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Neoplasm MetastasisPhase 1NCT02677116

A Study of Olaratumab Alone and in Combination With Standard Chemotherapies in Children With Cancer

A Phase 1 study testing Olaratumab, Doxorubicin and Vincristine in people with Neoplasm Metastasis, run by Eli Lilly and Company at 21 sites in 2 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 main purpose of this study is to evaluate the safety of different doses of olaratumab and to determine which dose should be used for future pediatric studies. The present study is open to children with advanced cancer or cancer that has spread to another part of the body. The study has three parts. Read more about this study

Who is it for?
Ages Up to 17 years
Conditions the study is for
Neoplasm Metastasis
What is being tested?
Olaratumab, Doxorubicin and Vincristine
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
68 participants
Where
21 sitesin 2 countries
Study dates
29 Aug 2016to 3 Apr 2019
Phase
Phase 1
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 Up to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • The participant must have histological or cytological evidence of a diagnosis of solid tumor, excluding lymphomas and melanoma, but including central nervous system (CNS) tumors, that is relapsed or refractory, not be amenable to curative treatment.
  • The participant has the presence of measurable and/or nonmeasurable but evaluable disease as defined by the Response Evaluation Criteria In Solid Tumors (RECIST Version 1.1). Response Assessment in Neuro-Oncology (RANO) Criteria or Macdonald Criteria should be used for CNS tumors.
  • The participant has a Lansky (<16 years of age) or Karnofsky (≥16 years of age) performance score of at least 50.
  • The participant has adequate hematologic, organ, and coagulation function ≤2 weeks (14 days) prior to first dose of study drug:
  • Absolute neutrophil count (ANC) ≥750 cubic millimeters (mm³)
  • Platelets ≥75,000/mm³
Show all 20Show fewer
  • Hemoglobin ≥8 grams per deciliter (g/dL)
  • Total bilirubin (sum of conjugated + unconjugated) ≤1.5 x upper limit of normal (ULN) for age
  • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤3.0 x ULN
  • Serum creatinine is based on age/gender
  • Adequate coagulation function as defined by International Normalized Ratio ≤1.5 or prothrombin time ≤1.5 x ULN, and partial thromboplastin time ≤1.5 x ULN
  • Both female and male participants of child-bearing potential must agree to use highly effective contraceptive precautions during the trial and up to 3 months following the last dose of olaratumab, or longer for other study drugs according to their label.
  • Participants must have fully recovered from the acute toxic effects of all prior anticancer therapies or must adhere to post-treatment conditions as follows:
  • Myelosuppressive chemotherapy
  • Hematopoietic growth factors
  • Biologic (anti-neoplastic agent)
  • Antibody therapy
  • Radiation
  • Stem cell infusion without traumatic brain injury
  • Corticosteroids

Who cannot join

  • Have received treatment within 21 days of the initial dose of olaratumab with an investigational product or non-approved use of a drug or device or are concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study.
  • Participants that have had bone marrow or solid organ transplant are excluded.
  • The participant has an active fungal, bacterial, and/or known severe viral infection including human immunodeficiency virus (HIV) or viral (A, B, or C) hepatitis (screening is not required).
  • Female participants who are pregnant or breastfeeding are excluded.
  • If the participant is to be enrolled in the doxorubicin combination arm, a left ventricular dysfunction (LVEF < 50%) or shortening fraction of <27% by echocardiogram (either multigated acquisition [MUGA] or echocardiogram [ECHO] are required, not both).
  • Participants that have received prior anthracycline therapy if the participant is to be enrolled in the doxorubicin combination arm.

Trial locations and contacts

21 sites in 2 countries.

