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Study Of CP-751,871 In Combination With Sunitinib In Patients With Advanced Solid Tumors

Phase 1, Open Label, Sequential Cohort, Dose Escalation Study Of CP-751,871 In Combination With Sunitinib In Patients With Advanced Solid Tumors

Status
Terminated
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00729833
Enrollment
45
Registered
2008-08-08
Start date
2008-09-30
Completion date
2013-04-30
Last updated
2014-06-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Advanced Cancer, Advanced Solid Tumors

Brief summary

The study is being conducted to determine the maximum tolerated dose, overall safety and tolerability profile, and pharmacokinetic profile of CP-751,871 and sunitinib when given in combination with advanced solid tumors.

Detailed description

The study was closed to enrollment on 14 Jan 2011 and terminated secondary to excessive screen failure rate and for business reasons associated with Pfizer's business decision to stop development of the figitumumab compound. Safety concerns did not contribute to the decision to terminate this clinical trial.

Interventions

CP-751,871 IV, every 3 weeks

DRUGSunitinib

Sunitinib - daily dosing

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Histologically or cytologically confirmed advanced solid tumors relapsed or refractory to standard therapy or for whom no standard therapy exists. * ECOG Performance Status of 0 or 1; * Total IGF-1 level ≥100 ng/ml; * ECOG Performance Status of 0 or 1 * Adequate bone marrow, renal, and hepatic function

Exclusion criteria

* Concurrent treatment with any antitumor agents with the exception of LHRH agnosits for prostate cancer patients * Treatment with any other investigational therapy within 4 weeks prior to study treatment * Major surgery within 4 weeks of study treatment * Prior treatment that may increase the risk of cardiac complications * Ongoing cardiac dysrhythmias of NCI CTCAE Grade 2 or greater * Significant active cardiac disease, including hypertension that cannot be controlled by medications * Greater than three (3) prior lines of cytotoxic therapy; * Active infection * Prior IGF-IR targeted therapy;

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Dose-Limiting Toxicities (DLT)Baseline up to the end of Cycle 1 (each cycle=3 weeks)Number of participants with treatment-related Grade 3/4 toxicities that occurred during the defined time frame or that resulted in greater than or equal to (\>=) 7 days delay in administration of Cycle 2. Toxicities were graded according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), Version 3.0.

