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AzTrials

Non Small Cell Lung CancerPhase 3SQUIRENCT00981058

First-line Treatment of Participants With Stage IV Squamous Non-Small Cell Lung Cancer With Necitumumab and Gemcitabine-Cisplatin

A Phase 3 study testing Necitumumab, Gemcitabine and Cisplatin in people with Non Small Cell Lung Cancer, run by Eli Lilly and Company at 182 sites in 26 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

The research study is testing the investigational drug necitumumab (IMC-11F8) in the treatment of advanced non-small cell lung cancer. The aim of this study is to determine if necitumumab, given together with a standard chemotherapy combination consisting of cisplatin and gemcitabine will be more effective in… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non Small Cell Lung Cancer
What is being tested?
Necitumumab, Gemcitabine and Cisplatin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,093 participants
Where
182 sitesin 26 countries
Study dates
7 Jan 2010to 30 May 2024
Phase
Phase 3

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

  • Has histologically or cytologically confirmed squamous NSCLC
  • Has Stage IV disease at the time of study entry
  • Measurable or nonmeasurable disease at the time of study entry as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.0) (participants with only truly nonmeasurable disease are not eligible)
  • Has resolution to Grade ≤ 1 of all clinically significant toxic effects of prior chemotherapy, surgery, radiotherapy, or hormonal therapy (with the exception of alopecia)
  • Has adequate hepatic function
  • Has adequate renal function
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  • Has adequate hematologic function
  • If female, is surgically sterile, postmenopausal, or compliant with a highly effective contraceptive method (failure rate < 1%) during and for 6 months after the treatment period (oral hormonal contraception alone is not considered highly effective and must be used in combination with a barrier method)
  • If male, the participant is surgically sterile or compliant with a highly effective contraceptive regimen during and for 6 months after the treatment period
  • Female participants of childbearing potential must have a negative serum pregnancy test within 7 days prior to randomization
  • Has archived tumor tissue available for analysis of EGFR and KRAS mutation status (by PCR) and EGFR gene copy number (by FISH); minimum of four slides, paraffin-embedded tissue, required

Who cannot join

  • Has nonsquamous NSCLC (adenocarcinoma/large cell or other)
  • Has received prior anticancer therapy with monoclonal antibodies, signal transduction inhibitors, or any therapies targeting the EGFR, vascular endothelial growth factor (VEGF), or VEGF receptor
  • Has received previous chemotherapy for advanced NSCLC (participants who have received adjuvant chemotherapy are eligible if the last administration of the prior adjuvant regimen occurred at least 1 year prior to randomization)
  • Has undergone major surgery or received any investigational therapy in the 4 weeks prior to randomization
  • Has undergone chest irradiation within 12 weeks prior to randomization (except palliative irradiation of bone lesions, which is allowed)
  • Has brain metastases that are symptomatic or require ongoing treatment with steroids or anticonvulsants. Participants who have undergone previous radiotherapy for brain metastases, who are now nonsymptomatic and no longer require treatment with steroids or anticonvulsants, are eligible
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  • Has superior vena cava syndrome contraindicating hydration
  • Has current clinically-relevant coronary artery disease or uncontrolled congestive heart failure
  • Has experienced myocardial infarction within 6 months prior to randomization
  • Has an ongoing or active infection (requiring antibiotics), including active tuberculosis or known infection with the human immunodeficiency virus
  • Has a history of significant neurological or psychiatric disorders, including dementia, seizures, or bipolar disorder
  • Has any National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 3.0 Grade ≥ 2 peripheral neuropathy
  • Has significant third space fluid retention, requiring repeated drainage
  • Has any other serious uncontrolled medical disorders or psychological conditions that would, in the opinion of the investigator, limit the participant's ability to complete the study or sign an informed consent document
  • Has a known allergy / history of hypersensitivity reaction to any of the treatment components, including any ingredient used in the formulation of necitumumab (IMC-11F8), or any other contraindication to one of the administered treatments
  • Is pregnant or breastfeeding
  • Has a known history of drug abuse
  • Has a concurrent active malignancy other than adequately-treated basal cell carcinoma of the skin or preinvasive carcinoma of the cervix. A participant with previous history of malignancy other than NSCLC is eligible, provided that he/she has been free of disease for ≥ 3 years

Trial locations and contacts

182 sites in 26 countries.