21 sites in 2 countries

United States20 sites
  • The Children's Hospital for Cancer and Blood Disorders

    Aurora, Colorado, 80045

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02115

  • Levine Children's Hospital

    Charlotte, North Carolina, 28203

  • Mary Crowley Cancer Research Center

    Dallas, Texas, 75230

  • University of Texas Southwestern Medical Center at Dallas

    Dallas, Texas, 75235

  • Texas Childrens Hospital

    Houston, Texas, 77030

  • Riley Hosptial for Children

    Indianapolis, Indiana, 46202

  • Children's Mercy Hospital

    Kansas City, Missouri, 64108

  • Childrens Hospital of Los Angeles

    Los Angeles, California, 90027

  • St Jude Childrens Research Hospital

    Memphis, Tennessee, 38105

  • Sylvester Comprehensive Cancer Center

    Miami, Florida, 33136

  • University of Minnesota Medical School

    Minneapolis, Minnesota, 55455

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232-6307

  • Cohen Children's Medical Center

    New Hyde Park, New York, 11040

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Phoenix Childrens Hospital

    Phoenix, Arizona, 85016

  • Primary Childrens Medical Center

    Salt Lake City, Utah, 84132

  • University of California, San Francisco

    San Francisco, California, 94158

  • Seattle Children's Hospital Research Foundation

    Seattle, Washington, 98105

  • Children's National Medical Center

    Washington D.C., District of Columbia, 20010-2970

Other trials in United States

Japan1 site
  • National Cancer Center Hospital

    Chuo-Ku, Tokyo, 104-0045

Other trials in Japan

About this study

Official title: A Phase 1, Open-Label, Dose-Escalation Study of Olaratumab as a Single Agent and in Combination With Doxorubicin, Vincristine/Irinotecan, or High-Dose Ifosfamide in Pediatric Patients With Relapsed or Refractory Solid Tumors

The main purpose of this study is to evaluate the safety of different doses of olaratumab and to determine which dose should be used for future pediatric studies. The present study is open to children with advanced cancer or cancer that has spread to another part of the body. The study has three parts. In the first two parts, a specific dose of olaratumab will be given in 21 day cycles, followed by one of three standard chemotherapy regimens. In the third part, a specific dose of olaratumab will be given with one of three standard chemotherapy regimens in 21 day cycles. Participants will only enroll in one part.

Being tested
Olaratumab, Doxorubicin, Vincristine, Irinotecan, Ifosfamide
Medical subject headings
Neoplasm Metastasis

What participants receive

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

  • OlaratumabDrug

    Also called LY3012207

    Olaratumab administered IV.

  • DoxorubicinDrug

    Doxorubicin administered IV.

  • VincristineDrug

    Vincristine administered IV.

  • IrinotecanDrug

    Irinotecan administered IV.

  • IfosfamideDrug

    Ifosfamide administered IV.

