Carcinoma, Large CellPhase 3NSCLCNCT00673049
Trial Of CP-751, 871 And Erlotinib In Refractory Lung Cancer
A Phase 3 study testing CP 751,871 (Figitumumab) and Erlotinib in people with Carcinoma, Large Cell and Carcinoma, Non-Small-Cell Lung, run by Pfizer at 175 sites in 27 countries.
Trial summary
The objective of this study is to test a clinical benefit of the addition of CP 751,871 to erlotinib therapy in patients with advanced NSCLC of non adenocarcinoma histology. The primary endpoint is Overall Survival (OS). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Large Cell, Carcinoma, Non-Small-Cell Lung, Carcinoma, Squamous Cell
- What is being tested?
- CP 751,871 (Figitumumab) and Erlotinib
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 583 participants
- Where
- 175 sitesin 27 countries
- Study dates
- May 2008to Apr 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
- Non small cell lung cancer with a primary histology of squamous cell, large cell or adenosquamous carcinoma. At least 1 measurable lesion, as defined by RECIST.
Who cannot join
- Primary NSCLC adenocarcinoma and its subtypes or unknown/unspecified histology.
- Prior Erlotinib therapy.
- Prior anti IGF IR based investigational therapy.
Trial locations and contacts
175 sites in 27 countries.
175 sites in 27 countries
United States69 sites
Pfizer Investigational Site
Alpharetta, Georgia, 30005
Pfizer Investigational Site
Amherst, New York, 14221
Pfizer Investigational Site
Atlanta, Georgia, 30308
Pfizer Investigational Site
Atlanta, Georgia, 30322
Pfizer Investigational Site
Atlanta, Georgia, 30342
Pfizer Investigational Site
Beech Grove, Indiana, 46107
Pfizer Investigational Site
Bethesda, Maryland, 20817
Pfizer Investigational Site
Billings, Montana, 59102
Pfizer Investigational Site
Bloomington, Illinois, 61701
Pfizer Investigational Site
Buffalo, New York, 14263
Pfizer Investigational Site
Butte, Montana, 59701
Pfizer Investigational Site
Cedar Rapids, Iowa, 52402
Pfizer Investigational Site
Charlottesville, Virginia, 22908-0334
Pfizer Investigational Site
Charlottesville, Virginia, 22908-0716
Pfizer Investigational Site
Cody, Wyoming, 82414
Pfizer Investigational Site
Columbus, Ohio, 43210
Pfizer Investigational Site
Columbus, Ohio, 43221
Pfizer Investigational Site
Conyers, Georgia, 30094
Pfizer Investigational Site
Cumming, Georgia, 30041
Pfizer Investigational Site
Decatur, Georgia, 30033
Pfizer Investigational Site
Denver, Colorado, 80205
Pfizer Investigational Site
Duluth, Georgia, 30096
Pfizer Investigational Site
Fort Smith, Arkansas, 72903
Pfizer Investigational Site
Germantown, Tennessee, 38138
Pfizer Investigational Site
Gloucester, Virginia, 23601
Pfizer Investigational Site
Glouster, Virginia, 23061
Pfizer Investigational Site
Hollywood, Florida, 33021
Pfizer Investigational Site
Hot Springs, Arkansas, 71913
Pfizer Investigational Site
Indianapolis, Indiana, 46237
Pfizer Investigational Site
Indianapolis, Indiana, 46260
Pfizer Investigational Site
Lafayette, Colorado, 80026
Pfizer Investigational Site
Lake City, Florida, 32024
Pfizer Investigational Site
Lake City, Florida, 32055
Pfizer Investigational Site
Lake Spivey, Georgia, 30236
Pfizer Investigational Site
Lake Success, New York, 11042