Secondary

MeasureTime frameDescription
Percentage of Participants With Hematologic Laboratory Test AbnormalityBaseline, Day 1 of every cycle, Days 8 and 15 of Cycle 1, up to end of treatment (28 days post last dose)Percentage of participants with hematologic laboratory abnormalities of CTC severity grades 1, 2, 3, or 4 (grade 1=mild; grade 2=moderate; grade 3=severe; grade 4=life-threatening or disabling).
Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityBaseline, Day 1 of every cycle, Days 8 and 15 of Cycle 1, up to end of treatment (28 days post last dose)Percentage of participants with blood chemistry laboratory abnormalities of CTC severity grades 1, 2, 3, or 4 (grade 1=mild; grade 2=moderate; grade 3=severe; grade 4=life-threatening or disabling).
Plasma Concentration at the End of Infusion (Cendinf) of Figitumumab0.5 hour predose and 1 hour post-infusion on Day 1 of Cycles 1 and 4
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Figitumumab0.5 hour predose and 1 hour post-infusion on Days 1, 2, 4, 8, 15, and 22 of Cycles 1 and 4AUClast is the area under the plasma concentration time-curve from zero to the last measured concentration.
Area Under the Curve From Time Zero to Day 22 [AUC504] of Figitumumab0.5 hour predose and 504 hours (Day 22) post-infusion of Cycles 1 and 4AUC504 is the area under the plasma concentration versus time curve from time zero (predose) to Day 22, where Day 22 is the nominal time (504 hours) of the predose sample for the next cycle.
Plasma Decay Half-Life (t1/2) of Figitumumab0.5 hour predose and 1 hour post-infusion on Days 1, 2, 4, 8, and 15 of Cycles 1 and 4Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.
Percentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Baseline, Day 1 of every cycle, Days 8 and 15 of Cycle 1, up to end of treatment (28 days post last dose)An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent AEs are events occurred between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. If the same participant in a given treatment had more than one occurrence in the same preferred term event category, only the worst CTCAE grade was reported. Severity grades were 0 (no change from normal or reference range), 1 (mild), 2 (moderate), 3 (severe), 4 (life-threatening or disabling), and 5 (death).
Time to Reach Maximum Observed Plasma Concentration (Tmax) of Sunitinib0.5 hour predose and 2, 4, 6, 8, 12, and 24 hours postdose on Day 15 of Cycle 1
Area Under the Curve From Time Zero to 24 Hours Postdose (AUC24) of Sunitinib0.5 hour predose and 2, 4, 6, 8, 12, and 24 hours postdose on Day 15 of Cycle 1AUC24 is the area under the plasma concentration versus time curve from time zero (predose) to 24 hours postdose (0 to 24).
Trough Plasma Concentration (Ctrough) of Sunitinib0.5 hour predose on Day 1 of Cycle 2
Plasma Concentration at 24 Hours Postdose (C24) of Sunitinib24 hours postdose on Day 15 of Cycle 1
Number of Participants With Anti-Drug Antibodies (ADA)0.5 hour pre-infusion on Day 1 in Cycles 1 and 2, at end of treatment, and during the last scheduled follow-up visit (5 months from the last dose of study drug)Assays for ADA assessment specific for figitumumab would have provided information regarding an immune response to the compound.
Number of Participants With Objective Response (OR)Baseline, Day 15 of every 2 cycles until disease progression up to follow-up (approximately 28 days following the last dose of study drug)Objective response (OR) was based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST. CR was the complete disappearance of all target and non-target disease, no new lesions, or the normalization of markers (if markers were being followed). PR was greater than or equal to 30% decrease under baseline of the sum of longest diameters of all target measurable lesions, no unequivocal progression of non-target disease, no new lesions, or no reappearance of lesions after a CR. Confirmed responses are those that persist on repeat imaging study ≥4 weeks after initial documentation of response.
Maximum Observed Plasma Concentration (Cmax) of Sunitinib0.5 hour predose and 2, 4, 6, 8, 12, and 24 hours postdose on Day 15 of Cycle 1

Countries

United States

Participant flow

Participants by arm

ArmCount
Figitumumab + Sunitinib (All Combined)
All participants who received at least one dose of figitumumab plus sunitinib.
45
Total45

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyDeath5135
Overall StudyLost to Follow-up1000
Overall StudyStudy Terminated by Sponsor0010
Overall StudyUnspecified Reasons11551
Overall StudyWithdrawal by Subject3130

Baseline characteristics

CharacteristicFigitumumab + Sunitinib (All Combined)
Age, Customized
18 to 44 years
11 participants
Age, Customized
45 to 64 years
22 participants
Age, Customized
Greater than or equal to (>=) 65 years
12 participants
Sex: Female, Male
Female
25 Participants
Sex: Female, Male
Male
20 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
20 / 207 / 712 / 126 / 6
serious
Total, serious adverse events
10 / 203 / 76 / 125 / 6

Outcome results

Primary

Number of Participants With Dose-Limiting Toxicities (DLT)

Number of participants with treatment-related Grade 3/4 toxicities that occurred during the defined time frame or that resulted in greater than or equal to (\>=) 7 days delay in administration of Cycle 2. Toxicities were graded according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), Version 3.0.

Time frame: Baseline up to the end of Cycle 1 (each cycle=3 weeks)

Population: Per-Protocol Analysis Set: All participants who started treatment and who did not have first cycle major treatment deviations.

ArmMeasureValue (NUMBER)
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDNumber of Participants With Dose-Limiting Toxicities (DLT)0 participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDNumber of Participants With Dose-Limiting Toxicities (DLT)1 participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDNumber of Participants With Dose-Limiting Toxicities (DLT)3 participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Number of Participants With Dose-Limiting Toxicities (DLT)1 participants
Secondary

Area Under the Curve From Time Zero to 24 Hours Postdose (AUC24) of Sunitinib

AUC24 is the area under the plasma concentration versus time curve from time zero (predose) to 24 hours postdose (0 to 24).