182 sites in 26 countries

Germany20 sites
  • ImClone Investigational Site

    Berlin, 12200

  • ImClone Investigational Site

    Essen, 45122

  • ImClone Investigational Site

    Essen, 45136

  • ImClone Investigational Site

    Frankfurt, 60487

  • ImClone Investigational Site

    Gauting, 82131

  • ImClone Investigational Site

    Großhansdorf, 22927

  • ImClone Investigational Site

    Halle, 06120

  • ImClone Investigational Site

    Hamburg, 21075

  • ImClone Investigational Site

    Hamburg, 22087

  • ImClone Investigational Site

    Heidelberg, 69126

  • ImClone Investigational Site

    Hemer, 58675

  • ImClone Investigational Site

    Hofheim, 65719

  • ImClone Investigational Site

    Karlsruhe, 76137

  • ImClone Investigational Site

    Lostau, 39291

  • ImClone Investigational Site

    Löwenstein, 74245

  • ImClone Investigational Site

    München, 81675

  • ImClone Investigational Site

    Münster, 48149

  • ImClone Investigational Site

    Regensburg, 93042

  • ImClone Investigational Site

    Regensburg, 93049

  • ImClone Investigational Site

    Ulm, 89081

Other trials in Germany

France16 sites
  • ImClone Investigational Site

    Brest, 29609

  • ImClone Investigational Site

    Caen, 14076

  • ImClone Investigational Site

    Draguignan, 83300

  • ImClone Investigational Site

    Grenoble, 38043

  • ImClone Investigational Site

    Le Mans, 72000

  • ImClone Investigational Site

    Le Mans, 72037

  • ImClone Investigational Site

    Lille, 59020

  • ImClone Investigational Site

    Lyon, 69373

  • ImClone Investigational Site

    Marseille, 13009

  • ImClone Investigational Site

    Paris, 75005

  • ImClone Investigational Site

    Paris, 75010

  • ImClone Investigational Site

    Paris, 75571

  • ImClone Investigational Site

    Paris, 75651

  • ImClone Investigational Site

    Rennes, 35033

  • ImClone Investigational Site

    Saint-Jean, 31240

  • ImClone Investigational Site

    Toulon Armées, 83800

Other trials in France

United States15 sites
  • ImClone Investigational Site

    Akron, Ohio, 44304

  • ImClone Investigational Site

    Baltimore, Maryland, 21204

  • ImClone Investigational Site

    Camp Hill, Pennsylvania, 17011

  • ImClone Investigational Site

    Chandler, Arizona, 85224

  • ImClone Investigational Site

    Fairfax, Virginia, 22031

  • ImClone Investigational Site

    Fayetteville, Arkansas, 72703

  • ImClone Investigational Site

    Galesburg, Illinois, 61401

  • ImClone Investigational Site

    Goshen, Indiana, 46526

  • ImClone Investigational Site

    Hazard, Kentucky, 41701

  • ImClone Investigational Site

    Jefferson City, Missouri, 65109

  • ImClone Investigational Site

    Lincoln, Nebraska, 68510

  • ImClone Investigational Site

    Memphis, Tennessee, 38104

  • ImClone Investigational Site

    New York, New York, 10065

  • ImClone Investigational Site

    Sacramento, California, 95816

  • ImClone Investigational Site

    Wichita, Kansas, 67214

Other trials in United States

Russia12 sites
  • ImClone Investigational Site

    Ivanovo, 153013

  • ImClone Investigational Site

    Kirov, 610021

  • ImClone Investigational Site

    Krasnodar, 350040

  • ImClone Investigational Site

    Moscow, 117997

  • ImClone Investigational Site

    Omsk, 644013

  • ImClone Investigational Site

    Saint Petersburg, 194044

  • ImClone Investigational Site

    Saint Petersburg, 194291

  • ImClone Investigational Site

    Saint Petersburg, 197022

  • ImClone Investigational Site

    Saint Petersburg, 198255

  • ImClone Investigational Site

    Smolensk, 214000

  • ImClone Investigational Site

    Ufa, 450054

  • ImClone Investigational Site

    Yaroslavl, 150054

Other trials in Russia

Brazil11 sites
  • ImClone Investigational Site

    Barretos, 14784-400

  • ImClone Investigational Site

    Brasilia, Distrito Federal, 70710-904

  • ImClone Investigational Site

