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A Study of Carboplatin and Paclitaxel With or Without MEDI-575 in Untreated, Advanced Non-Small Cell Lung Cancer

A Phase 1b/2 Randomized Study of MEDI-575 in Combination With Carboplatin Plus Paclitaxel Versus Carboplatin Plus Paclitaxel Alone in Adult Subjects With Previously Untreated, Advanced Non-Small Cell Lung Cancer

Status
Terminated
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01268059
Enrollment
99
Registered
2010-12-29
Start date
2010-12-16
Completion date
2013-09-11
Last updated
2020-12-23

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

Conditions

Non-small Cell Lung Cancer

Keywords

Non-small cell lung cancer, NSCLC, MEDI-575, Platelet-derived growth factor receptor alpha

Brief summary

The purpose of this study is to evaluate the dose, antitumor activity, safety and pharmacology of MEDI-575 in combination with carboplatin/paclitaxel in subjects with previously untreated, advanced non-small cell lung cancer (NSCLC).

Detailed description

This is a Phase 1b/2, multicenter, open-label study of MEDI-575 to evaluate the dose, anti-tumor activity, safety, and pharmacology (pharmacokinetics, immunogenicity, and biomarkers) of MEDI-575 in combination with carboplatin/paclitaxel in subjects with previously untreated, advanced non-small cell lung cancer. This study has two phases: dose determination (Phase 1b) and randomization (Phase 2).

Interventions

DRUGCarboplatin

Carboplatin (carboplatin area under the plasma concentration-time curve \[AUC\] of 6 milligram per milliliter into minute \[mg/mL\*min\] administered as an intravenous (IV) infusion once every 21 days on Day 1, for a total of 6 doses (cycles) until unacceptable toxicity, disease progression, or other reasons for participant withdrawal.

DRUGPaclitaxel

Paclitaxel 200 milligram per square meter (mg/m\^2) administered as an intravenous (IV) infusion once every 21 days on Day 1, for a total of 6 doses (cycles) until unacceptable toxicity, disease progression, or other reasons for participant withdrawal.

MEDI-575 at a dose of 25 milligram per kilogram (mg/kg) administered as an IV infusion once every 21 days on Day 1 for a total of 6 cycles until unacceptable toxicity, disease progression, initiation of alternative anticancer therapy, or other reasons for participant withdrawal. MEDI-575 alone continued in those participants who achieved stable disease or better at the completion of carboplatin/paclitaxel therapy and did not demonstrate toxicity to MEDI-575.

Sponsors

MedImmune LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

* Histologically confirmed inoperable Stage IIIB or Stage IV non-small cell lung cancer according to the Seventh Edition of the American Joint Committee on Cancer (AJCC) Tumor Node Metastases (TNM) staging system (only participants with squamous cell carcinoma will be enrolled) * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * Life expectancy of greater than or equal to (\>=) 3 months * Prothrombin time elevation less than or equal to (\<=) Grade 2 by National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI CTCAE) criteria (Version 4.0) is acceptable for participants on anticoagulant therapy * Adequate hematologic function * Adequate organ function * Suitable candidates for therapy with carboplatin/paclitaxel * Participants must have at least 1 lesion that is measurable using Response Evaluation Criteria for Solid Tumors * Participants must be willing to consent to allow collection of archived NSCLC tumor samples * Negative serum beta-human chorionic gonadotropin (beta-hCG) test (women of childbearing potential only) * Females of childbearing potential, unless surgically sterile has a sterile male partner, is premenarchal or at least 2 years postmenopausal, or practices abstinence, must use 2 effective methods of avoiding pregnancy (including oral, transdermal, or implanted contraceptives, intrauterine device, female condom with spermicide, diaphragm with spermicide, cervical cap, or use of a condom with spermicide by the sexual partner) from screening, and must agree to continue using such precautions for 90 days after the final dose of treatment; cessation of birth control after this point should be discussed with a responsible physician * Males, unless surgically sterile, must use 2 effective methods of birth control with a female partner and must agree to continue using such contraceptive precautions from screening through 90 days after the final dose of treatment

