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NSCLC (Advanced Non-small Cell Lung Cancer)Phase 1/2NCT01211483

Study of Erlotinib With or Without Investigational Drug (U3-1287) in Subjects With Advanced Non-small Cell Lung Cancer

A Phase 1/2 study testing U3-1287 and Erlotinib in people with NSCLC (Advanced Non-small Cell Lung Cancer), run by Daiichi Sankyo at 52 sites in 13 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

This is a Phase 1b/2 study. In Phase 1b, subjects will know the treatment they are receiving. Subjects will receive Erlotinib + U3-1287. The Phase 1b portion will determine if adding U3-1287 to Erlotinib will be safe in subjects with advanced non-small cell lung cancer who fail prior treatment. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
U3-1287 and Erlotinib
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
222 participants
Where
52 sitesin 13 countries
Study dates
Sep 2010to 23 Nov 2013
Phase
Phase 1/2
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

  • ≥ 18 years of age.
  • Histologically or cytologically confirmed stage IIIB not amenable to surgery or curative intent or stage IV NSCLC.
  • Disease progression or recurrence following treatment after last chemotherapy or chemoradiation regimen (completed within the previous 12 months) documented by radiographic assessment.
  • Measurable disease by Response Evaluation Criteria for Solid Tumors v1.1 (RECIST v1.1).
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Adequate bone marrow, renal, and hepatic function.
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  • Prothrombin time and partial thromboplastin time ≤1.5 x upper limit of normal (ULN).
  • Availability of recent (before treatment start) or archival tumor specimens (Phase 2 participants only).
  • For female participants, must be postmenopausal, surgically sterile, or must use maximally effective birth control during the period of therapy, and must be willing to use effective contraception up to 6 months after the last dose of study drug and had a negative urine or serum pregnancy test before entry into the study if female participants were of childbearing potential.
  • For male participants, must be surgically sterile or willing to use a double barrier contraception method upon enrollment, during the course of the study, and for 6 months following the last investigational drug dose
  • Written informed consent.

Who cannot join

  • Left ventricular ejection fraction (LVEF) < 45%.
  • Prior epidermal growth factor receptor (EGFR)-targeted regimen, anti-HER2, anti-HER3, or anti-HER4 therapy.
  • More than 2 prior chemotherapy regimens for NSCLC (Phase 2 participants only).
  • History of other malignancies, except adequately treated nonmelanoma skin cancer, curatively treated in-situ disease, or other solid tumors curatively treated with no evidence of disease for ≥ 5 years.
  • History of corneal disease.
  • History of interstitial lung disease.
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  • Clinically active brain metastases, defined as untreated symptomatic, or requiring therapy with steroids or anticonvulsants to control associated symptoms. Participants with treated brain metastases that were no longer symptomatic and required no treatment with steroids could be included in the study if they had recovered from the acute toxic effect of radiotherapy.
  • Uncontrolled hypertension (diastolic > 100 mmHg or systolic > 140 mmHg).
  • Clinically significant electrocardiogram changes that obscured the ability to assess the respiratory rate, pulse rate, QT, QTc, and QRS intervals.
  • Ascites or pleural effusion requiring chronic medical intervention.
  • Myocardial infarction within 1 year before enrollment, symptomatic congestive heart failure (New York Heart Association > Class II), unstable angina, or unstable cardiac arrhythmia requiring medication.
  • Treatment with anticancer therapy, antibody based therapy, retinoid therapy, or hormonal therapy within 4 weeks before study treatment or treatment with nitrosoureas or mitomycin C within 6 weeks before study drug treatment or treatment with small molecule tyrosine kinase inhibitors (TKIs) within 2 weeks before study drug treatment. Prior and concurrent use of hormone replacement therapy was permitted.
  • Therapeutic radiation or major surgery within 4 weeks before study treatment or palliative radiation therapy within 2 weeks before study drug treatment.
  • Participated in clinical drug trials within 4 weeks (2 weeks for small molecule TKIs) before study drug treatment. Current participation in other investigational procedures.
  • Uncontrolled infection requiring IV antibiotics, antivirals, or antifungals, known human immunodeficiency virus (HIV) infection, or active hepatitis B or C infection.
  • History of hypersensitivity to any of the study drugs or to any excipients.
  • Concurrent use of CYP3A4 inducers or inhibitors.
  • Any known pre-existing condition including substance abuse that could interfere with participant's participation in and completion of the protocol.

Trial locations and contacts

52 sites in 13 countries.