Pfizer Investigational Site
Lakeport, California, 95453
Pfizer Investigational Site
Lawrenceville, Georgia, 30046
Pfizer Investigational Site
Lebanon, New Hampshire, 03756
Pfizer Investigational Site
Louisville, Kentucky, 40207
Pfizer Investigational Site
Manchester, New Hampshire, 03102
Pfizer Investigational Site
Manhasset, New York, 11030
Pfizer Investigational Site
New Albany, Mississippi, 38652
Pfizer Investigational Site
New Hyde Park, New York, 11040
Pfizer Investigational Site
Newport News, Virginia, 23601
Pfizer Investigational Site
Norman, Oklahoma, 73071
Pfizer Investigational Site
Oklahoma City, Oklahoma, 73102
Pfizer Investigational Site
Oklahoma City, Oklahoma, 73109
Pfizer Investigational Site
Oklahoma City, Oklahoma, 73120
Pfizer Investigational Site
Orange, California, 92868-3298
Pfizer Investigational Site
Orange, California, 92868
Pfizer Investigational Site
Pembroke Pines, Florida, 33028
Pfizer Investigational Site
Peoria, Illinois, 61615
Pfizer Investigational Site
Petaluma, California, 94954
Pfizer Investigational Site
Philadelphia, Pennsylvania, 19104
Pfizer Investigational Site
Philadelphia, Pennsylvania, 19107
Pfizer Investigational Site
San Antonio, Texas, 78229
Pfizer Investigational Site
Santa Rosa, California, 95403
Pfizer Investigational Site
Snellville, Georgia, 30078
Pfizer Investigational Site
The Bronx, New York, 10461
Pfizer Investigational Site
The Bronx, New York, 10467
Pfizer Investigational Site
Thousand Oaks, California, 91360
Pfizer Investigational Site
Tulsa, Oklahoma, 74104
Pfizer Investigational Site
Tulsa, Oklahoma, 74133
Pfizer Investigational Site
Tulsa, Oklahoma, 74136
Pfizer Investigational Site
Waterloo, Iowa, 50701
Pfizer Investigational Site
Wenatchee, Washington, 98801
Pfizer Investigational Site
Westlake Valley, California, 91360
Pfizer Investigational Site
Wheeling, West Virginia, 26003-6300
Pfizer Investigational Site
Williamsburg, Virginia, 23185
Spain12 sites
Pfizer Investigational Site
Barcelona, Barcelona, 08025
Pfizer Investigational Site
Elche, Alicante, 03203
Pfizer Investigational Site
Girona, Girona, 17007
Pfizer Investigational Site
L'Hospitalet de Llobregat, Barcelona, 08097
Pfizer Investigational Site
Madrid, Madrid, 28007
Pfizer Investigational Site
Madrid, Madrid, 28033
Pfizer Investigational Site
Madrid, Madrid, 28041
Pfizer Investigational Site
Manresa, Barcelona, 08243
Pfizer Investigational Site
Oviedo, Principality of Asturias, 33006
Pfizer Investigational Site
Sabadell, Barcelona, 08208
Pfizer Investigational Site
Seville, Sevilla, 41009
Pfizer Investigational Site
Seville, Sevilla, 41013
France9 sites
Pfizer Investigational Site
Brest, 29609
Pfizer Investigational Site
La Tronche, 38700
Pfizer Investigational Site
Lille, 59020 Cedex
Pfizer Investigational Site
Marseille, 13009
Pfizer Investigational Site
Marseille, 13915
Pfizer Investigational Site
Rennes, Cedex 9, 35033
Pfizer Investigational Site
Saint Pierre La Réunion Cedex, 97448
Pfizer Investigational Site
Saint-Priest-en-Jarez, 42277
Pfizer Investigational Site
Villejuif, 94805
Poland9 sites
Pfizer Investigational Site
Bydgoszcz, 85-796
Pfizer Investigational Site
Gdansk, 80-952
Pfizer Investigational Site
Krakow, 31-108
Pfizer Investigational Site
Krakow, 31-215