Study groups in NCT02677116
Study groupRoleWhat they receive
Olaratumab + Doxorubicin (Part A)ExperimentalCycle 1: Olaratumab 15 mg/kg was administered IV Days 1 and 8. Cycle 2 and beyond: Olaratumab 15 mg/kg administered IV on Days 1 and 8 and doxorubicin administered IV on Days 1 and 2. Treatment will cease when discontinuation criterion is met. All cycles are 21 days.
Receives: Drug: Olaratumab; Drug: Doxorubicin
Olaratumab + Vincristine + Irinotecan (Part A)ExperimentalCycle 1: Olaratumab 15 mg/kg was administered IV Days 1 and 8. Cycle 2 and beyond: Olaratumab 15 mg/kg and vincristine administered IV on Days 1 and 8. Irinotecan administered IV on Days 1 through 5. Treatment will cease when discontinuation criterion is met. All cycles are 21 days.
Receives: Drug: Olaratumab; Drug: Vincristine; Drug: Irinotecan
Olaratumab + Ifosfamide (Part A)ExperimentalCycle 1: Olaratumab 15 mg/kg was administered IV Days 1 and 8. Cycle 2 and beyond: Olaratumab 15 mg/kg administered IV on Days 1 and 8 of each cycle. Ifosfamide administered IV on Days 1 through 5. Treatment will cease when discontinuation criterion is met. All cycles are 21 days.
Receives: Drug: Olaratumab; Drug: Ifosfamide
Olaratumab + Doxorubicin (Part B)ExperimentalCycle 1: Olaratumab 20 mg/kg was administered IV Days 1 and 8. Cycle 2 and beyond: Olaratumab 20 mg/kg administered IV on Days 1 and 8 and doxorubicin administered IV on Days 1 and 2. Treatment will cease when discontinuation criterion is met. All cycles are 21 days.
Receives: Drug: Olaratumab; Drug: Doxorubicin
Olaratumab + Vincristine + Irinotecan (Part B)ExperimentalCycle 1: Olaratumab 20 mg/kg was administered IV Days 1 and 8. Cycle 2 and beyond: Olaratumab 20 mg/kg and vincristine administered IV on Days 1 and 8. Irinotecan administered IV on Days 1 through 5. Treatment will cease when discontinuation criterion is met. All cycles are 21 days.
Receives: Drug: Olaratumab; Drug: Vincristine; Drug: Irinotecan
Olaratumab + Ifosfamide (Part B)ExperimentalCycle 1: Olaratumab 20 mg/kg was administered IV Days 1 and 8. Cycle 2 and beyond: Olaratumab 20 mg/kg administered IV on Days 1 and 8 of each cycle. Ifosfamide administered IV on Days 1 through 5. Treatment will cease when discontinuation criterion is met. All cycles are 21 days.
Receives: Drug: Olaratumab; Drug: Doxorubicin; Drug: Ifosfamide
Olaratumab + Doxorubicin (Part C)ExperimentalCycle 1 and beyond: Olaratumab 20 mg/kg administered IV on Days 1 and 8 and doxorubicin administered IV on Days 1 and 2. Treatment will cease when discontinuation criterion is met. All cycles are 21 days.
Receives: Drug: Olaratumab; Drug: Doxorubicin
Olaratumab + Vincristine + Irinotecan (Part C)ExperimentalCycle 1 and beyond: Olaratumab 20 mg/kg and vincristine administered IV on Days 1 and 8. Irinotecan administered IV on Days 1 through 5. Treatment will cease when discontinuation criterion is met. All cycles are 21 days.
Receives: Drug: Olaratumab; Drug: Vincristine; Drug: Irinotecan
Olaratumab + Ifosfamide (Part C)ExperimentalCycle 1 and beyond: Olaratumab 20 mg/kg administered IV on Days 1 and 8 of each cycle. Ifosfamide administered IV on Days 1 through 5. Treatment will cease when discontinuation criterion is met. All cycles are 21 days.
Receives: Drug: Olaratumab; Drug: Ifosfamide

What is being measured

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

  1. Number of Participants With Olaratumab Dose Limiting Toxicities (DLTs)

    A dose limiting toxicity (DLT) was defined as an adverse event (AE) during the first 21 days that was possibly related to the study drug and fulfilled any of the following criteria using the National Cancer Institute's (NCI) Common Terminology Criteria for Adverse Events (CTCAE), Version 4.0: CTCAE Grade 3 nonhematologic toxicity, grade 4 neutropenia that lasted longer than 2 weeks, grade ≥3 thrombocytopenia complicated by hemorrhage, and any hematologic toxicity that caused a cycle delay of >14 days.

    Measured: Parts A and B: Cycle 1 through Cycle 2 in each arm (21-day cycle); Part C: Cycle 1 only (21-day cycle)

Secondary outcomes (9)
  1. Pharmacokinetics (PK): Maximum Concentration (Cmax) of Olaratumab Part A

    Pharmacokinetics (PK): Maximum serum concentration (Cmax) data of Olaratumab was reported from available sample data.