52 sites in 13 countries

United States14 sites
  • Study site

    Anaheim, California

  • Study site

    Atlanta, Georgia

  • Study site

    Baton Rouge, Louisiana

  • Study site

    Detroit, Michigan

  • Study site

    Encinitas, California

  • Study site

    Evansville, Indiana

  • Study site

    Glendale, Arizona

  • Study site

    Joliet, Illinois

  • Study site

    La Verne, California

  • Study site

    Los Angeles, California

  • Study site

    Orlando, Florida

  • TRM - Oncology Research Associates, PLLC, d/b/a Pinnacle Oncology Hematology

    Scottsdale, Arizona, 85258

  • Study site

    The Bronx, New York

  • Study site

    York, Pennsylvania

Other trials in United States

Germany10 sites
  • Study site

    Essen

  • Study site

    Frankfurt am Main

  • Study site

    Freiburg im Breisgau

  • Study site

    Gauting

  • Study site

    Halle

  • Study site

    Hamburg

  • Study site

    Herne

  • Study site

    Löwenstein

  • Study site

    Mainz

  • Study site

    Tübingen

Other trials in Germany

Ukraine6 sites
  • Study site

    Dnipropetrovsk

  • Study site

    Donetsk

  • Study site

    Ivano-Frankivsk

  • Study site

    Kharkiv

  • Study site

    Sumy

  • Study site

    Uzhhorod

Other trials in Ukraine

Italy4 sites
  • Study site

    Lido di Camaiore

  • Study site

    Piacenza

  • Study site

    Pisa

  • Study site

    Reggio Emilia

Other trials in Italy

Israel3 sites
  • Study site

    Petah Tikva

  • Study site

    Tel Aviv

  • Study site

    Tel HaShomer

Other trials in Israel

Austria2 sites
  • Study site

    Graz

  • Study site

    Innsbruck

Other trials in Austria

Belgium2 sites
  • Study site

    Ghent

  • Study site

    Liège

Other trials in Belgium

Bulgaria2 sites
  • Study site

    Plovdiv

  • Study site

    Sofia

Other trials in Bulgaria

Hungary2 sites
  • Study site

    Budapest

  • Study site

    Pécs

Other trials in Hungary

Lithuania2 sites
  • Study site

    Kaunas

  • Study site

    Vilnius

Other trials in Lithuania

Romania2 sites
  • Study site

    Suceava

  • Study site

    Târgu Mureş

Other trials in Romania

United Kingdom2 sites
  • Study site

    London

  • Study site

    Metropolitan Borough of Wirral

Other trials in United Kingdom

Slovenia1 site
  • Study site

    Golnik

Other trials in Slovenia

About this study

Official title: Randomized, Placebo-controlled, Double-blind Phase 1b/2 Study of U3-1287 (AMG 888) in Combination With Erlotinib in EGFR Treatment Naïve Subjects With Advanced Non-Small Cell Lung Cancer (NSCLC) Who Have Progressed on at Least One Prior Chemotherapy

This is a Phase 1b/2 study. In Phase 1b, subjects will know the treatment they are receiving. Subjects will receive Erlotinib + U3-1287. The Phase 1b portion will determine if adding U3-1287 to Erlotinib will be safe in subjects with advanced non-small cell lung cancer who fail prior treatment. In the Phase 2 portion, subjects will be blinded to the treatments they are receiving. Subjects will receive either Erlotinib alone or Erlotinib + U3-1287.

The Phase 2 portion will determine if adding U3-1287 to Erlotinib will be safe and improve survival in subjects with advanced non-small cell lung cancer who failed the first treatment.

Being tested
U3-1287, Erlotinib, Placebo
Keywords
Lung cancer
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Lung Neoplasms

What participants receive

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

  • U3-1287Drug

    Also called Patritumab

    Liquid 70 mg/mL for IV infusion at high dose or low dose

  • ErlotinibDrug

    Tablet 150 mg for oral administration

  • PlaceboDrug

    Placebo liquid matching U3-1287 for IV infusion

Study groups in NCT01211483
Study groupRoleWhat they receive
Part A: U3-1287 (high dose) + ErlotinibExperimentalU3-1287 (high dose) intravenously (IV) every three weeks (Q3W) + Erlotinib 150 mg/day orally (PO) until cancer gets worse, side effects become unacceptable or participant withdraws consent
Receives: Drug: U3-1287; Drug: Erlotinib
Part B: U3-1287 (low dose) + ErlotinibExperimentalU3-1287 (low dose) IV Q3W + Erlotinib 150 mg/day PO until cancer gets worse, side effects become unacceptable or participant withdraws consent
Receives: Drug: U3-1287; Drug: Erlotinib
Part B: Placebo + ErlotinibPlacebo comparatorPlacebo matching U3-1287 IV Q3W + Erlotinib150 mg/day PO until cancer gets worse, side effects become unacceptable or participant withdraws consent
Receives: Drug: Erlotinib; Drug: Placebo