Pfizer Investigational Site
Lublin, 20-954
Pfizer Investigational Site
Olsztyn, 10-357
Pfizer Investigational Site
Olsztyn, 10-513
Pfizer Investigational Site
Rybnik, 44-200
Pfizer Investigational Site
Wodzislaw Sl., 44-300
Brazil8 sites
Pfizer Investigational Site
Higienópolis, Sao Paulo/ Brazil, 01224-010
Pfizer Investigational Site
Porto Alegre, Rio Grande do Sul, 90035-903
Pfizer Investigational Site
Rio de Janeiro, Rio de Janeiro, 20230 -130
Pfizer Investigational Site
Rio de Janeiro, Rio de Janeiro, 20231 -050
Pfizer Investigational Site
Santo André, São Paulo, 09060-650
Pfizer Investigational Site
São Paulo, São Paulo, 01219-000
Pfizer Investigational Site
São Paulo, São Paulo, 01221-020
Pfizer Investigational Site
São Paulo, São Paulo, 01224-010
Italy8 sites
Pfizer Investigational Site
Avellino, 83100
Pfizer Investigational Site
Aviano (PN), 33081
Pfizer Investigational Site
Cattolica (RN), 47841
Pfizer Investigational Site
Modena, 41100
Pfizer Investigational Site
Orbassano (TO), 10043
Pfizer Investigational Site
Padova, 35128
Pfizer Investigational Site
Rimini, 47900
Pfizer Investigational Site
Roma, 00157
Russia6 sites
Pfizer Investigational Site
Krasnodar, 350040
Pfizer Investigational Site
Moscow, 115478
Pfizer Investigational Site
Moscow, 143423
Pfizer Investigational Site
Saint Petersburg, 194044
Pfizer Investigational Site
Saint Petersburg, 198255
Pfizer Investigational Site
Sochi, 354057
Switzerland5 sites
Pfizer Investigational Site
Basel, CH-4031
Pfizer Investigational Site
Basel, CH-4058
Pfizer Investigational Site
Ch-4101 Bruderholz
Pfizer Investigational Site
Chur, 7000
Pfizer Investigational Site
Liestal, CH-4410
Ukraine5 sites
Pfizer Investigational Site
Dnipropetrovsk, 49102
Pfizer Investigational Site
Donetsk, 83092
Pfizer Investigational Site
Kharkiv, 61070
Pfizer Investigational Site
Kyiv, 03115
Pfizer Investigational Site
Sumy, 40005
Bulgaria4 sites
Pfizer Investigational Site
Sofia, Bulgaria, 1756
Pfizer Investigational Site
Sofia, 1233
Pfizer Investigational Site
Sofia, 1527
Pfizer Investigational Site
Varna, 9000
Czechia4 sites
Pfizer Investigational Site
Kutná Hora, 284 01
Pfizer Investigational Site
Nová Ves pod Pleší, 26204
Pfizer Investigational Site
Prague, 180 81
Pfizer Investigational Site
Tábor, 390 03
United Kingdom4 sites
Pfizer Investigational Site
London, SW3 6JJ
Pfizer Investigational Site
London, W6 8RF
Pfizer Investigational Site
Manchester, M20 4BX
Pfizer Investigational Site
Sutton, Surrey, SM2 5PT
Hungary3 sites
Pfizer Investigational Site
Budapest, 1525
Pfizer Investigational Site
Mátraháza, H-3233
Pfizer Investigational Site
Székesfehérvár, 8000
Ireland3 sites
Pfizer Investigational Site
Cork
Pfizer Investigational Site
Dublin, 8
Pfizer Investigational Site
Dublin
Romania3 sites
Pfizer Investigational Site
Cluj-Napoca, Cluj, 400015
Pfizer Investigational Site
Cluj-Napoca, 400015
Pfizer Investigational Site
Iași, 700106
South Korea3 sites
Pfizer Investigational Site
Gyeonggi-do, 410-769
Pfizer Investigational Site
Seoul, 120-752
Pfizer Investigational Site
Seoul, 138-736
Taiwan3 sites
Pfizer Investigational Site
Taichung, 404
Pfizer Investigational Site
Taipei, 112
Pfizer Investigational Site
Taoyuan County, 333
Belgium2 sites