Time frame: 0.5 hour predose and 2, 4, 6, 8, 12, and 24 hours postdose on Day 15 of Cycle 1

Population: PK Analysis Set: Participants who received all scheduled doses of both drugs and completed all required PK assessments in the dose expansion cohort (figitumumab 10 mg/kg + sunitinib 25 mg CDD).

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDArea Under the Curve From Time Zero to 24 Hours Postdose (AUC24) of Sunitinib786.8 nanogram*hour/milliliter (ng*hr/mL)Geometric Coefficient of Variation 42
Secondary

Area Under the Curve From Time Zero to Day 22 [AUC504] of Figitumumab

AUC504 is the area under the plasma concentration versus time curve from time zero (predose) to Day 22, where Day 22 is the nominal time (504 hours) of the predose sample for the next cycle.

Time frame: 0.5 hour predose and 504 hours (Day 22) post-infusion of Cycles 1 and 4

Population: PK Analysis Set: Participants who received all scheduled doses of both drugs and completed all required PK assessments in the dose expansion cohort (figitumumab 10 mg/kg + sunitinib 25 mg CDD); n=number of participants in the indicated cycle.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDArea Under the Curve From Time Zero to Day 22 [AUC504] of FigitumumabCycle 1 (n=8)33800 mg*hr/mLGeometric Coefficient of Variation 18
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDArea Under the Curve From Time Zero to Day 22 [AUC504] of FigitumumabCycle 4 (n=4)46960 mg*hr/mLGeometric Coefficient of Variation 6
Secondary

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Figitumumab

AUClast is the area under the plasma concentration time-curve from zero to the last measured concentration.

Time frame: 0.5 hour predose and 1 hour post-infusion on Days 1, 2, 4, 8, 15, and 22 of Cycles 1 and 4

Population: PK Analysis Set: Participants who received all scheduled doses of both drugs and completed all required PK assessments in the dose expansion cohort (figitumumab 10 mg/kg + sunitinib 25 mg CDD); n=number of participants in the indicated cycle.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of FigitumumabCycle 1 (n=8)27320 milligram*hour/milliliter (mg*hr/mL)Geometric Coefficient of Variation 20
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of FigitumumabCycle 4 (n=4)37850 milligram*hour/milliliter (mg*hr/mL)Geometric Coefficient of Variation 4
Secondary

Maximum Observed Plasma Concentration (Cmax) of Sunitinib

Time frame: 0.5 hour predose and 2, 4, 6, 8, 12, and 24 hours postdose on Day 15 of Cycle 1

Population: PK Analysis Set: Participants who received all scheduled doses of both drugs and completed all required PK assessments in the dose expansion cohort (figitumumab 10 mg/kg + sunitinib 25 mg CDD).

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDMaximum Observed Plasma Concentration (Cmax) of Sunitinib39.19 nanogram/milliliter (ng/mL)Geometric Coefficient of Variation 38
Secondary

Number of Participants With Anti-Drug Antibodies (ADA)

Assays for ADA assessment specific for figitumumab would have provided information regarding an immune response to the compound.

Time frame: 0.5 hour pre-infusion on Day 1 in Cycles 1 and 2, at end of treatment, and during the last scheduled follow-up visit (5 months from the last dose of study drug)

Population: ADA Analysis Set: Participants who started treatment with study medication and provided at least 1 on-study ADA sample. Due to early termination of the study, ADA samples were not assayed.

Secondary

Number of Participants With Objective Response (OR)

Objective response (OR) was based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST. CR was the complete disappearance of all target and non-target disease, no new lesions, or the normalization of markers (if markers were being followed). PR was greater than or equal to 30% decrease under baseline of the sum of longest diameters of all target measurable lesions, no unequivocal progression of non-target disease, no new lesions, or no reappearance of lesions after a CR. Confirmed responses are those that persist on repeat imaging study ≥4 weeks after initial documentation of response.

