AzTrials
AzTrials

Small Cell Lung CarcinomaPhase 2NCT00977561

A Study Of Cisplatin (Or Carboplatin) And Etoposide With Or Without Figitumumab (CP-751,871) In Patients With Extensive-Stage Small Cell Lung Cancer

A Phase 2 study testing figitumumab, Cisplatin (Or Carboplatin) and Etoposide in people with Small Cell Lung Carcinoma, run by Pfizer at 51 sites in 4 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

This study will summarize the safety of patients receiving figitumumab combined with etoposide and cisplatin (or carboplatin) vs. patients receiving etoposide and cisplatin (or carboplatin) alone as first line treatment for extensive stage disease Small Cell Lung Cancer. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Small Cell Lung Carcinoma
What is being tested?
figitumumab, Cisplatin (Or Carboplatin) and Etoposide
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
51 sitesin 4 countries
Study dates
Apr 2010to Oct 2011
Phase
Phase 2
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

  • Histologically confirmed diagnosis of extensive stage disease Small Cell Lung Cancer (SCLC), with tumor biopsy sample required.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1. Total IGF-1 > or = 120 ng/ml

Who cannot join

  • Any prior systemic therapy for Small Cell Lung Cancer (SCLC)
  • HbA1c > or = 5.7%

Trial locations and contacts

51 sites in 4 countries.