Pfizer Investigational Site
Brasschaat, 2930
Pfizer Investigational Site
Mons, 7000
Canada2 sites
Pfizer Investigational Site
Montreal, Quebec, H3T 1E2
Pfizer Investigational Site
Toronto, Ontario, M5G 2M9
Greece2 sites
Pfizer Investigational Site
Heraklion, Crete, 71110
Pfizer Investigational Site
Larissa, 41110
Indonesia2 sites
Pfizer Investigational Site
Jakarta, DKI Jakarta, 13230
Pfizer Investigational Site
Surabaya, East Java, 60286
Latvia2 sites
Pfizer Investigational Site
Riga, LV 1002
Pfizer Investigational Site
Riga, LV 1079
Serbia2 sites
Pfizer Investigational Site
Belgrade, 11000
Pfizer Investigational Site
Kamenitz, 21204
South Africa2 sites
Pfizer Investigational Site
Bloemfontein, 9301
Pfizer Investigational Site
Cape Town, 7925
About this study
Official title: Randomized, Open Label, Phase 3 Trial Of Erlotinib Alone Or In Combination With CP-751,871 In Patients With Advanced Non Small Cell Lung Cancer Of Non Adenocarcinoma Histology
The objective of this study is to test a clinical benefit of the addition of CP 751,871 to erlotinib therapy in patients with advanced NSCLC of non adenocarcinoma histology. The primary endpoint is Overall Survival (OS).
Read the detailed description
This study was terminated on March 8, 2010 due to an analysis by an independent Data Safety Monitoring Committee (DSMC) indicating that the addition of CP-751,871 [figitumumab] to erlotinib [Tarceva] would be unlikely to meet the primary endpoint of improving overall survival when compared to erlotinib alone.
This Oncology study continues as terminated, however for ethical reasons some patients, noted with resultant benefit, continue receiving treatment.
- Conditions
- Carcinoma, Large Cell, Carcinoma, Non-Small-Cell Lung, Carcinoma, Squamous Cell, Carcinoma, Adenosquamous Cell
- Being tested
- CP 751,871 (Figitumumab), Erlotinib
- Keywords
- IGR-1R, Non small cell lung cancer, CP-751, 871, Figitumumab
- Medical subject headings
- Carcinoma, Large Cell, Carcinoma, Non-Small-Cell Lung, Carcinoma, Squamous Cell, Carcinoma
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 (20 mg/kg) will be administered as an IV infusion on study Days 1 and 2 in Cycle 1, and every three weeks (from Day 1) (Cycle) thereafter.
ErlotinibDrug
Erlotinib (one tablet of 150 mg/day PO).
ErlotinibDrug
Erlotinib (one tablet of 150 mg/day PO). Erlotinib will be taken at least one hour before or two hours after the ingestion of food.
| Study group | Role | What they receive |
|---|---|---|
| Arm A | Experimental | The CP 751,871 treatment in combination with erlotinib will be given in three week cycles.
CP 751,871 (20 mg/kg) + erlotinib (150 mg/day) CP 751,871 will be administered as an IV infusion on study Days 1 and 2 in Cycle 1, and every three weeks (from Day 1) (Cycle) thereafter. Receives: Drug: CP 751,871 (Figitumumab); Drug: Erlotinib |
| Arm B | Active comparator | Erlotinib (one tablet of 150 mg/day PO). Erlotinib will be taken at least one hour before or two hours after the ingestion of food) Receives: Drug: Erlotinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
The time from date of randomization to date of death due to any cause. For participants who were alive, overall survival was censored at the last contact.