Time frame: Baseline, Day 15 of every 2 cycles until disease progression up to follow-up (approximately 28 days following the last dose of study drug)

Population: Safety Analysis Set: All enrolled participants who received at least 1 dose of study medication.

ArmMeasureGroupValue (NUMBER)
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDNumber of Participants With Objective Response (OR)Complete Response (CR)0 participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDNumber of Participants With Objective Response (OR)Partial Response (PR)1 participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDNumber of Participants With Objective Response (OR)Partial Response (PR)0 participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDNumber of Participants With Objective Response (OR)Complete Response (CR)0 participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDNumber of Participants With Objective Response (OR)Complete Response (CR)0 participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDNumber of Participants With Objective Response (OR)Partial Response (PR)1 participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Number of Participants With Objective Response (OR)Complete Response (CR)0 participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Number of Participants With Objective Response (OR)Partial Response (PR)0 participants
Secondary

Percentage of Participants With Blood Chemistry Laboratory Test Abnormality

Percentage of participants with blood chemistry laboratory abnormalities of CTC severity grades 1, 2, 3, or 4 (grade 1=mild; grade 2=moderate; grade 3=severe; grade 4=life-threatening or disabling).

Time frame: Baseline, Day 1 of every cycle, Days 8 and 15 of Cycle 1, up to end of treatment (28 days post last dose)

Population: Safety Analysis Set: All enrolled participants who received at least 1 dose of study medication; n=number of participants evaluable for this outcome measure, respectively.

ArmMeasureGroupValue (NUMBER)
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityAlanine Aminotransferase (n=19, 7, 12 ,6)57.9 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypocalcemia (n=19, 7, 12, 6)47.4 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypoalbuminemia (n=19, 7, 12, 6)42.1 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityCreatinine (n=19, 7, 12, 6)26.3 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypernatremia (n=19, 7, 12, 6)5.3 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityBicarbonate (n=19, 7, 12, 6)26.3 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypomagnesemia (n=17, 7, 12, 6)23.5 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypercalcemia (n=19, 7, 12, 6)0.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypermagnesemia (n=17, 7, 12, 6)5.9 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypophosphatemia (n=17, 7, 11, 6)23.5 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityAlkaline Phosphatase (n=19, 7, 12, 6)52.6 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHyperglycemia (n=19, 7, 12, 6)78.9 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHyponatremia (n=19, 7, 12, 6)57.9 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityAspartate Aminotransferase (n=19, 7, 12, 6)63.2 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypokalemia (n=19, 7, 12, 6)15.8 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHyperkalemia (n=19, 7, 12, 6)5.3 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityTotal Bilirubin (n=19, 7, 12, 6)21.1 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHyperkalemia (n=19, 7, 12, 6)14.3 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypocalcemia (n=19, 7, 12, 6)57.1 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypermagnesemia (n=17, 7, 12, 6)0.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypophosphatemia (n=17, 7, 11, 6)57.1 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypernatremia (n=19, 7, 12, 6)0.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypoalbuminemia (n=19, 7, 12, 6)42.9 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHyponatremia (n=19, 7, 12, 6)42.9 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityBicarbonate (n=19, 7, 12, 6)71.4 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityTotal Bilirubin (n=19, 7, 12, 6)71.4 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityAlkaline Phosphatase (n=19, 7, 12, 6)57.1 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypomagnesemia (n=17, 7, 12, 6)71.4 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityCreatinine (n=19, 7, 12, 6)57.1 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityAlanine Aminotransferase (n=19, 7, 12 ,6)57.1 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypercalcemia (n=19, 7, 12, 6)14.3 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypokalemia (n=19, 7, 12, 6)28.6 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHyperglycemia (n=19, 7, 12, 6)100.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityAspartate Aminotransferase (n=19, 7, 12, 6)71.4 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypernatremia (n=19, 7, 12, 6)0.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityAlanine Aminotransferase (n=19, 7, 12 ,6)33.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityAlkaline Phosphatase (n=19, 7, 12, 6)58.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityAspartate Aminotransferase (n=19, 7, 12, 6)66.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityBicarbonate (n=19, 7, 12, 6)16.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityTotal Bilirubin (n=19, 7, 12, 6)25.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityCreatinine (n=19, 7, 12, 6)41.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypercalcemia (n=19, 7, 12, 6)16.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHyperglycemia (n=19, 7, 12, 6)75.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHyperkalemia (n=19, 7, 12, 6)16.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypermagnesemia (n=17, 7, 12, 6)8.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypoalbuminemia (n=19, 7, 12, 6)33.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypocalcemia (n=19, 7, 12, 6)33.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypokalemia (n=19, 7, 12, 6)8.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypomagnesemia (n=17, 7, 12, 6)25.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHyponatremia (n=19, 7, 12, 6)50.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypophosphatemia (n=17, 7, 11, 6)18.2 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypocalcemia (n=19, 7, 12, 6)50.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityHyperglycemia (n=19, 7, 12, 6)83.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypercalcemia (n=19, 7, 12, 6)0.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityAlkaline Phosphatase (n=19, 7, 12, 6)66.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypokalemia (n=19, 7, 12, 6)16.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityCreatinine (n=19, 7, 12, 6)50.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityTotal Bilirubin (n=19, 7, 12, 6)0.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityAlanine Aminotransferase (n=19, 7, 12 ,6)0.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypomagnesemia (n=17, 7, 12, 6)33.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityBicarbonate (n=19, 7, 12, 6)33.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityAspartate Aminotransferase (n=19, 7, 12, 6)16.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypernatremia (n=19, 7, 12, 6)16.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypophosphatemia (n=17, 7, 11, 6)0.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypoalbuminemia (n=19, 7, 12, 6)83.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityHypermagnesemia (n=17, 7, 12, 6)16.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityHyperkalemia (n=19, 7, 12, 6)33.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Blood Chemistry Laboratory Test AbnormalityHyponatremia (n=19, 7, 12, 6)66.7 percentage of participants
Secondary