    Goiânia, 74884-606

  • ImClone Investigational Site

    Ijuí, 98700-000

  • ImClone Investigational Site

    Itajaí, 88301-220

  • ImClone Investigational Site

    Lajeado, 95900-000

  • ImClone Investigational Site

    Porto Alegre/RS, 90610-000

  • ImClone Investigational Site

    Salvador, 40050-410

  • ImClone Investigational Site

    Santo André, 09090-780

  • ImClone Investigational Site

    São Paulo, 01224-010

  • ImClone Investigational Site

    São Paulo - SP, 01246-000

Other trials in Brazil

Spain11 sites
  • ImClone Investigational Site

    Ávila, Castille and León, 05004

  • ImClone Investigational Site

    Barcelona, Catalonia, 08035

  • ImClone Investigational Site

    Barcelona, Catalonia, 08041

  • ImClone Investigational Site

    Barcelona, 08036

  • ImClone Investigational Site

    L'Hospitalet de Llobregat, 08908

  • ImClone Investigational Site

    Madrid, Communidad de Madrid, 28041

  • ImClone Investigational Site

    Madrid, Communidad de Madrid, 28050

  • ImClone Investigational Site

    Madrid, 28040

  • ImClone Investigational Site

    Majadahonda, Communidad de Madrid, 28222

  • ImClone Investigational Site

    Seville, Andalusia, 41013

  • ImClone Investigational Site

    Terrassa, Catalonia, 08221

Other trials in Spain

United Kingdom10 sites
  • ImClone Investigational Site

    Aberdeen, AB25 2ZN

  • ImClone Investigational Site

    Bournemouth, BH7 7DW

  • ImClone Investigational Site

    Dundee, DD1 9SY

  • ImClone Investigational Site

    Edinburgh, EH4 2XU

  • ImClone Investigational Site

    Guildford, GU2 7XX

  • ImClone Investigational Site

    Liverpool, L14 3PE

  • ImClone Investigational Site

    London, SW10 9NH

  • ImClone Investigational Site

    Manchester, M20 4BX

  • ImClone Investigational Site

    Manchester, M23 9LT

  • ImClone Investigational Site

    Preston, PR2 9HT

Other trials in United Kingdom

Italy9 sites
  • ImClone Investigational Site

    Aviano, Pordenone, 33081

  • ImClone Investigational Site

    Frosinone, 03100

  • ImClone Investigational Site

    Genova, 16132

  • ImClone Investigational Site

    Lido di Camaiore, Lucca, 55041

  • ImClone Investigational Site

    Milan, 20133

  • ImClone Investigational Site

    Milan, 20162

  • ImClone Investigational Site

    Monza, 20900

  • ImClone Investigational Site

    Parma, 43100

  • ImClone Investigational Site

    Perugia, 06126

Other trials in Italy

Hungary8 sites
  • ImClone Investigational Site

    Budapest, 1125

  • ImClone Investigational Site

    Budapest, 1145

  • ImClone Investigational Site

    Deszk, 6772

  • ImClone Investigational Site

    Farkasgyepü, 8582

  • ImClone Investigational Site

    Mosonmagyaróvár, 9200

  • ImClone Investigational Site

    Székesfehérvár, 8000

  • ImClone Investigational Site

    Szombathely, 9700

  • ImClone Investigational Site

    Törökbálint, 2045

Other trials in Hungary

Poland8 sites
  • ImClone Investigational Site

    Olsztyn, 10357

  • ImClone Investigational Site

    Otwock, 05-400

  • ImClone Investigational Site

    Poznan, 60-569

  • ImClone Investigational Site

    Radom, 26-617

  • ImClone Investigational Site

    Rzeszów, 35-055

  • ImClone Investigational Site

    Szczecin, 70-891

  • ImClone Investigational Site

    Torun, 87-100

  • ImClone Investigational Site

    Wroclaw, 53-439

Other trials in Poland

Romania8 sites
  • ImClone Investigational Site

    Brasov, 500366

  • ImClone Investigational Site

    Bucharest, 022328

  • ImClone Investigational Site

    Bucharest, 030171

  • ImClone Investigational Site

    Cluj-Napoca, 400015

  • ImClone Investigational Site

    Craiova, Dolj, 200385

  • ImClone Investigational Site

    Iași, 700106

  • ImClone Investigational Site

    Piatra Neamţ, 610136

  • ImClone Investigational Site

    Sibiu, 550245

Other trials in Romania

Philippines7 sites
  • ImClone Investigational Site

    Cebu, 6000