Measured: Baseline, assessed every cycle until disease progression and then every 4 weeks until death, up to 30.65 months
Secondary outcomes (9)
Progression Free Survival (PFS)
Time from randomization to date of first documentation of progression or death due to any cause, whichever came first. Participants last known to be alive and progression-free, who had a baseline and at least 1 on-study disease 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, as a 20% increase in the sum of the longest diameter of target lesions, or target lesions over nadir, unequivocal progression of non-target disease, or the appearance of new lesions.
Measured: Baseline, 6, 9, 12, 15, 18 weeks after randomization, thereafter assessed every 6 weeks until disease progression during treatment (or every 8 weeks until disease progression during off-treatment), up to 29.7 months
Percentage of Participants With Objective Response
Percentage of participants with objective response (OR) based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0. CR are defined as complete disappearance of all lesions (target and/or non target). PR are those with at least 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.
Measured: Baseline, 6, 9, 12, 15, 18 weeks after randomization, thereafter assessed every 6 weeks until disease progression during treatment (or every 8 weeks until disease progression during off-treatment), up to 29.7 months
Maximum Observed Plasma Concentration (Cmax) for Figitumumab
Measured: Cycle 1 (Day 1 [predose], Day 2 [1 hour after end of infusion] ), Cycles 2, 4, 6 (predose), Cycle 5 (predose, 1 hour after end of infusion) for figi plus erlo group; Cycles 1, 2,4 (predose) for erlo, then figi group
Minimum Observed Plasma Trough Concentration (Cmin) for Figitumumab
Measured: Cycle 1 (Day 1 [predose], Day 2 [1 hour after end of infusion] ), Cycles 2, 4, 6 (predose), Cycle 5 (predose, 1 hour after end of infusion) for figi plus erlo group; Cycles 1, 2,4 (predose) for erlo, then figi group
Percentage of Participants Reporting Positive for 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, 4 (predose), End of Treatment ([EOT] 21-28 days after last dose), about 150 days after last figi dose for figi plus erlo group; Cycles 1, 2, 4 (predose), EOT, about 150 days after last figi dose for erlo, then figi group
Counts of Circulating Tumor Cell (CTC) Expressing Positive Insulin-Like Growth Factor 1 Receptor (IGF-1R)
Measured: Baseline, Cycle 2 Day 1 (predose) and EOT (21-28 days after last dose)
Change From Baseline in Euro Quality of Life (EQ-5D)- Health State Profile Utility at Cycles 2, 3, Then Every Other Cycle and EOT (21-28 Days After Last Dose)
EQ-5D is a 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. 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 -0.594 to 1.000; higher score indicates a better health state.
Measured: Baseline (Cycle 1 Day 1 predose), Cycles 2, 3 (Day 1), every other cycle and EOT (21-28 days after last dose)
Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (EORTC QLQ-C30) at Cycles 2, 3, and Then Every Odd Cycle Starting With Cycle 5 and EOT (21-28 Days After Last Dose)
EORTC QLQ-C30 includes 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 use 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: Baseline (Cycle 1 Day 1 predose), Cycles 2, 3 (Day 1), every odd cycle starting with Cycle 5 and EOT (21-28 days after last dose)
Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC), Quality of Life Questionnaire-Lung Cancer 13 (QLQ-LC13) Score at Cycles 2, 3, and Then Every Odd Cycle Starting With Cycle 5, and EOT (21-28 Days After Last Dose)
QLQ-LC13 consists 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 comprise 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: Baseline (Cycle 1 Day 1 predose), Cycles 2, 3 (Day 1), every odd cycle starting with Cycle 5 and EOT (21-28 days after last dose)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 May 2008 (estimated)
- Study startMay 2008
- Primary completionMar 2011
- Study completionApr 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 (1)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Large 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
- 583 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
- NCT00673049
- Sponsor's protocol ID
- A4021018
- Acronym
- NSCLC
- Status last verified
- Jul 2013
- First submitted
- 5 May 2008
- Last updated
- 24 Jul 2013
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Scagliotti GV, Bondarenko I, Blackhall F, Barlesi F, Hsia TC, Jassem J, Milanowski J, Popat S, Sanchez-Torres JM, Novello S, Benner RJ, Green S, Molpus K, Soria JC, Shepherd FA. Randomized, phase III trial of figitumumab in combination with erlotinib versus erlotinib alone in patients with nonadenocarcinoma nonsmall-cell lung cancer. Ann Oncol. 2015 Mar;26(3):497-504. doi: 10.1093/annonc/mdu517. Epub 2014 Nov 13.