51 sites in 4 countries

United States34 sites
  • Pfizer Investigational Site

    Beaverton, Oregon, 97006

  • Pfizer Investigational Site

    Christiansburg, Virginia, 24074

  • Pfizer Investigational Site

    City of Saint Peters, Missouri, 63376

  • Pfizer Investigational Site

    Creve Coeur, Missouri, 63141

  • Pfizer Investigational Site

    Everett, Washington, 98201

  • Pfizer Investigational Site

    Federal Way, Washington, 98003

  • Pfizer Investigational Site

    Gig Harbor, Washington, 98332

  • Pfizer Investigational Site

    Gresham, Oregon, 97030

  • Pfizer Investigational Site

    Hickory, North Carolina, 28602

  • Pfizer Investigational Site

    Kennewick, Washington, 99336

  • Pfizer Investigational Site

    Kernersville, North Carolina, 27284

  • Pfizer Investigational Site

    Lakewood, Washington, 98499

  • Pfizer Investigational Site

    Lenoir, North Carolina, 28645

  • Pfizer Investigational Site

    Lexington, North Carolina, 27295

  • Pfizer Investigational Site

    Low Moor, Virginia, 24457

  • Pfizer Investigational Site

    Marrero, Louisiana, 70072

  • Pfizer Investigational Site

    Metairie, Louisiana, 70006

  • Pfizer Investigational Site

    Morristown, New Jersey, 07962

  • Pfizer Investigational Site

    Mount Airy, North Carolina, 27030

  • Pfizer Investigational Site

    North Wilkesboro, North Carolina, 28659

  • Pfizer Investigational Site

    Portland, Oregon, 97210

  • Pfizer Investigational Site

    Portland, Oregon, 97239

  • Pfizer Investigational Site

    Puyallup, Washington, 98372

  • Pfizer Investigational Site

    Roanoke, Virginia, 24014

  • Pfizer Investigational Site

    Salem, Virginia, 24153

  • Pfizer Investigational Site

    St Louis, Missouri, 63110-1094

  • Pfizer Investigational Site

    St Louis, Missouri, 63110

  • Pfizer Investigational Site

    Tacoma, Washington, 98405

  • Pfizer Investigational Site

    Tualatin, Oregon, 97062

  • Pfizer Investigational Site

    Washington D.C., District of Columbia, 20007-2197

  • Pfizer Investigational Site

    Washington D.C., District of Columbia, 20007

  • Pfizer Investigational Site

    West Reading, Pennsylvania, 19611

  • Pfizer Investigational Site

    Winston-Salem, North Carolina, 27103

  • Pfizer Investigational Site

    Wytheville, Virginia, 24382

Other trials in United States

Spain8 sites
  • Pfizer Investigational Site

    Barcelona, Barcelona, 08025

  • Pfizer Investigational Site

    Barcelona, Barcelona, 08036

  • Pfizer Investigational Site

    Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, 35016

  • Pfizer Investigational Site

    Madrid, Madrid, 28041

  • Pfizer Investigational Site

    Málaga, Malaga, 29010

  • Pfizer Investigational Site

    Seville, Sevilla, 41009

  • Pfizer Investigational Site

    Seville, Sevilla, 41013

  • Pfizer Investigational Site

    Valencia, Valencia, 46026

Other trials in Spain

Hungary5 sites
  • Pfizer Investigational Site

    Budapest, 1125

  • Pfizer Investigational Site

    Debrecen, 4032

  • Pfizer Investigational Site

    Deszk, 6772

  • Pfizer Investigational Site

    Farkasgyepű, 8582

  • Pfizer Investigational Site

    Törökbálint, 2045

Other trials in Hungary

Canada4 sites
  • Pfizer Investigational Site

    Greater Sudbury, Ontario, P3E 5J1

  • Pfizer Investigational Site

    Lévis, Quebec, G6V 3Z1

  • Pfizer Investigational Site

    Montreal, Quebec, H4J 1C5

  • Pfizer Investigational Site

    Oshawa, Ontario, L1G 2B9

Other trials in Canada

About this study

Official title: A Phase 2, Randomized, Open Label Study Of Figitumumab (CP-751,871) Plus Cisplatin (Or Carboplatin) And Etoposide, Versus Cisplatin (Or Carboplatin) And Etoposide Alone, As First Line Treatment In Patients With Extensive Stage Disease Small Cell Lung Cancer

This study will summarize the safety of patients receiving figitumumab combined with etoposide and cisplatin (or carboplatin) vs. patients receiving etoposide and cisplatin (or carboplatin) alone as first line treatment for extensive stage disease Small Cell Lung Cancer.

Read the detailed description

The study prematurely discontinued on January 26, 2011 due to slow enrollment. It should be noted that safety concerns have not been seen in this study and have not factored into this decision.

Being tested
figitumumab, Cisplatin (Or Carboplatin), Etoposide
Keywords
Small Cell Lung Cancer, Extensive stage disease, SCLC, IGF-1R inhibitor
Medical subject headings
Small Cell Lung Carcinoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • figitumumabDrug

    Figitumumab (20 mg/kg)

  • Cisplatin (Or Carboplatin)Drug

    Cisplatin (75 mg/m2 IV on Day 1) or Carboplatin AUC 5

  • EtoposideDrug

    Etoposide (100 mg/m2 IV on Days 1, 2 and 3)

  • Cisplatin (Or Carboplatin)Drug

    Cisplatin (75 mg/m2 IV on Day 1) or Carboplatin AUC 5

  • EtoposideDrug

    Etoposide (100 mg/m2 IV on Days 1, 2 and 3)

Study groups in NCT00977561
Study groupRoleWhat they receive
Arm AExperimentalFigitumumab (CP-751,871) Plus Chemotherapy [Cisplatin (Or Carboplatin) And Etoposide] All drugs to be administered on a 21 day cycle
Receives: Drug: figitumumab; Drug: Cisplatin (Or Carboplatin); Drug: Etoposide
Arm BActive comparatorChemotherapy [Cisplatin (Or Carboplatin) And Etoposide] All drugs to be administered on a 21 day cycle
Receives: Drug: Cisplatin (Or Carboplatin); Drug: Etoposide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-Free Survival (PFS)

    Median time from the first dose of study treatment to the first documentation of objective tumor progression or to death due to any cause, whichever occurs first. PFS time (days) = [event (progression or death) date or censor date - date of randomization + 1].

    Measured: Baseline, every 2nd cycle (between Day 15-21, 1 cycle = 21 days) starting with Cycle 2 until disease progression, at the end of treatment visit (if more than 28 days have passed since last evaluation); and every 6 weeks until disease progression

Secondary outcomes (13)
  1. Number of Participants With Objective Response

    Number of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed CR defined as disappearance of all target lesions. Confirmed PR defined as ≥30% decrease in sum of the longest dimensions (LD) of the target lesions taking as a reference the baseline sum LD according to RECIST.

    Measured: Baseline, every 2nd cycle (between Day 15-21, 1 cycle = 21 days) starting with Cycle 2 until disease progression, at the end of treatment visit (if more than 28 days have passed since last evaluation); and every 6 weeks until disease progression

  2. Overall Survival (OS)

    Overall survival was the duration from enrollment to death due to any cause. For participants who are alive, overall survival was censored at the last contact. Survival time (days) = [death date (last known alive date) - date of randomization +1].

    Measured: Every 3 months until death or 12 months from the date the last participant was randomized

  3. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    AEs are any untoward, undesired, or unplanned event in the form of signs, symptoms, disease, or laboratory or physiologic observations occurring in a person given study treatment. The event does not need to be causally related to the study treatment. SAEs include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly or birth defect in the offspring of a study subject.