  • ImClone Investigational Site

    Cebu City, 6000

  • ImClone Investigational Site

    Davao City, 8000

  • ImClone Investigational Site

    Makati City, 1229

  • ImClone Investigational Site

    Manila, 1000

  • ImClone Investigational Site

    Quezon City, 1000

  • ImClone Investigational Site

    Quezon City, 1102

Other trials in Philippines

South Korea7 sites
  • ImClone Investigational Site

    Incheon, 405760

  • ImClone Investigational Site

    Jeonju, 561712

  • ImClone Investigational Site

    Seongnam, 463-707

  • ImClone Investigational Site

    Seoul, 120752

  • ImClone Investigational Site

    Seoul, 135710

  • ImClone Investigational Site

    Seoul, 138736

  • ImClone Investigational Site

    Suwon, 442723

Other trials in South Korea

Australia5 sites
  • ImClone Investigational Site

    East Bentleigh, Victoria, 3165

  • ImClone Investigational Site

    Garran, New South Wales, 2605

  • ImClone Investigational Site

    Geelong, Victoria, 3220

  • ImClone Investigational Site

    Westmead, New South Wales, 2145

  • ImClone Investigational Site

    Wollongong, New South Wales, 2500

Other trials in Australia

Greece4 sites
  • ImClone Investigational Site

    Athens, 11527

  • ImClone Investigational Site

    Heraklion, Crete, 71110

  • ImClone Investigational Site

    Pátrai, 26500

  • ImClone Investigational Site

    Thessaloniki, 57010

Other trials in Greece

Portugal4 sites
  • ImClone Investigational Site

    Coimbra, 3041-801

  • ImClone Investigational Site

    Lisbon, 1099-023

  • ImClone Investigational Site

    Lisbon, 1649-035

  • ImClone Investigational Site

    Porto, 4200-072

Other trials in Portugal

Serbia4 sites
  • ImClone Investigational Site

    Belgrade, 11000

  • ImClone Investigational Site

    Kamenitz, 21204

  • ImClone Investigational Site

    Kragujevac, 34000

  • ImClone Investigational Site

    Niš, 18204

Other trials in Serbia

Austria3 sites
  • ImClone Investigational Site

    Linz, 4020

  • ImClone Investigational Site

    Vienna, 1090

  • ImClone Investigational Site

    Vienna, 1130

Other trials in Austria

Belgium3 sites
  • ImClone Investigational Site

    Duffel, 2570

  • ImClone Investigational Site

    Liège, 4000

  • ImClone Investigational Site

    Namur, 5000

Other trials in Belgium

Canada3 sites
  • ImClone Investigational Site

    Brampton, Ontario, L6R 3J7

  • ImClone Investigational Site

    Saint John, New Brunswick, E2L 4L2

  • ImClone Investigational Site

    Saskatoon, Saskatchewan, S7N 4H4

Other trials in Canada

Croatia3 sites
  • ImClone Investigational Site

    Dubrovnik, 20000

  • ImClone Investigational Site

    Pula, 52100

  • ImClone Investigational site

    Zagreb, 10000

Other trials in Croatia

Slovakia3 sites
  • ImClone Investigational Site

    Bratislava, 826 06

  • ImClone Investigational Site

    Nitra, 949 88

  • ImClone Investigational Site

    Poprad, 058 01

Other trials in Slovakia

South Africa3 sites
  • ImClone Investigational Site

    Bloemfontein, Free State, 9301

  • ImClone Investigational Site

    Durban, KwaZulu-Natal, 4091

  • ImClone Investigational Site

    Pretoria, Gauteng, 0002

Other trials in South Africa

Taiwan2 sites
  • ImClone Investigational Site

    Taichung, 40447

  • ImClone Investigational Site

    Taichung, 40705

Other trials in Taiwan

Thailand2 sites
  • ImClone Investigational Site

    Chiang Mai, 50002

  • ImClone Investigational Site

    Songkhla, 90110

Other trials in Thailand

Singapore1 site
  • ImClone Investigational Site

    Singapore, 308433

Other trials in Singapore

About this study

Official title: A Randomized, Multicenter, Open-Label Phase 3 Study of Gemcitabine-Cisplatin Chemotherapy Plus Necitumumab (IMC-11F8) Versus Gemcitabine-Cisplatin Chemotherapy Alone in the First-Line Treatment of Patients With Stage IV Squamous Non-Small Cell Lung Cancer (NSCLC)