PubMed 25395283
Study at a glance
From the registry record, last updated by the sponsor on 24 Jul 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized, Open Label, Phase 3 Trial Of Erlotinib Alone Or In Combination With CP-751,871 In Patients With Advanced Non Small Cell Lung Cancer Of Non Adenocarcinoma Histology
- ClinicalTrials.gov ID
- NCT00673049
- Acronym / sponsor ID
- NSCLC / A4021018
- Conditions
- Carcinoma, Large Cell, Carcinoma, Non-Small-Cell Lung, Carcinoma, Squamous Cell, Carcinoma, Adenosquamous Cell
- Keywords
- IGR-1R, Non small cell lung cancer, CP-751, 871, Figitumumab
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: See termination reason in detailed description.
- Enrolment
- 583 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- May 2008
- Primary completion
- Mar 2011 (actual)
- Study completion
- Apr 2012 (actual)
- First posted
- 7 May 2008 (estimated)
- Results
- Posted 24 Jul 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of this study is to test a clinical benefit of the addition of CP 751,871 to erlotinib therapy in patients with advanced NSCLC of non adenocarcinoma histology. The primary endpoint is Overall Survival (OS).
Detailed description
This study was terminated on March 8, 2010 due to an analysis by an independent Data Safety Monitoring Committee (DSMC) indicating that the addition of CP-751,871 [figitumumab] to erlotinib [Tarceva] would be unlikely to meet the primary endpoint of improving overall survival when compared to erlotinib alone.
This Oncology study continues as terminated, however for ethical reasons some patients, noted with resultant benefit, continue receiving treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A | Experimental | Drug: CP 751,871 (Figitumumab), Drug: ErlotinibThe CP 751,871 treatment in combination with erlotinib will be given in three week cycles. CP 751,871 (20 mg/kg) + erlotinib (150 mg/day) CP 751,871 will be administered as an IV infusion on study Days 1 and 2 in Cycle 1, and every three weeks (from Day 1) (Cycle) thereafter. |
| Arm B | Active comparator | Drug: ErlotinibErlotinib (one tablet of 150 mg/day PO). Erlotinib will be taken at least one hour before or two hours after the ingestion of food) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Non small cell lung cancer with a primary histology of squamous cell, large cell or adenosquamous carcinoma. At least 1 measurable lesion, as defined by RECIST.
Key exclusion criteria (3 listed)
- Primary NSCLC adenocarcinoma and its subtypes or unknown/unspecified histology.
- Prior Erlotinib therapy.
- Prior anti IGF IR based investigational therapy.
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 (20 mg/kg) will be administered as an IV infusion on study Days 1 and 2 in Cycle 1, and every three weeks (from Day 1) (Cycle) thereafter. | Drug | Arm A |
| ErlotinibErlotinib (one tablet of 150 mg/day PO). | Drug | Arm A |
| ErlotinibErlotinib (one tablet of 150 mg/day PO). Erlotinib will be taken at least one hour before or two hours after the ingestion of food. | Drug | Arm B |
Primary outcome
Overall Survival
Time frame: Baseline, assessed every cycle until disease progression and then every 4 weeks until death, up to 30.65 months
The time from date of randomization to date of death due to any cause. For participants who were alive, overall survival was censored at the last contact.
