Advanced Solid TumorsPhase 1NCT00785941
A Study of IMC-A12 Every 2 Weeks in Patients With Tumors Who No Longer Respond to Treatment or No Treatment is Available
A Phase 1 study testing IMC-A12 in people with Advanced Solid Tumors, run by Eli Lilly and Company at 1 site in United States.
Trial summary
The purpose of this study is to determine if IMC-A12 is safe for patients, and also to determine the best dose of IMC-A12 to give to patients. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Solid Tumors
- What is being tested?
- IMC-A12
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 16 participants
- Where
- 1 siteUnited States
- Study dates
- Apr 2006to Nov 2007
- Phase
- Phase 1
- Are there results?
- None posted in the registry
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
- Patients with histopathologically-documented, measurable, advanced primary or recurrent solid tumors who no longer respond to standard therapy or for whom no standard therapy is available
- A life expectancy of >3 months
- Adequate hematologic function
- Adequate hepatic function
- Adequate renal function
- Use of effective contraception, if procreative potential exists.
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- At least 28 days must have elapsed from major surgery, prior chemotherapy, prior treatment with an investigational agent or device, prior radiation therapy (palliative radiation therapy is allowed), an open biopsy, or a significant traumatic injury to allow for adequate recovery
- At least 6 weeks must have elapsed from nitrosoureas, mitomycin C, or monoclonal antibody therapy to allow for adequate recovery
- Accessible for treatment and follow-up. Patients enrolled in this trial must be treated at the participating center
Who cannot join
- Any concurrent malignancy other than non-melanomatous skin cancer or carcinoma in situ of the cervix. Patients with a previous malignancy but without evidence of disease for ≥3 years will be allowed to enter the trial
- Uncontrolled intercurrent illness including, but not limited to:
- ongoing or active infection requiring parenteral antibiotics
- symptomatic congestive heart failure (class III or IV of the New York Heart Association classification for heart disease)
- unstable angina pectoris, angioplasty, stenting, or myocardial infarction within 6 months
- uncontrolled hypertension (systolic blood pressure >160 mm Hg, diastolic blood pressure >100 mm Hg, found on two consecutive measurements separated by a 1-week period despite adequate medical support)
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- clinically significant cardiac arrhythmia (multifocal premature ventricular contractions, bigeminy, trigeminy, ventricular tachycardia that is symptomatic or requires treatment [National Cancer Institute {NCI}-Common Terminology Criteria for Adverse Events {CTCAE}, Version 3.0, grade 3] or asymptomatic sustained ventricular tachycardia)
- psychiatric illness/social situations that would compromise patient safety or limit compliance with study requirements
- patients with symptomatic brain metastases (patients with a history of brain metastases must be clinically stable and not taking steroids; anticonvulsants are allowed)
- A serious or nonhealing active wound, ulcer, or bone fracture
- Known human immunodeficiency virus-positive
- A history of a hemorrhagic or thrombotic disorder within 9 months
- Pregnant or breast feeding
- A history of prior treatment with other agents specifically targeting IGFRs.
- Known diabetes
- Inability or unwillingness to interrupt steroidal or hormonal therapy for the duration of treatment with IMC-A12
- A positive anti-IMC-A12 antibody response
- A history of allergic reactions to monoclonal antibodies or other therapeutic proteins
- Employees of the investigator or study center with direct involvement in this study or other studies under the direction of the investigator or study center, as well as family members of the employees
Trial locations and contacts
1 site in 1 country.
United States1 site
ImClone Investigational Site
Nashville, Tennessee, 37232
About this study
Official title: Phase I Study of Anti-Insulin-Like Growth Factor-I Receptor (IGF-IR) Monoclonal Antibody IMC-A12 Administered Every Other Week in Patients With Advanced Solid Tumors Who No Longer Respond to Standard Therapy or for Whom No Standard Therapy is Available
The purpose of this study is to determine if IMC-A12 is safe for patients, and also to determine the best dose of IMC-A12 to give to patients.
Read the detailed description
The purpose of this study is to establish the safety profile and maximum tolerated dose (MTD) of the anti-IGF-IR monoclonal antibody IMC-A12 administered every other week in patients with advanced solid tumors who no longer respond to standard therapy or for whom no standard therapy is available.