The research study is testing the investigational drug necitumumab (IMC-11F8) in the treatment of advanced non-small cell lung cancer. The aim of this study is to determine if necitumumab, given together with a standard chemotherapy combination consisting of cisplatin and gemcitabine will be more effective in improving participant disease than the standard chemotherapy combination alone.

Read the detailed description

Multinational, randomized, multicenter, open-label, Phase III study of 1093 participants (age ≥ 18 years) with histologically- or cytologically-confirmed, stage IV squamous-cell NSCLC, who have received no prior therapy for metastatic disease, will be randomized on a 1:1 basis to receive first-line necitumumab plus chemotherapy consisting of gemcitabine and cisplatin in study Arm A, or gemcitabine-cisplatin chemotherapy alone in study Arm B. Baseline radiographic assessment of disease will be performed within 21 days prior to randomization (first treatment will be administered within 7 days following randomization). Participants will undergo radiographic assessment of disease status (computed tomography or magnetic resonance imaging) every 6 weeks (± 3 days), until there is radiographic documentation of progressive disease (PD). Chemotherapy will continue for a maximum of six cycles in each arm (or until there is radiographic documentation of PD, toxicity requiring cessation, protocol noncompliance or withdrawal of consent); participants in Arm A only will continue to receive necitumumab until there is radiographic documentation of PD, toxicity requiring cessation, protocol noncompliance, or withdrawal of consent.

After the end-of-study-visit (following PD), follow-up information regarding further anticancer treatment and survival will be collected every 2 months (± 7 days). For participants who discontinue study for reasons other than PD (eg, symptomatic deterioration), information on disease progression will also be collected until PD is documented. Follow-up will continue as long as the participant is alive, or until the end of the trial.

Being tested
Necitumumab, Gemcitabine, Cisplatin
Keywords
Squamous, Non Small Cell Lung Cancer, First line treatment, Monoclonal, Antibodies, Epidermal Growth Factor Receptor (EGFR)
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

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

  • NecitumumabBiological

    Also called IMC-11F8, LY3012211

    Administered intravenously.

    Continues until progressive disease, toxicity, noncompliance, or withdrawal.

  • GemcitabineDrug

    Also called LY2334737

    Administered intravenously.

    Continues for a maximum of six cycles.

  • CisplatinDrug

    Administered intravenously.

    Continues for a maximum of six cycles.

Study groups in NCT00981058
Study groupRoleWhat they receive
Necitumumab + Gemcitabine + CisplatinExperimentalNecitumumab: 800 milligrams (mg) I.V. infusion on Days 1 and 8 of every 3 week cycle. Continues until progressive disease, toxicity, noncompliance, or withdrawal. Gemcitabine: 1250 milligrams/square meter (mg/m2) on Days 1 and 8 of every 3 week cycle. Continues for a maximum of six cycles. Cisplatin: 75 mg/m2 IV on Day 1 of every 3 week cycle. Continues for a maximum of six cycles.
Receives: Biological: Necitumumab; Drug: Gemcitabine; Drug: Cisplatin
Gemcitabine + CisplatinActive comparatorGemcitabine: 1250 mg/m2 on Days 1 and 8 of every 3 week cycle. Continues for a maximum of six cycles. Cisplatin: 75 mg/m2 IV on Day 1 of every 3 week cycle. Continues for a maximum of six cycles.
Receives: Drug: Gemcitabine; Drug: Cisplatin

What is being measured

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

  1. Overall Survival Time (OS)

    Overall survival is defined as the time from randomization to death from any cause. Participants who do not die at the end of the extended follow-up period, or were lost to follow-up during the study, were censored at the last date they were known to be alive. OS was estimated by the Kaplan-Meier method.

