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Colorectal CarcinomaPhase 2NCT00862784

A Study of IMC-1121B (Ramucirumab) in Colorectal Cancer

A Phase 2 study testing IMC-1121B (ramucirumab), Oxaliplatin and Folinic acid in people with Colorectal Carcinoma, run by Eli Lilly and Company at 7 sites in 2 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to test how long participants with colorectal cancer live without progressive disease when being treated with IMC-1121B (ramucirumab) and the modified FOLFOX-6 chemotherapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Colorectal Carcinoma
What is being tested?
IMC-1121B (ramucirumab), Oxaliplatin and Folinic acid
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
7 sitesin 2 countries
Study dates
Apr 2009to Aug 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

  • The participant must have histologically confirmed adenocarcinoma of the colon or rectum that is locally-advanced or metastatic and unresectable
  • The participant has at least one unidimensionally-measurable target lesion [≥ 2 centimeters (cm) with conventional techniques or ≥ 1 cm with spiral computed tomography (CT) scan or magnetic resonance imaging (MRI), as defined by Response Evaluation Criteria in Solid Tumors (RECIST)]; target lesion(s) must not lie within an irradiated area. Participants with locally advanced rectal carcinoma who have undergone previous radiation must have documented evidence of disease progression in the pelvis in order to participate
  • The participant is age ≥ 18 years
  • The participant has a life expectancy of ≥ 6 months
  • The participant has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) 0-1 at study entry
  • The participant has adequate hematologic function, as evidenced by an absolute neutrophil count (ANC) ≥ 1500/microliter (μL), hemoglobin ≥ 10 grams/deciliter (g/dL), and platelets ≥ 100,000/μL
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  • The participant has adequate hepatic function as defined by: total bilirubin ≤ 1.5 x upper limit of normal (ULN), aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 3.0 x ULN (or 5.0 x ULN in the case of liver metastases), and serum albumin ≥ lower limit of normal (LLN) institutional range or (if < LLN) within 10% of the LLN
  • The participant has adequate renal function as defined by a serum creatinine ≤ 1.5 x ULN, or creatinine clearance (measured via 24-hour urine collection) ≥ 60 milliliters/minute (mL/min)
  • The participant's urinary protein ≤ 1+ on dipstick or routine urinalysis [(UA); if urine dipstick or routine analysis is ≥ 2+, a 24-hour urine for protein must demonstrate < 1000 milligrams (mg) of protein in 24 hours to allow participation in the study]
  • The participant must have adequate coagulation function as defined by International Normalized Ratio (INR) ≤ 1.5 and a partial thromboplastin time (PTT) ≤ 5 seconds above the ULN. Participants on full-dose anticoagulation must be on a stable dose of oral anticoagulant or low molecular weight (LMW) heparin and if on warfarin, must have an INR between 2 and 3 and no active bleeding or pathological condition present that carries a high risk of bleeding (for example, tumor involving major vessels or known varices)
  • The participant has resolution to Grade ≤ 1 by the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 3 (NCI-CTCAE v 3.0) of all clinically significant toxic effects of prior chemotherapy, surgery, radiotherapy, or hormonal therapy with the exception of peripheral neuropathy which must have resolved to Grade 0
  • The participant agrees to use adequate contraception during the study period and for 8 weeks after the last dose of study treatment
  • The participant has provided signed informed consent

Who cannot join

  • The participant has received prior systemic chemotherapy for locally-advanced unresectable or metastatic colorectal cancer (CRC). Prior adjuvant chemotherapy is allowed if disease progression has been documented > 6 months after the end of the last cycle of adjuvant chemotherapy or > 12 months after the end of the last cycle of adjuvant oxaliplatin-containing regimens
  • The participant has documented and/or symptomatic brain or leptomeningeal metastases
  • The participant has participated in clinical studies of non-approved experimental agents or procedures within 12 weeks of study entry
  • The participant has received previous therapy with monoclonal antibodies
  • The participant has received previous therapy with any agent that targets vascular endothelial growth factor (VEGF) or VEGF receptor-2 (VEGFR-2) (including multi-targeted tyrosine kinase inhibitors)
  • The participant has an ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, symptomatic or poorly controlled cardiac arrhythmia, psychiatric illness/social situations, or any other serious uncontrolled medical disorders in the opinion of the investigator
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  • The participant is on chronic non-topical corticosteroid treatment for > 6 months at doses > 10 mg/day of prednisolone or equivalent before study entry, which in the opinion of the investigator could compromise the participant or the study
  • The participant has a known dihydropyrimidine dehydrogenase (DPD) deficiency
  • The participant has a known allergy to any of the treatment components
  • The participant has an acute or subacute intestinal obstruction
  • The participant has uncontrolled or poorly controlled hypertension on a standard regimen of anti-hypertensive therapy
  • The participant has a concurrent active malignancy other than adequately treated nonmelanomatous skin cancer, other noninvasive carcinoma, or in situ neoplasm. A participant with previous history of malignancy is eligible, provided that he/she has been disease free for > 3 years
  • The participant, if female, is pregnant
  • Has had prior autologous or allogeneic organ or tissue transplantation
  • Has interstitial pneumonia or interstitial fibrosis of the lung, which in the opinion of the investigator could compromise the participant or the study
  • Has pleural effusion or ascites that causes > Grade 1 dyspnea
  • Has psychological, familial, sociological, or geographical conditions which do not permit adequate study follow-up, compliance with the protocol, or signature of Informed Consent
  • Has undergone major surgery within 28 days prior to the first dose of study medication, or subcutaneous venous access device placement within 7 days prior to the first dose of study medication

