with OR based on assessment of confirmed complete response (CR) or confirmed partial response(PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR defined as complete disappearance of all target lesions and non-target disease. No new lesons. PR defined as ≥30% decrease under baseline of the sum of diameters of all target lesions. No unequivocal progression of non-target disease. No new lesions.
Measured: At baseline, every 6 weeks until radiological disease progression has been documented or the participant begins a subsequent anticancer therapy, up to 22.7 months
European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (EORTC QLQ-C30)
EORTC QLQ-C30: included functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting) and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea and financial difficulties). Most questions used 4 point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale (1 'very poor' to 7 'Excellent'). Scores averaged, transformed to 0-100 scale; higher score=better level of functioning or greater degree of symptoms.
Measured: Day 1 of every cycle (3-week cycle), every 3 weeks during maintenance phase and at the End of Treatment Visit, assessed up to 37.4 months
European Organization for Research and Treatment of Cancer (EORTC), Quality of Life Questionnaire-Lung Cancer 13 (QLQ- LC13) Score
QLQ-LC13 consisted of 13 questions relating to disease symptoms specific to lung cancer and treatment side effects typical of treatment with chemotherapy and radiotherapy. The 13 questions comprised 1 multi-item scale for dyspnea and 10 single-item symptoms and side effects (coughing, hemoptysis, sore mouth, dysphagia, peripheral neuropathy, alopecia, chest pain, arm pain, other pain, and medicine for pain). Recall period: past week; response range: not at all to very much. Scale score range: 0 to 100. Higher symptom score = greater degree of symptoms.
Measured: Day 1 of every cycle (3-week cycle), every 3 weeks during maintenance phase and at the End of Treatment Visit, assessed up to 37.4 months
Euro Quality of Life (EQ-5D)- Health State Profile Utility Score
EQ-5D: participant rated questionnaire to assess health-related quality of life in terms of a single utility score. Health State Profile component assesses level of current health for 5 domains: mobility, self-care, usual activities, pain and discomfort, and anxiety and depression; 1 indicates better health state (no problems); 3 indicates worst health state ("confined to bed"). Scoring formula developed by EuroQol Group assigns a utility value for each domain in the profile. Score is transformed and results in a total score range of -0.594 to 1; higher score indicates a better health state.
Measured: Day 1 of every cycle (3-weeks cycle), every 3 weeks during maintenance phase and at the End of Treatment Visit, assessed up to 37.4 months
Maximum Observed Plasma Concentration (Cmax) for Figitumumab
Measured: Cycle 1, Day 1 (predose and 1 hour after end of infusion); Day 1 of Cycles 2, 4, 6 (predose); Cycle 5 Day 1 (predose, 1 hour after end of infusion); 28 days and 150 days after the last figi dose
Minimum Observed Plasma Trough Concentration (Cmin)for Figitumumab
Measured: Cycle 1, Day 1 (predose and 1 hour after end of infusion); Day 1 of Cycles 2, 4, 6 (predose); Cycle 5 Day 1 (predose, 1 hour after end of infusion); 28 days and 150 days after the last figi dose
Number of Participants With Total Anti-drug Antibodies (ADA)
ADAs are immunogenicity indicators to figitumumab. Participants reporting positive for ADAs are indicated by an endpoint titer of no less than 6.64.
Measured: Cycles 1, 2, and 4 (predose); 28 days and 150 days after the last figi dose
Change From Baseline in Serum Insulin Growth Factor 1 (IGF1) Levels
Measured: Cycles 1 and 4 (predose) and at end of treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jan 2008 (estimated)
- Study startApr 2008
- Primary completionMar 2011
- Study completionSep 2012
Why it stopped: See termination reason in detailed description.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Squamous CellStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 681 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00596830
- Sponsor's protocol ID
- A4021016
- Status last verified
- Dec 2013
- First submitted
- 3 Jan 2008
- Last updated
- 13 Jan 2014
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Roeland EJ, Fintelmann FJ, Yang R, Tarasenko L, Bonomi PD. Evaluation of Weight Gain and Overall Survival of Men Versus Women With Advanced Non-Small Cell Lung Cancer. J Cachexia Sarcopenia Muscle. 2025 Dec;16(6):e70131. doi: 10.1002/jcsm.70131.