    Measured: Randomization to Death from Any Cause (Up to 31 Months)

Secondary outcomes (8)
  1. Progression-Free Survival (PFS)

    PFS is defined as the time from randomization until the first radiographic documentation of objective measured progressive disease as defined by RECIST (Version 1.0), or death from any cause. Progressive Disease (PD) was defined as having at least a 20% increase in the sum of the longest diameter of target lesions. Participants who die without a reported prior progression were considered to have progressed on the day of their death. Participants who did not progress or were lost to follow-up were censored at the day of their last radiographic tumor assessment. If no baseline or postbaseline radiologic assessment was available, the participants were censored at the date of randomization. If death or PD occurs after two or more consecutive missing radiographic visits, censoring occurred at the date of the last radiographic visit prior to the missed visits.

    Measured: Randomization to Measured Progressive Disease or Death from Any Cause (Up to 31 Months)

  2. Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR) (Objective Response Rate [ORR])

    ORR is confirmed best overall tumor response of CR or PR. According to RECIST v1.0, CR was defined as the disappearance of all target and non-target lesions. PR defined as a >=30% decrease in the sum of the longest diameters (LD) of the target lesions, taking as reference the baseline sum of the LD; Percentage of participants was calculated as: (total number of participants with CR or PR from start of the treatment until disease progression or recurrence)/total number of participants treated) * 100.

    Measured: Baseline to Measured Progressive Disease (Up to 31 Months)

  3. Time to Treatment Failure (TTF)

    TTF is defined as the time from the date of randomization until the date of the first radiographic documentation of PD, death from any cause, discontinuation of treatment for any reason, or initiation of new cancer therapy. Participants who withdrew from the study for reasons other than progression or death were censored at the date of study withdrawal. Participants who did not meet any of the criteria for treatment failure were censored at their date of last contact in the study.

    Measured: Randomization to Measured Progressive Disease, Death From Any Cause, Discontinuation of Treatment or Initiation of New Anticancer Therapy (Up to 31 Months)

  4. Mean Change From Baseline in Patient Reported Outcomes (PRO) Using the European Quality of Life-5 Dimension (EQ-5D)

    The EQ-5D is a generic, multidimensional, health-related, quality-of-life instrument. The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression using a three level scale 1-3 (no problem, some problems, and major problems). These combinations of attributes were converted into a weighted health-state Index Score according to the United Kingdom (UK) population-based algorithm. The possible values for the Index Score ranged from -0.59 (severe problems in all 5 dimensions) to 1.0 (no problem in any dimension).

    Measured: Baseline, Cycle 6 (Cycle = 3 Weeks)

  5. Mean Change From Baseline in PRO Using the Outcomes Lung Cancer Symptom Scale (LCSS)

    The LCSS consisted of 9 items: 6 items focused on lung cancer symptoms [loss of appetite, fatigue, cough, dyspnea (shortness of breath), hemoptysis (blood in sputum), and pain] and 3 items were global items (symptom distress, interference with activity level, and global quality of life). Participant responses to each item were measured using visual analogue scales (VAS) with 100-mm lines. A higher score for any item represented a higher level of symptoms/problems. Scores for each of the reported categories ranged from 0 (for best outcome) to 100 (for worst outcome). The Average Symptom Burden Index (ASBI) was the mean of the 6 symptom items of the LCSS, and the Total LCSS was the mean of all 9 LCSS items. ASBI and Total LCSS were not computed for a participant if he/she had 1 or more missing values for the 6 and 9 items, respectively.

    Measured: Baseline, Cycle 6 (Cycle = 3 Weeks)

  6. Number of Participants With an Epidermal Growth Factor Hormone (EGFR) Protein Expression Measured by Immunohistochemistry (IHC)

    EGFR IHC Histoscore H-score = weighted sum of % 1+ cells, twice % 2+ cells, and three times % 3+ cells. IHC H-score criteria was used to assess participants with a low EGFR expression defined by a H-score cutoff value of <200 and participants with a high EGFR expression defined by a H-score of cutoff value of >=200.