- Conditions
- Advanced Solid Tumors
- Being tested
- IMC-A12
- Keywords
- Tumors, Antibodies, Monoclonal
- Medical subject headings
- Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IMC-A12Biological
Also called Cixutumumab
Cohort 1
6 mg/kg I.V., once every other week for 4 weeks
IMC-A12Biological
Also called Cixutumumab
Cohort 2
10 mg/kg I.V., once every other week for 4 weeks
IMC-A12Biological
Also called Cixutumumab
Cohort 3
15 mg/kg I.V., once every other week for 4 weeks
IMC-A12Biological
Also called Cixutumumab
Cohort 4
21 mg/kg I.V., once every other week for 4 weeks
IMC-A12Biological
Also called Cixutumumab
Cohort 5
27 mg/kg I.V., once every other week for 4 weeks
| Study group | Role | What they receive |
|---|---|---|
| IMC-A12 | Experimental | All patients will receive intravenous infusions of IMC-A12, with the dose depending on which cohort they are enrolled into a minimum of three patients will be enrolled in each Cohort. When all patients complete a cohort, dose escalation to the next Cohort will occur.
A treatment cycle will consist of IMC-A12 administered intravenously, once every other week for 4 weeks, for a total of 2 doses; followed by a 2-week observation period. Receives: Biological: IMC-A12 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of participants with Adverse Events (AEs)
Measured: 8 weeks
Maximum Tolerated Dose
Measured: 8 weeks
Secondary outcomes (8)
Maximum concentration (Cmax), cohorts 1, 2, 3, 4, and 5
Measured: 8 weeks
Minimum concentration (Cmin), cohorts 1, 2, 3, 4, and 5
Measured: 8 weeks
Area under concentration (AUC), cohorts 1, 2, 3, 4, and 5
Measured: 8 weeks
Half-life (t 1/2), cohorts 1, 2, 3, 4, and 5
Measured: 8 weeks
Clearance (Cl) rate drug is completely removed, cohorts 1, 2, 3, 4, and 5
Measured: 8 weeks
Volume of distribution (Vss) at steady state, cohorts 1, 2, 3, 4, and 5
Measured: 8 weeks
Serum Anti-IMC-A12 Antibody Assessment (immunogenicity)
Measured: 8 weeks
Change in tumor size from Baseline Measurement
Measured: 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Nov 2008 (estimated)
- Study startApr 2006
- Primary completionOct 2007
- Study completionNov 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Advanced Solid TumorsStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe 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 1
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 16 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- E-mail: ClinicalTrials@ ImClone.com, Study chair, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00785941
- Sponsor's protocol ID
- 13933
- Other IDs
- CP13-0502, I5A-IE-JAEI
- Status last verified
- Oct 2011
- First submitted
- 4 Nov 2008
- Last updated
- 13 Oct 2011
- Results posted
- No
- Data monitoring committee
- No
Publications
Higano CS, Berlin J, Gordon M, LoRusso P, Tang S, Dontabhaktuni A, Schwartz JD, Cosaert J, Mehnert JM. Safety, tolerability, and pharmacokinetics of single and multiple doses of intravenous cixutumumab (IMC-A12), an inhibitor of the insulin-like growth factor-I receptor, administered weekly or every 2 weeks in patients with advanced solid tumors. Invest New Drugs. 2015 Apr;33(2):450-62. doi: 10.1007/s10637-015-0217-7. Epub 2015 Mar 7.
PubMed 25749986
Study at a glance
From the registry record, last updated by the sponsor on 13 Oct 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase I Study of Anti-Insulin-Like Growth Factor-I Receptor (IGF-IR) Monoclonal Antibody IMC-A12 Administered Every Other Week in Patients With Advanced Solid Tumors Who No Longer Respond to Standard Therapy or for Whom No Standard Therapy is Available
- ClinicalTrials.gov ID
- NCT00785941
- Acronym / sponsor ID
- 13933
- Conditions
- Advanced Solid Tumors
- Keywords
- Tumors, Antibodies, Monoclonal
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 16 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- Apr 2006
- Primary completion
- Oct 2007 (actual)
- Study completion
- Nov 2007 (actual)
- First posted
- 5 Nov 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine if IMC-A12 is safe for patients, and also to determine the best dose of IMC-A12 to give to patients.