Trial locations and contacts

7 sites in 2 countries.

7 sites in 2 countries

Spain4 sites
  • ImClone Investigational Site

    Barcelona

  • ImClone Investigational Site

    Santander

  • ImClone Investigational Site

    Seville

  • ImClone Investigational Site

    Valencia

Other trials in Spain

Canada3 sites
  • ImClone Investigational Site

    Montreal, Quebec, H2L 4M1

  • ImClone Investigational Site

    Ottawa, Ontario, K1H 8L6

  • ImClone Investigational Site

    Toronto, Ontario, M5G-2M9

Other trials in Canada

About this study

Official title: An Open Label, Multicenter, Phase 2 Study Evaluating the Safety and Efficacy of IMC-1121B in Combination With 5-FU/FA and Oxaliplatin (Modified FOLFOX-6) as First-line Therapy in Patients With Metastatic Colorectal Cancer

The purpose of this study is to test how long participants with colorectal cancer live without progressive disease when being treated with IMC-1121B (ramucirumab) and the modified FOLFOX-6 chemotherapy.

Read the detailed description

The purpose of this study is to evaluate the progression-free survival (PFS) in participants with metastatic colorectal cancer when treated with the monoclonal antibody IMC-1121B (ramucirumab) in combination with the modified FOLFOX-6 [folinic acid (FA) + fluorouracil (5-FU) + oxaliplatin, mFOLFOX-6] chemotherapy regimen as first-line therapy.

Being tested
IMC-1121B (ramucirumab), Oxaliplatin, Folinic acid, 5-FU
Keywords
Colorectal carcinoma, CRC, Colon Cancer
Medical subject headings
Colorectal Neoplasms, Colonic Neoplasms

What participants receive

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

  • IMC-1121B (ramucirumab)Biological

    Also called ramucirumab, LY3009806

    8 milligrams/kilogram (mg/kg) IMC-1121B (ramucirumab) infusions every 2 weeks

  • OxaliplatinDrug

    85 milligrams/square meter (mg/m²) intravenous infusion over 2 hours on Day 1

  • Folinic acidDrug

    400 mg/m² intravenous infusion over 2 hours on Day 1

  • 5-FUDrug

    400 mg/m² intravenous bolus injection over 2-4 minutes, immediately following folinic acid infusion

  • 5-FUDrug

    2400 mg/m² intravenous continuous infusion over 46 hours immediately following bolus 5-FU on Days 1 and 2

Study groups in NCT00862784
Study groupRoleWhat they receive
IMC-1121B (ramucirumab) + mFOLFOX-6ExperimentalThis regimen will be repeated every 2 weeks until disease progression, unacceptable toxicity, or withdrawal.
Receives: Biological: IMC-1121B (ramucirumab); Drug: Oxaliplatin; Drug: Folinic acid; Drug: 5-FU

What is being measured

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

  1. Progression-Free Survival (PFS)

    PFS was defined as the time from date of first dose to the first observation of progression of disease (PD) or death due to any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0. PD is ≥20% increase in sum of longest diameter of target lesions and/or unequivocal progression of non-target lesion and/or new lesion. For participants who had no PD or death or had started new therapeutic anticancer treatment, PFS was censored at their last radiographic tumor assessment.

    Measured: First dose to measured progressive disease or death due to any cause up to 28.1 months

Secondary outcomes (16)
  1. Percentage of Participants With Complete Response or Partial Response [Objective Response Rate (ORR)]

    ORR is the percentage of participants with a confirmed complete response (CR) + partial response (PR), as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0. CR is disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions without new lesion and progression of non-target lesion. ORR is calculated as a total number of participants with CR or PR from the start of study treatment until disease progression or recurrence divided by the total number of participants treated, then multiplied by 100.

    Measured: First dose to date of objective progressive disease up to 23.8 months

  2. Overall Survival (OS)

    OS was defined as the time from first dose to the date of death due to any cause. For participants who were alive or were lost to follow-up, OS was censored on the last date the participant was known to be alive.

    Measured: First dose to death due to any cause up to 28.1 months

  3. Duration of Response

    The duration of response was defined as the time from first objective status assessment of complete response (CR) or partial response (PR) to the first time of progression or death as a result of any cause. CR or PR is classified by the investigators according to Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.0. CR is disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions without new lesion and progression of non-target lesion.