9 secondary outcomes
Progression Free Survival (PFS)
Time frame: Baseline, 6, 9, 12, 15, 18 weeks after randomization, thereafter assessed every 6 weeks until disease progression during treatment (or every 8 weeks until disease progression during off-treatment), up to 29.7 months
Percentage of Participants With Objective Response
Time frame: Baseline, 6, 9, 12, 15, 18 weeks after randomization, thereafter assessed every 6 weeks until disease progression during treatment (or every 8 weeks until disease progression during off-treatment), up to 29.7 months
Maximum Observed Plasma Concentration (Cmax) for Figitumumab
Time frame: Cycle 1 (Day 1 [predose], Day 2 [1 hour after end of infusion] ), Cycles 2, 4, 6 (predose), Cycle 5 (predose, 1 hour after end of infusion) for figi plus erlo group; Cycles 1, 2,4 (predose) for erlo, then figi group
Minimum Observed Plasma Trough Concentration (Cmin) for Figitumumab
Time frame: Cycle 1 (Day 1 [predose], Day 2 [1 hour after end of infusion] ), Cycles 2, 4, 6 (predose), Cycle 5 (predose, 1 hour after end of infusion) for figi plus erlo group; Cycles 1, 2,4 (predose) for erlo, then figi group
Percentage of Participants Reporting Positive for Total Anti-drug Antibodies (ADA)
Time frame: Cycles 1, 2, 4 (predose), End of Treatment ([EOT] 21-28 days after last dose), about 150 days after last figi dose for figi plus erlo group; Cycles 1, 2, 4 (predose), EOT, about 150 days after last figi dose for erlo, then figi group
Counts of Circulating Tumor Cell (CTC) Expressing Positive Insulin-Like Growth Factor 1 Receptor (IGF-1R)
Time frame: Baseline, Cycle 2 Day 1 (predose) and EOT (21-28 days after last dose)
Change From Baseline in Euro Quality of Life (EQ-5D)- Health State Profile Utility at Cycles 2, 3, Then Every Other Cycle and EOT (21-28 Days After Last Dose)
Time frame: Baseline (Cycle 1 Day 1 predose), Cycles 2, 3 (Day 1), every other cycle and EOT (21-28 days after last dose)
Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (EORTC QLQ-C30) at Cycles 2, 3, and Then Every Odd Cycle Starting With Cycle 5 and EOT (21-28 Days After Last Dose)
Time frame: Baseline (Cycle 1 Day 1 predose), Cycles 2, 3 (Day 1), every odd cycle starting with Cycle 5 and EOT (21-28 days after last dose)
Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC), Quality of Life Questionnaire-Lung Cancer 13 (QLQ-LC13) Score at Cycles 2, 3, and Then Every Odd Cycle Starting With Cycle 5, and EOT (21-28 Days After Last Dose)
Time frame: Baseline (Cycle 1 Day 1 predose), Cycles 2, 3 (Day 1), every odd cycle starting with Cycle 5 and EOT (21-28 days after last dose)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jul 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 25395283Scagliotti GV, Bondarenko I, Blackhall F, Barlesi F, Hsia TC, Jassem J, Milanowski J, Popat S, Sanchez-Torres JM, Novello S, Benner RJ, Green S, Molpus K, Soria JC, Shepherd FA. Randomized, phase III trial of figitumumab in combination with erlotinib versus erlotinib alone in patients with nonadenocarcinoma nonsmall-cell lung cancer. Ann Oncol. 2015 Mar;26(3):497-504. doi: 10.1093/annonc/mdu517. Epub 2014 Nov 13.
- 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
175 sites in 27 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) and Erlotinib in people with Carcinoma, Large Cell and Carcinoma, Non-Small-Cell Lung, run by Pfizer at 175 sites in 27 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 1 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 24 Jul 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 175 sites in United States, Spain, France, Poland, Brazil and 22 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 24 Jul 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 (time frame: Baseline, assessed every cycle until disease progression and then every 4 weeks until death, up to 30.65 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 NCT00673049, which also lists 1 linked publication.
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 24 Jul 2013; AzTrials last refreshed its copy on 8 Nov 2026.