Percentage of Participants With Hematologic Laboratory Test Abnormality

Percentage of participants with hematologic laboratory abnormalities of CTC severity grades 1, 2, 3, or 4 (grade 1=mild; grade 2=moderate; grade 3=severe; grade 4=life-threatening or disabling).

Time frame: Baseline, Day 1 of every cycle, Days 8 and 15 of Cycle 1, up to end of treatment (28 days post last dose)

Population: Safety Analysis Set: All enrolled participants who received at least 1 dose of study medication.

ArmMeasureGroupValue (NUMBER)
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityPlatelets80.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityLymphocytes (Absolute)85.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityWhite Blood Cells65.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityNeutrophils (Absolute)40.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityHemoglobin70.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityNeutrophils (Absolute)71.4 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityPlatelets100.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityWhite Blood Cells71.4 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityLymphocytes (Absolute)85.7 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityHemoglobin85.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityNeutrophils (Absolute)16.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityHemoglobin75.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityLymphocytes (Absolute)91.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityPlatelets58.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Hematologic Laboratory Test AbnormalityWhite Blood Cells41.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Hematologic Laboratory Test AbnormalityPlatelets50.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Hematologic Laboratory Test AbnormalityLymphocytes (Absolute)33.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Hematologic Laboratory Test AbnormalityHemoglobin83.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Hematologic Laboratory Test AbnormalityNeutrophils (Absolute)16.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Hematologic Laboratory Test AbnormalityWhite Blood Cells33.3 percentage of participants
Secondary

Percentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent AEs are events occurred between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. If the same participant in a given treatment had more than one occurrence in the same preferred term event category, only the worst CTCAE grade was reported. Severity grades were 0 (no change from normal or reference range), 1 (mild), 2 (moderate), 3 (severe), 4 (life-threatening or disabling), and 5 (death).