    Measured: Time of response to time of measured progressive disease up to 22.2 months

  4. Number of Participants With IMC-1121B (Ramucirumab)-Related Adverse Events (AEs)

    Data presented are the number of participants who experienced AEs of any grade and AEs of Grade ≥3 based on National Cancer Institute Common Terminology Criteria for Adverse Events, Version 3.0 (NCI-CTCAE v 3.0), that were considered to be related to IMC-1121B (ramucirumab) by the investigators. A summary of serious AEs (SAEs) and all other non-serious AEs regardless of causality, is located in the Reported Adverse Events module.

    Measured: First dose to 25.2 months

  5. Number of Participants With IMC-1121B (Ramucirumab)-Related Severe Adverse Events (SAEs)

    Data presented are the number of participants who experienced SAEs, adverse events (AEs) resulting in death and AEs leading to discontinuation of treatment, that were considered to be related to IMC-1121B (ramucirumab) by the investigators. A summary of SAEs and all other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.

    Measured: First dose to 25.2 months

  6. Maximum Concentration (Cmax) at Day 1 of Cycle 1

    Due to sparse pharmacokinetic schedule, Cmax was not calculated.

    Measured: Baseline, 1, 168, and 336 hours post infusion on Day 1 (Cycle 1)

  7. Area Under the Concentration (AUC) at Day 1 of Cycle 1

    Due to sparse pharmacokinetic schedule, AUC was not calculated.

    Measured: Baseline, 1, 168, and 336 hours post infusion on Day 1 (Cycle 1)

  8. Half-Life (t1/2) at Day 1 of Cycle 1

    Due to sparse pharmacokinetic schedule, t1/2 was not calculated.

    Measured: Baseline, 1, 168, and 336 hours post infusion on Day 1 (Cycle 1)

  9. Clearance (CL) at Day 1 of Cycle 1

    Due to sparse pharmacokinetic schedule, CL was not calculated.

    Measured: Baseline, 1, 168, and 336 hours post infusion on Day 1 (Cycle 1)

  10. Steady State Volume of Distribution (Vss) at Day 1 of Cycle 1

    Due to sparse pharmacokinetic schedule, Vss was not calculated.

    Measured: Baseline, 1, 168, and 336 hours post infusion Day 1 (Cycle 1)

  11. Maximum Concentration (Cmax) at Day 1 of Cycles 5, 9, 13, 17, and 21

    Due to sparse pharmacokinetic schedule, Cmax was not calculated.

    Measured: Baseline and 1 hour post infusion on Day 1 (Cycles 5, 9, 13, 17, and 21)

  12. Area Under the Concentration (AUC) at Day 1 of Cycles 5, 9, 13, 17, and 21

    Due to sparse pharmacokinetic schedule, AUC was not calculated.

    Measured: Baseline and 1 hour post infusion on Day 1 (Cycles 5, 9, 13, 17, and 21)

  13. Half-Life (t1/2) at Day 1 of Cycles 5, 9, 13, 17, and 21

    Due to sparse pharmacokinetic schedule, t1/2 was not calculated.

    Measured: Baseline and 1 hour post infusion on Day 1 (Cycles 5, 9, 13, 17, and 21)

  14. Clearance (CL) at Day 1 of Cycles 5, 9, 13, 17, and 21

    Due to sparse pharmacokinetic schedule, CL was not calculated.

    Measured: Baseline and 1 hour post infusion on Day 1 (Cycles 5, 9, 13, 17, and 21)

  15. Steady State Volume of Distribution (Vss) at Day 1 of Cycles 5, 9, 13, 17, and 21

    Due to sparse pharmacokinetic schedule, Vss was not calculated.

    Measured: Baseline and 1 hour post infusion on Day 1 (Cycles 5, 9, 13, 17, and 21)

  16. Serum Anti-IMC-1121B (Immunogenicity) at Day 1

    Data presented are the number of participants with treatment emergent anti-IMC-112B antibodies.

    Measured: Day 1 (Cycles 1, 5, 9, and 30-day follow-up)

Timeline

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

  1. First posted17 Mar 2009 (estimated)
  2. Study startApr 2009
  3. Primary completionApr 2011
  4. Study completionAug 2011

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00862784
Sponsor's protocol ID
13897
Other IDs
2008-004936-19, CP12-0709, I4T-IE-JVBH, 2008
Status last verified
May 2014
First submitted
16 Mar 2009
Last updated
17 Jun 2014
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing IMC-1121B (ramucirumab), Oxaliplatin and Folinic acid in people with Colorectal Carcinoma, run by Eli Lilly and Company at 7 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 13 inclusion and 18 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 17 Jun 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in Spain, 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 17 Jun 2014). 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: First dose to measured progressive disease or death due to any cause up to 28.1 months). 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 17 Jun 2014.

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