Detailed description
The purpose of this study is to establish the safety profile and maximum tolerated dose (MTD) of the anti-IGF-IR monoclonal antibody IMC-A12 administered every other week in patients with advanced solid tumors who no longer respond to standard therapy or for whom no standard therapy is available.
Study design
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| IMC-A12 | Experimental | Biological: IMC-A12All patients will receive intravenous infusions of IMC-A12, with the dose depending on which cohort they are enrolled into a minimum of three patients will be enrolled in each Cohort. When all patients complete a cohort, dose escalation to the next Cohort will occur. A treatment cycle will consist of IMC-A12 administered intravenously, once every other week for 4 weeks, for a total of 2 doses; followed by a 2-week observation period. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Patients with histopathologically-documented, measurable, advanced primary or recurrent solid tumors who no longer respond to standard therapy or for whom no standard therapy is available
- A life expectancy of >3 months
- Adequate hematologic function
- Adequate hepatic function
- Adequate renal function
Key exclusion criteria (19 listed)
- Any concurrent malignancy other than non-melanomatous skin cancer or carcinoma in situ of the cervix. Patients with a previous malignancy but without evidence of disease for ≥3 years will be allowed to enter the trial
- Uncontrolled intercurrent illness including, but not limited to:
- A serious or nonhealing active wound, ulcer, or bone fracture
- Known human immunodeficiency virus-positive
- A history of a hemorrhagic or thrombotic disorder within 9 months
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 |
|---|---|---|
| IMC-A12Also: CixutumumabCohort 1 6 mg/kg I.V., once every other week for 4 weeks | Biological | IMC-A12 |
| IMC-A12Also: CixutumumabCohort 2 10 mg/kg I.V., once every other week for 4 weeks | Biological | IMC-A12 |
| IMC-A12Also: CixutumumabCohort 3 15 mg/kg I.V., once every other week for 4 weeks | Biological | IMC-A12 |
| IMC-A12Also: CixutumumabCohort 4 21 mg/kg I.V., once every other week for 4 weeks | Biological | IMC-A12 |
| IMC-A12Also: CixutumumabCohort 5 27 mg/kg I.V., once every other week for 4 weeks | Biological | IMC-A12 |
Primary outcome
Number of participants with Adverse Events (AEs)
Time frame: 8 weeks
Maximum Tolerated Dose
Time frame: 8 weeks
8 secondary outcomes
Maximum concentration (Cmax), cohorts 1, 2, 3, 4, and 5
Time frame: 8 weeks
Minimum concentration (Cmin), cohorts 1, 2, 3, 4, and 5
Time frame: 8 weeks
Area under concentration (AUC), cohorts 1, 2, 3, 4, and 5
Time frame: 8 weeks
Half-life (t 1/2), cohorts 1, 2, 3, 4, and 5
Time frame: 8 weeks
Clearance (Cl) rate drug is completely removed, cohorts 1, 2, 3, 4, and 5
Time frame: 8 weeks
Volume of distribution (Vss) at steady state, cohorts 1, 2, 3, 4, and 5
Time frame: 8 weeks
Serum Anti-IMC-A12 Antibody Assessment (immunogenicity)
Time frame: 8 weeks
Change in tumor size from Baseline Measurement
Time frame: 8 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Oct 2011.
- Derived from this study: PubMed 25749986Higano CS, Berlin J, Gordon M, LoRusso P, Tang S, Dontabhaktuni A, Schwartz JD, Cosaert J, Mehnert JM. Safety, tolerability, and pharmacokinetics of single and multiple doses of intravenous cixutumumab (IMC-A12), an inhibitor of the insulin-like growth factor-I receptor, administered weekly or every 2 weeks in patients with advanced solid tumors. Invest New Drugs. 2015 Apr;33(2):450-62. doi: 10.1007/s10637-015-0217-7. Epub 2015 Mar 7.
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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.
E-mail: ClinicalTrials@ ImClone.com study chair
Eli Lilly and Company
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing IMC-A12 in people with Advanced Solid Tumors, run by Eli Lilly and Company at 1 site in United States.
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 9 inclusion and 19 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: finished, as of the sponsor's last update on 13 Oct 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Number of participants with Adverse Events (AEs) (time frame: 8 weeks). The study lists 2 primary outcomes in all. 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 NCT00785941, 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 13 Oct 2011.