Time frame: Baseline, Day 1 of every cycle, Days 8 and 15 of Cycle 1, up to end of treatment (28 days post last dose)

Population: Safety Analysis Set: All enrolled participants who received at least 1 dose of study medication.

ArmMeasureGroupValue (NUMBER)
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 10.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 220.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 340.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 410.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 530.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Total100.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Total100.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 414.3 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 10.0 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 342.9 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 228.6 percentage of participants
Figitumumab 10 mg/kg + Sunitinib 37.5 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 514.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 28.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 350.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 48.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Total100.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 516.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg CDDPercentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 116.7 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 583.3 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Total100.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 20.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 40.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 10.0 percentage of participants
Figitumumab 20 mg/kg + Sunitinib 25 mg Schedule 2/1Percentage of Participants With Treatment-Emergent Adverse Events, by National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events Grade Version 3.0Any AEs, Grade 316.7 percentage of participants
Secondary

Plasma Concentration at 24 Hours Postdose (C24) of Sunitinib

Time frame: 24 hours postdose on Day 15 of Cycle 1

Population: PK Analysis Set: Participants who received all scheduled doses of both drugs and completed all required PK assessments in the dose expansion cohort (figitumumab 10 mg/kg + sunitinib 25 mg CDD).

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPlasma Concentration at 24 Hours Postdose (C24) of Sunitinib28.87 ng/mLGeometric Coefficient of Variation 53
Secondary

Plasma Concentration at the End of Infusion (Cendinf) of Figitumumab

Time frame: 0.5 hour predose and 1 hour post-infusion on Day 1 of Cycles 1 and 4

Population: Pharmacokinetic (PK) Analysis Set: Participants who received all scheduled doses of both drugs and completed all required PK assessments in the dose expansion cohort (figitumumab 10 mg/kg + sunitinib 25 mg CDD); n=number of participants in the indicated cycle.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPlasma Concentration at the End of Infusion (Cendinf) of FigitumumabCycle 1 (n=11)203.1 milligram/liter (mg/L)Geometric Coefficient of Variation 27
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPlasma Concentration at the End of Infusion (Cendinf) of FigitumumabCycle 4 (n=4)256.3 milligram/liter (mg/L)Geometric Coefficient of Variation 28
Secondary

Plasma Decay Half-Life (t1/2) of Figitumumab

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

Time frame: 0.5 hour predose and 1 hour post-infusion on Days 1, 2, 4, 8, and 15 of Cycles 1 and 4

Population: PK Analysis Set: Participants who received all scheduled doses of both drugs and completed all required PK assessments in the dose expansion cohort (figitumumab 10 mg/kg + sunitinib 25 mg CDD); n=number of participants in the indicated cycle.

ArmMeasureGroupValue (MEAN)Dispersion
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPlasma Decay Half-Life (t1/2) of FigitumumabCycle 1 (n=8)245.0 hoursStandard Deviation 55
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDPlasma Decay Half-Life (t1/2) of FigitumumabCycle 4 (n=4)268.0 hoursStandard Deviation 75.6
Secondary

Time to Reach Maximum Observed Plasma Concentration (Tmax) of Sunitinib

Time frame: 0.5 hour predose and 2, 4, 6, 8, 12, and 24 hours postdose on Day 15 of Cycle 1

Population: PK Analysis Set: Participants who received all scheduled doses of both drugs and completed all required PK assessments in the dose expansion cohort (figitumumab 10 mg/kg + sunitinib 25 mg CDD).

ArmMeasureValue (MEDIAN)
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDTime to Reach Maximum Observed Plasma Concentration (Tmax) of Sunitinib4.07 hours
Secondary

Trough Plasma Concentration (Ctrough) of Sunitinib

Time frame: 0.5 hour predose on Day 1 of Cycle 2

Population: PK Analysis Set: Participants who received all scheduled doses of both drugs and completed all required PK assessments in the dose expansion cohort (figitumumab 10 mg/kg + sunitinib 25 mg CDD).

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Figitumumab 10 mg/kg + Sunitinib 25 mg CDDTrough Plasma Concentration (Ctrough) of Sunitinib28.27 ng/mLGeometric Coefficient of Variation 47

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026