What is being measured

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

  1. Progression-Free Survival Following U3-1287 (AMG 888) in Combination With Erlotinib

    Progression-free survival (PFS) was defined as the time from the date of randomization to the earlier of the dates of first objective documentation of radiographic disease progression or death due to any cause (as per Response Evaluation Criteria in Solid Tumors [RECIST] Version 1.1).

    Measured: Time from the randomization date up to the date of first objective documentation of disease progression or death due to any cause (whichever comes first), up to 3 years 2 months

  2. Progression-Free Survival in Participants With High Heregulin-Expressing Tumors Following U3-1287 (AMG 888) in Combination With Erlotinib

    Progression-free survival (PFS) was defined as the time from the date of randomization to the earlier of the dates of first objective documentation of radiographic disease progression or death due to any cause (as per Response Evaluation Criteria in Solid Tumors [RECIST] Version 1.1). Heregulin (HRG) high is defined as delta cycle threshold value < 3.9.

    Measured: Time from the randomization date up to the date of first objective documentation of disease progression or death due to any cause (whichever comes first), up to 3 years 2 months

  3. Progression-Free Survival in Participants With Low Heregulin-Expressing Tumors Following U3-1287 (AMG 888) in Combination With Erlotinib

    Progression-free survival (PFS) was defined as the time from the date of randomization to the earlier of the dates of first objective documentation of radiographic disease progression or death due to any cause (as per Response Evaluation Criteria in Solid Tumors [RECIST] Version 1.1). Heregulin (HRG) low is defined as a delta cycle threshold value ≥ 3.9.

    Measured: Time from the randomization date up to the date of first objective documentation of disease progression or death due to any cause (whichever comes first), up to 3 years 2 months

Secondary outcomes (10)
  1. Overall Survival Following U3-1287 (AMG 888) in Combination With Erlotinib

    Overall Survival (OS) was defined as the time from the randomization date to the date of death.

    Measured: Time from the randomization date up to the date of death due to any cause, up to 3 years 2 months

  2. Objective Response Following U3-1287 (AMG 888) in Combination With Erlotinib

    Objective response was defined as the best response of either complete response (CR) or partial response (PR). As per Response Evaluation Criteria in Solid Tumors Version 1.1, CR was defined as a disappearance of all target lesions and PR was defined as at least a 30% decrease in the sum of diameters of target lesions.

    Measured: Time from date of randomization up to date of first documentation of objective response of either CR or PR (whichever comes first), up to 3 years 2 months

  3. Time to Objective Response Following U3-1287 (AMG 888) in Combination With Erlotinib

    Time to objective response was defined as the time from the date of randomization to the date of the first documentation of objective response (complete response [CR] or partial response [PR]). As per Response Evaluation Criteria in Solid Tumors Version 1.1, CR was defined as a disappearance of all target lesions and PR was defined as at least a 30% decrease in the sum of diameters of target lesions.

    Measured: Time from date of randomization up to date of first documentation of objective response of either CR or PR (whichever comes first), up to 3 years 2 months

  4. Duration of Stable Disease Following U3-1287 (AMG 888) in Combination With Erlotinib

    Duration of stable disease (SD) was defined for participants whose best response is SD as the time from the date of randomization to the date of the first documentation of progressive disease. SD was defined as neither sufficient shrinkage to qualify for partial response (PR; at least a 30% decrease in the sum of diameters of target lesions) nor sufficient increase to qualify for progressive disease (PD; at least a 20% increase in the sum of diameters of target lesions).

    Measured: For participants whose best response is SD as the time from date of first documentation of stable disease up to the date of first documentation of progressive disease, up to 3 years 2 months

  5. Time to Disease Progression Following U3-1287 (AMG 888) in Combination With Erlotinib

    Time to disease progression was defined as the time from the randomization date to the date of first objective documentation of disease progression. As per Response Evaluation Criteria in Solid Tumors Version 1.1, progressive disease (PD) was defined as at least a 20% increase in the sum of diameters of target lesions.