    Measured: 31 Months

  7. Pharmacokinetics (PK): Minimum Concentration (Cmin) of Necitumumab

    Measured: Day 1 of Cycle 2, 3, 4, 5 and 6 Prior to Necitumumab Drug Infusion, Up to 24 Months

  8. Number of Participants With a Serum Anti-Necitumumab Antibody Assessment

    A participant was considered to have an anti-Necitumumab antibody response if anti-drug antibodies (ADA) were detected at any time point.

    Measured: Baseline through 31 Months

Timeline

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

  1. First posted22 Sep 2009 (estimated)
  2. Study start7 Jan 2010
  3. Primary completion17 Jun 2013
  4. Study completion30 May 2024

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,093 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00981058
Sponsor's protocol ID
13909
Other IDs
CP11-0806, I4X-IE-JFCC, 2009-013838-25, 2009
Acronym
SQUIRE
Status last verified
May 2025
First submitted
18 Sep 2009
Last updated
18 Jun 2025
Data monitoring committee
Yes

Publications

  • Yuan M, Su S, Ding H, Yang Y, Gupta M, Xu XS. Multitask learning of longitudinal circulating biomarkers and clinical outcomes: identification of optimal machine-learning and deep-learning models. BMC Med Inform Decis Mak. 2026 Jun 30. doi: 10.1186/s12911-026-03671-2. Online ahead of print.

    PubMed 42381014
  • Ciuleanu T, Socinski MA, Obasaju C, Luft AV, Szczesna A, Szafranski W, Ramlau R, Balint B, Molinier O, Depenbrock H, Nanda S, Paz-Ares L, Thatcher N. Efficacy and Safety of Necitumumab Continuation Therapy in the Phase III SQUIRE Study of Patients With Stage IV Squamous Non-Small-Cell Lung Cancer. Clin Lung Cancer. 2018 Mar;19(2):130-138.e2. doi: 10.1016/j.cllc.2017.10.004. Epub 2017 Oct 13.

    PubMed 29158123
  • Paz-Ares L, Socinski MA, Shahidi J, Hozak RR, Soldatenkova V, Kurek R, Varella-Garcia M, Thatcher N, Hirsch FR. Correlation of EGFR-expression with safety and efficacy outcomes in SQUIRE: a randomized, multicenter, open-label, phase III study of gemcitabine-cisplatin plus necitumumab versus gemcitabine-cisplatin alone in the first-line treatment of patients with stage IV squamous non-small-cell lung cancer. Ann Oncol. 2016 Aug;27(8):1573-9. doi: 10.1093/annonc/mdw214. Epub 2016 May 20.

    PubMed 27207107
  • Reck M, Socinski MA, Luft A, Szczesna A, Dediu M, Ramlau R, Losonczy G, Molinier O, Schumann C, Gralla RJ, Bonomi P, Brown J, Soldatenkova V, Chouaki N, Obasaju C, Peterson P, Thatcher N. The Effect of Necitumumab in Combination with Gemcitabine plus Cisplatin on Tolerability and on Quality of Life: Results from the Phase 3 SQUIRE Trial. J Thorac Oncol. 2016 Jun;11(6):808-18. doi: 10.1016/j.jtho.2016.03.002. Epub 2016 Mar 12.

    PubMed 26980471
  • Thatcher N, Hirsch FR, Luft AV, Szczesna A, Ciuleanu TE, Dediu M, Ramlau R, Galiulin RK, Balint B, Losonczy G, Kazarnowicz A, Park K, Schumann C, Reck M, Depenbrock H, Nanda S, Kruljac-Letunic A, Kurek R, Paz-Ares L, Socinski MA; SQUIRE Investigators. Necitumumab plus gemcitabine and cisplatin versus gemcitabine and cisplatin alone as first-line therapy in patients with stage IV squamous non-small-cell lung cancer (SQUIRE): an open-label, randomised, controlled phase 3 trial. Lancet Oncol. 2015 Jul;16(7):763-74. doi: 10.1016/S1470-2045(15)00021-2. Epub 2015 Jun 1.

    PubMed 26045340

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