PubMed 41332393Roeland EJ, Fintelmann FJ, Hilton F, Yang R, Whalen E, Tarasenko L, Calle RA, Bonomi PD. The relationship between weight gain during chemotherapy and outcomes in patients with advanced non-small cell lung cancer. J Cachexia Sarcopenia Muscle. 2024 Jun;15(3):1030-1040. doi: 10.1002/jcsm.13426. Epub 2024 Mar 11.
PubMed 38468440Langer CJ, Novello S, Park K, Krzakowski M, Karp DD, Mok T, Benner RJ, Scranton JR, Olszanski AJ, Jassem J. Randomized, phase III trial of first-line figitumumab in combination with paclitaxel and carboplatin versus paclitaxel and carboplatin alone in patients with advanced non-small-cell lung cancer. J Clin Oncol. 2014 Jul 1;32(19):2059-66. doi: 10.1200/JCO.2013.54.4932. Epub 2014 Jun 2.
PubMed 24888810
Study at a glance
From the registry record, last updated by the sponsor on 13 Jan 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized, Open Label, Phase III Trial Of CP- 751,871 In Combination With Paclitaxel And Carboplatin Versus Paclitaxel And Carboplatin In Patients With Non Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT00596830
- Acronym / sponsor ID
- A4021016
- Conditions
- Carcinoma, Squamous Cell, Carcinoma, Adenosquamous, Carcinoma, Large Cell, Carcinoma, Non-Small-Cell Lung
- Keywords
- IGF-1R inhibitor, Non-small-cell lung carcinoma, CP-751, 871
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: See termination reason in detailed description.
- Enrolment
- 681 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- Apr 2008
- Primary completion
- Mar 2011 (actual)
- Study completion
- Sep 2012 (actual)
- First posted
- 17 Jan 2008 (estimated)
- Results
- Posted 3 Dec 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Determine whether the addition of CP- 751,871 in combination with paclitaxel plus carboplatin prolongs survival in patients with locally advanced (Stage IIIB with pleural effusion) or metastatic (Stage IV or recurrent) NSCLC of non adenocarcinoma histology.
Detailed description
The study was discontinued on December 29, 2009 due to an analysis by an independent Data Safety Monitoring Committee indicating that the addition of CP-751,871 [figitumumab] to paclitaxel plus carboplatin would be unlikely to meet the primary endpoint of improving overall survival compared to paclitaxel plus carboplatin alone. The DSMC recommendation to terminate the trial was based on futility, not on specific safety concerns; however, the DSMC recommended to investigate hyperglycemia as a potential contributor to the morbidity of the patients.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A | Experimental | Drug: CP-751,871 (Figitumumab), Drug: Carboplatin, Drug: PaclitaxelPatients in Arm A will receive CP-751, 871 in combination with paclitaxel and carboplatin intravenously every 21 days for up to six cycles.' |
| B | Active comparator | Drug: Carboplatin, Drug: PaclitaxelPatient in Arm B will receive paclitaxel and carboplatin intravenously every 21 days for up to six cycles. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Confirmed diagnosis of non small cell lung cancer with a primary histology of predominantly squamous cell, large cell or adenosquamous carcinoma.
- Advanced NSCLC with documented Stage IIIB (with pleural effusion) or Stage IV or recurrent disease.
- No prior systemic treatment for NSCLC, except for adjuvant chemotherapy. Adjuvant chemotherapy must have completed for greater than or equal to 12 months prior to randomization.
- Prior surgery or radiation therapy is permitted if completed at least 3 weeks prior to randomization and all acute toxicities have resolved.
- ECOG performance status (PS) 0 or 1.
Key exclusion criteria (3 listed)
- Patients with symptomatic central nervous system (CNS) metastases are not permitted.
- Patients requiring chronic steroid use or patients with uncontrolled diabetes are not permitted.
- Patients with other active cancer types are not permitted.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CP-751,871 (Figitumumab)CP 751,871 is a potent and selective fully human monoclonal antibody against the insulin like growth factor 1 receptor (IGF-1R). Patients in Arm A will receive CP-751, 871 intravenously every 21 days for up to six cycles. | Drug | A |
| CarboplatinCarboplatin is a standard chemotherapeutic agent used in patients with lung cancer. Patients in Arm A will receive carboplatin intravenously every 21 days for up to six cycles. | Drug | A |
| PaclitaxelPaclitaxel is a standard chemotherapeutic agent used in patients with lung cancer. Patients in Arm A will receive paclitaxel intravenously every 21 days for up to six cycles. | Drug | A |
| CarboplatinCarboplatin is a standard chemotherapeutic agent used in patients with lung cancer. Patient in Arm B will receive carboplatin intravenously every 21 days for up to six cycles. | Drug | B |
| PaclitaxelPaclitaxel is a standard chemotherapeutic agent used in patients with lung cancer. Patient in Arm B will receive paclitaxel intravenously every 21 days for up to six cycles. | Drug | B |
Primary outcome
Overall Survival (OS)
Time frame: Baseline until death, assessed monthly after end of treatment, up to 30 months
Overall survival was the duration from randomization to death. For participants who are alive, overall survival was censored at the last contact.