    Measured: Cycle 1, Day 8 and Cycle 2, Days 1 and 8: 1.25 hour (h), 2.5 h, 3.5h Postdose

  2. PK: Maximum Concentration (Cmax) of Olaratumab Part B

    PK: Maximum serum concentration (Cmax) data of Olaratumab was reported from available sample data.

    Measured: Cycle 1, Day 8 and Cycle 2, Days 1 and 8: 1.25 hour (h), 2.5 h, 3.5h Postdose

  3. PK: Maximum Concentration (Cmax) of Olaratumab Part C

    Pharmacokinetics (PK): Maximum serum concentration (Cmax) data of Olaratumab was reported from available sample data.

    Measured: Cycle 1, Days 1 and 8; Cycle 2, Days 1 and 8: 1.25 hour (h), 2.5 h, 3.5h Postdose

  4. PK: Trough Serum Minimum Concentration (Cmin) of Olaratumab Part A

    PK: Trough serum concentration (Cmin) of Olaratumab was reported. A sample was collected every other cycle from cycles 1, 2, 3-25.

    Measured: Cycles 1, 2, 3-25; Day 8: 336 Hours Postdose

  5. PK: Trough Serum Minimum Concentration (Cmin) of Olaratumab Part B

    PK: Trough serum concentration (Cmin) of Olaratumab was reported. A sample was collected every other cycle from cycles 1, 2, 3-25.

    Measured: Cycles 1, 2, 3-25; Day 8: 336 Hours Postdose

  6. PK: Trough Serum Minimum Concentration (Cmin) of Olaratumab Part C

    PK: Trough serum concentration (Cmin) of Olaratumab was reported. A sample was collected every other cycle from cycles 1, 2, 3-25.

    Measured: Cycles 1, 2, 3-25; Day 8: 336 Hours Postdose

  7. Percentage of Participants With a Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR])

    Objective Response Rate (ORR) is the percentage of participants achieving a confirmed best overall tumor response of CR or PR. According to RECIST v1.1, 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; CR was defined as the disappearance of all target and non-target lesions.

    Measured: Baseline to objective progression or start of new anti-cancer therapy (Up to 7 months)

  8. Progression Free Survival (PFS)

    Progression-free survival (PFS) is defined as the time from baseline to the first date of radiological disease progression or death due to any cause. Progressive disease (PD) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (including the baseline sum if that is the smallest). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 millimeters (mm). The appearance of one or more new lesions is also considered progression. If participant started new treatment before PD, the participant was censored at the date of last tumor assessment prior to new therapy. If treatment was discontinued for reasons other than PD and no further assessment, censoring occurred at last tumor assessment.

    Measured: Baseline to radiological disease progression or death from any cause (Up to 2 Years)

  9. Percentage of Participants With Treatment Emergent (TE) Positive Anti-Olaratumab Antibodies

    Percentage of participants with a TE positive anti-olaratumab antibodies defined as a participant with a 4-fold (2 dilutions) increase over a positive baseline antibody titer.

    Measured: From Baseline to Study Completion (Up to 33 Months)

Timeline

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

  1. First posted9 Feb 2016 (estimated)
  2. Study start29 Aug 2016
  3. Primary completion10 Oct 2018
  4. Study completion3 Apr 2019

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 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
68 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02677116
Sponsor's protocol ID
15841
Other IDs
I5B-MC-JGDN
Status last verified
1 Jun 2019
First submitted
29 Jan 2016
Last updated
20 May 2020
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Olaratumab, Doxorubicin and Vincristine in people with Neoplasm Metastasis, run by Eli Lilly and Company at 21 sites in 2 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 20 inclusion and 6 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 20 May 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in United States, Japan. 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?

Yes. Results are posted in the registry (first posted 20 May 2020). 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?

Number of Participants With Olaratumab Dose Limiting Toxicities (DLTs) (time frame: Parts A and B: Cycle 1 through Cycle 2 in each arm (21-day cycle); Part C: Cycle 1 only (21-day cycle)). 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 20 May 2020.

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