    Measured: Baseline up to follow-up (90 days post dose)

  4. Maximum Observed Plasma Concentration (Cmax) of Figitumumab

    Measured: Cycle 1, Day 2; Day 1 of Cycles 2, 4, 5, 6, 10 and 15; Day 28 and Day 90 post last figitumumab dose

  5. Minimum Observed Plasma Trough Concentration (Cmin) of Figitumumab

    Measured: Cycle 1, Day 2; Day 1 of Cycles 2, 4, 5, 6, 10 and 15; Day 28 and Day 90 post last figitumumab dose

  6. Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Etoposide

    Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)

    Measured: Cycles 1 and 2, Day 1 and Day 2 (within 3 hours prior to Day 1 etoposide infusion; 1, 1.5, 2, 3, 6, and 24 hours post Day 1 etoposide infusion); Cycles 4 and 5, Day 2: 24 hours post Day 1 etoposide infusion

  7. Maximum Observed Plasma Concentration (Cmax) of Etoposide

    Measured: Cycles 1 and 2, Day 1 and Day 2 (within 3 hours prior to Day 1 etoposide infusion; 1, 1.5, 2, 3, 6, and 24 hours post Day 1 etoposide infusion); Cycles 4 and 5, Day 2: 24 hours post Day 1 etoposide infusion

  8. Percentage of Participants Reporting Positive Anti-Drug Antibodies (ADA) Response for Figitumumab

    Percentage of participants with positive total or neutralizing anti-drug antibody (ADA) for figitumumab

    Measured: Day 2 of Cycle 1 (or Day 1 of the initial cycle starting single agent figitumumab); Day 1 of Cycles 2 and 4; Day 28 and Day 90 post last figitumumab dose

  9. Cancer Dyspnea Scale (CDS) Score

    The Cancer Dyspnea Scale consists of 12 questions that assess 3 domains of dyspnea (sense of effort, anxiety and discomfort) related to lung cancer. The questions are answered on 5-point Likert scale ranging from 1 to 5 (1 "Not at All" to 5 "Very Much").

    Measured: Day 1 of every cycle (up to 17 cycles), at the end of treatment visit (28 days post last dose); then every 6 weeks until disease progression

  10. Numeric Rating Scale (NRS) Score

    The Numeric Rating Scale (NRS) is a 1-item self-reported questionnaire designed to assess "worst pain" severity. Overall scores range from 0 to 10, with low scores representing a lower level of pain.

    Measured: Day 1 of every cycle (up to 17 cycles), at the end of treatment visit (28 days post last dose); then every 6 weeks until disease progression

  11. Pre-treatment Levels of Tumor Biomarkers Involved in Insulin-Like Growth Factor 1 (IGF-I) Signaling Pathway

    Measured: Baseline prior to dosing

  12. Levels of Serum Circulating Insulin-like Growth Factor (IGF) Pathway Related Markers

    Measured: Baseline (Cycle 1, Day 1 prior to dosing), Cycle 4 (Day 1), at the end of treatment visit (28 days post last figitumumab dose)

  13. Number of Total Circulating Tumor-Related Cells (CTCs) and Insulin-Like Growth Factor 1 Receptor (IGF-IR)-Expressing CTCs

    Pre-treatment and post-treatment counts of total and IGF-IR-positive CTCs

    Measured: Baseline (Cycle 1, Day 1), Cycle 4 (Day 1) and at the end of treatment visit (28 days post last figitumumab dose)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Sep 2009 (estimated)
  2. Study startApr 2010
  3. Primary completionOct 2011
  4. Study completionOct 2011

Why it stopped: See termination reason in detailed description.

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00977561
Sponsor's protocol ID
A4021032
Status last verified
Jan 2013
First submitted
10 Sep 2009
Last updated
25 Feb 2013
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing figitumumab, Cisplatin (Or Carboplatin) and Etoposide in people with Small Cell Lung Carcinoma, run by Pfizer at 51 sites in 4 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 2 inclusion and 2 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 25 Feb 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 51 sites in United States, Spain, Hungary, Canada. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 25 Feb 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?

Progression-Free Survival (PFS) (time frame: Baseline, every 2nd cycle (between Day 15-21, 1 cycle = 21 days) starting with Cycle 2 until disease progression, at the end of treatment visit (if more than 28 days have passed since last evaluation); and every 6 weeks until disease progression). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 25 Feb 2013.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in