9 secondary outcomes
Progression-Free Survival (PFS)
Time frame: At baseline, every 6 weeks until radiological disease progression or the participant begins a subsequent anticancer therapy, up to 22.7 months.
Percentage of Participants With Objective Response (OR)
Time frame: At baseline, every 6 weeks until radiological disease progression has been documented or the participant begins a subsequent anticancer therapy, up to 22.7 months
European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (EORTC QLQ-C30)
Time frame: Day 1 of every cycle (3-week cycle), every 3 weeks during maintenance phase and at the End of Treatment Visit, assessed up to 37.4 months
European Organization for Research and Treatment of Cancer (EORTC), Quality of Life Questionnaire-Lung Cancer 13 (QLQ- LC13) Score
Time frame: Day 1 of every cycle (3-week cycle), every 3 weeks during maintenance phase and at the End of Treatment Visit, assessed up to 37.4 months
Euro Quality of Life (EQ-5D)- Health State Profile Utility Score
Time frame: Day 1 of every cycle (3-weeks cycle), every 3 weeks during maintenance phase and at the End of Treatment Visit, assessed up to 37.4 months
Maximum Observed Plasma Concentration (Cmax) for Figitumumab
Time frame: Cycle 1, Day 1 (predose and 1 hour after end of infusion); Day 1 of Cycles 2, 4, 6 (predose); Cycle 5 Day 1 (predose, 1 hour after end of infusion); 28 days and 150 days after the last figi dose
Minimum Observed Plasma Trough Concentration (Cmin)for Figitumumab
Time frame: Cycle 1, Day 1 (predose and 1 hour after end of infusion); Day 1 of Cycles 2, 4, 6 (predose); Cycle 5 Day 1 (predose, 1 hour after end of infusion); 28 days and 150 days after the last figi dose
Number of Participants With Total Anti-drug Antibodies (ADA)
Time frame: Cycles 1, 2, and 4 (predose); 28 days and 150 days after the last figi dose
Change From Baseline in Serum Insulin Growth Factor 1 (IGF1) Levels
Time frame: Cycles 1 and 4 (predose) and at end of treatment
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jan 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41332393Roeland EJ, Fintelmann FJ, Yang R, Tarasenko L, Bonomi PD. Evaluation of Weight Gain and Overall Survival of Men Versus Women With Advanced Non-Small Cell Lung Cancer. J Cachexia Sarcopenia Muscle. 2025 Dec;16(6):e70131. doi: 10.1002/jcsm.70131.
- Derived from this study: PubMed 38468440Roeland EJ, Fintelmann FJ, Hilton F, Yang R, Whalen E, Tarasenko L, Calle RA, Bonomi PD. The relationship between weight gain during chemotherapy and outcomes in patients with advanced non-small cell lung cancer. J Cachexia Sarcopenia Muscle. 2024 Jun;15(3):1030-1040. doi: 10.1002/jcsm.13426. Epub 2024 Mar 11.
- Derived from this study: PubMed 24888810Langer CJ, Novello S, Park K, Krzakowski M, Karp DD, Mok T, Benner RJ, Scranton JR, Olszanski AJ, Jassem J. Randomized, phase III trial of first-line figitumumab in combination with paclitaxel and carboplatin versus paclitaxel and carboplatin alone in patients with advanced non-small-cell lung cancer. J Clin Oncol. 2014 Jul 1;32(19):2059-66. doi: 10.1200/JCO.2013.54.4932. Epub 2014 Jun 2.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
280 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing CP-751,871 (Figitumumab), Carboplatin and Paclitaxel in people with Carcinoma, Squamous Cell and Carcinoma, Adenosquamous, run by Pfizer at 280 sites in 26 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 13 Jan 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 280 sites in United States, Japan, France, Poland, Russia and 21 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 3 Dec 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (OS) (time frame: Baseline until death, assessed monthly after end of treatment, up to 30 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00596830, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jan 2014.