    Measured: Time from date of randomization up to the date of first objective documentation of disease progression, up to 3 years 2 months

  6. Pharmacokinetic Parameter of Cycle 3 Patritumab Area Under the Concentration-time Curve Over the Dosing Interval 0 to τ (AUC) Following U3-1287 (AMG 888) in Combination With Erlotinib

    AUC was calculated from the concentration-time data at Cycle 3 using a noncompartmental analysis (NCA) method.

    Measured: Cycle 1: predose, end of infusion (EOI), 3 hour (h) postdose; Cycle 2: predose; Cycle 3: predose, EOI, 3 h, 6h, 24 h, 72 h, 168 h, 336 h; Cycle 4, Cycle 5, Cycle 7, and Cycle 9: predose (each cycle is 21 days)

  7. Pharmacokinetic Parameter of Cycle 3 Patritumab Concentration End of Infusion (CEOI) and Minimum (Trough) Concentration (Cmin) Following U3-1287 (AMG 888) in Combination With Erlotinib

    Concentration end of infusion (CEOI) was defined as the concentration within ± 5 minutes of the end of infusion. Cmin was defined as minimum (trough) observed concentration within ± 15% of the prescribed dosing interval. Preinfusion patritumab concentrations observed within 15% of nominal time after the start of the previous infusion (ie, 21 days ± 3.15 days) were considered trough concentrations

    Measured: Cycle 1: predose, end of infusion (EOI), 3 hour (h) postdose; Cycle 2: predose; Cycle 3: predose, EOI, 3 h, 6h, 24 h, 72 h, 168 h, 336 h; Cycle 4, Cycle 5, Cycle 7, and Cycle 9: predose (each cycle is 21 days)

  8. Erlotinib Concentrations at Cycle 3 Day 1 Following U3-1287 (AMG 888) in Combination With Erlotinib

    Measured: Cycle 3, Day 1: predose, 1 h, 2 h, 3 h, 6h, 24 h postdose (each cycle is 21 days)

  9. Pharmacokinetic Parameter of Erlotinib Trough (Cmin) Concentrations From Participants Receiving 150 mg Erlotinib Following U3-1287 (AMG 888) in Combination With Erlotinib

    Trough concentrations (Cmin) was defined as minimum (trough) observed concentration within ± 15% of the prescribed dosing interval. Erlotinib Cmin was predose (or for participants with at least 2 prior doses, within 15% of nominal time after postdose) plasma erlotinib concentration.

    Measured: Cycle 1: predose, end of infusion (EOI), 3 hour (h) postdose; Cycle 2: predose; Cycle 3: predose, EOI, 3 h, 6h, 24 h, 72 h, 168 h, 336 h; Cycle 5, Cycle 7, and Cycle 9: predose (each cycle is 21 days)

  10. Treatment-Emergent Adverse Events Occurring in ≥10% of Participants Following U3-1287 (AMG 888) in Combination With Erlotinib

    A treatment-emergent adverse event (TEAE) was defined as an adverse event (AE) that: emerged during treatment, having been absent at pretreatment; or reemerged during treatment, having been present at baseline but stopped prior to treatment; or worsened in severity since treatment relative to the pretreatment state, when the AE was continuous.

    Measured: From the date of signing the informed consent form up to 53 days after the last dose of patritumab/placebo or up to 30 days after the last dose of erlotinib if patritumab/placebo was discontinued earlier, up to 3 years 2 months

Timeline

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

  1. First posted29 Sep 2010 (estimated)
  2. Study startSep 2010
  3. Primary completionOct 2013
  4. Study completion23 Nov 2013

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
222 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01211483
Sponsor's protocol ID
U31287-A-U201
Status last verified
May 2021
First submitted
28 Sep 2010
Last updated
16 Jun 2021
Data monitoring committee
No
Individual data sharing
Yes: De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing U3-1287 and Erlotinib in people with NSCLC (Advanced Non-small Cell Lung Cancer), run by Daiichi Sankyo at 52 sites in 13 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 11 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 16 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 52 sites in United States, Germany, Ukraine, Italy, Israel and 8 more countries. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined 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.

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 16 Jun 2021). 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 Following U3-1287 (AMG 888) in Combination With Erlotinib (time frame: Time from the randomization date up to the date of first objective documentation of disease progression or death due to any cause (whichever comes first), up to 3 years 2 months). The study lists 3 primary outcomes in all. 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 16 Jun 2021.

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