Exclusion criteria

* At discretion of the investigator regarding safety of the participants * Concurrent enrollment in another clinical study * Any concurrent chemotherapy, radiotherapy, immunotherapy, biologic, or hormonal therapy for treatment of cancer * Previous monoclonal antibody (mAb) treatment specifically directed against platelet-derived growth factor (PDGF) or PDGF receptors * History of serious allergy or reaction to any component of the MEDI-575 formulation * Receipt of any previous systemic anticancer therapies for advanced or metastatic disease * Previous adjuvant/neoadjuvant radiotherapy or chemotherapy for treatment of previous nonmetastatic disease is allowed provided that 6 months have elapsed from the end of such therapies to the time of enrollment * New York Heart Association \>= Class II congestive heart failure * History of myocardial infarction, unstable angina, transient ischemic attack or stroke within the previous 6 months prior to enrollment * History of other invasive malignancy within 5 years except for cervical carcinoma in situ (CIS), non-melanomatous carcinoma of the skin or ductal carcinoma in situ (DCIS) of the breast that have been surgically cured * Evidence of active infection requiring the use of systemic antimicrobial treatment within 72 hours prior to initial treatment with MEDI-575 * Use of immunosuppressive medication (inhaled and topical corticosteroids are permitted) within 7 days prior to enrollment * Systemic immunosuppressive steroid therapy * Participants may take replacement doses of steroids if on a stable dose for at least 2 weeks prior to enrollment * History of active human immunodeficiency virus (HIV) or active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection * Pregnancy or lactation * Previous medical history or evidence of an inter-current illness * Any physical, social, or psychiatric condition which would prevent effective cooperation or participation in the study

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Dose Limiting Toxicities (DLT): Phase 1bFrom Day 1 to Day 21 of first cycleA DLT was defined as: 1. Any treatment-related Grade 3 or higher non-hematologic toxicity that occurred during the DLT assessment period with the following exceptions: 1. Grade 3 fever (in the absence of neutropenia) defined as more than (\>) 40.0 degree Celcius (\> 104.0 degree Fahrenheit) that resolved to normal or baseline within 24 hours of treatment and was not considered a serious adverse event (SAE); or 2. Grade 3 rigors/chills that responded to optimal therapy. 2. Any treatment-related Grade 3 or higher hematologic toxicity.
Progression Free-Survival (PFS)From randomization until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)Progression-free survival defined as the time from randomization (randomization referred to the date of treatment assignment) to disease progression (defined according to Response Evaluation Criteria for Solid Tumors \[RECIST\] version 1.1 guidelines) or death due to any cause, whichever occurs first. Participants without progression or death at the time of analysis were censored at their last date of tumor evaluation. PFS was assessed only in North America/European Union (EU) participants. Progression-free survival was evaluated using Kaplan-Meier method.

Secondary

MeasureTime frameDescription
Time to Response (TTR)From initiation of treatment until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)The TTR was measured from initiation of study treatment to the first documentation of objective response (OR). The OR defined as the participants with confirmed CR or confirmed PR according to RECIST version 1.1 guidelines. Confirmed responses were those that persist on repeat imaging or assessment \>=4 weeks after the initial documentation of response. The TTR was evaluated using Kaplan-Meier method.
Duration of Response (DR)From initiation of treatment until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)The DR defined as the duration from the first documentation of OR to the first documented disease progression. Participants without progression at the time of analysis were censored at their last date of tumor evaluation. The DR was evaluated using Kaplan-Meier method.
Time to Progression (TTP)From initiation of treatment until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)The TTP was measured from randomization until the documentation of disease progression. Disease progression defined according to RECIST version 1.1 guidelines. Participants without progression at the time of analysis were censored at their last date of tumor evaluation. The TTP was evaluated using Kaplan-Meier method.
Overall Survival (OS)From initiation of treatment until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)Overall survival defined as the time from initiation of study treatment until death due to any cause. Participants who were still alive at the time of analysis were censored at their last date of last contact. The OS was evaluated using Kaplan-Meier method.
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)From signing of informed consent form until 90 days post the last dose treatment (approximately 3 years)An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.
Number of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsFrom signing of informed consent form until 90 days post the last dose treatment (approximately 3 years)Laboratory investigations included hematology, coagulation, serum chemistry and urinalysis parameters. Participants with abnormalities in these laboratory investigations recorded as AEs or SAEs were reported.
Number of Participants With Electrocardiogram (ECG) Abnormalities Reported as AEsFrom signing of informed consent form until 90 days post the last dose treatment (approximately 3 years)The 12-lead ECG data were performed and obtained in triplicate that is 3 ECGs obtained within a 5 minute time period. Number of participants with ECG abnormalities were reported and recorded as AEs.
Maximum Observed Serum Concentration (Cmax) of MEDI-575 After First DoseDay 1 (pre-infusion and end of infusion), Day 2 (24 hours post Day 1 infusion), Day 8, and Day 15The Cmax of MEDI-575 after first dose is reported.
Best Overall ResponseFrom initiation of treatment until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)Best overall response of a participant was defined as the best tumor response \[Complete Response (CR), Partial Response (PR), Stable Disease (SD), or Progressive Disease (PD)\] observed during the trial period assessed according to the Response Evaluation Criteria for Solid Tumors (RECIST) version 1.1 criteria. The participant's best overall response assignment depended on the findings of both target and non-target disease and also on the appearance of new lesions. CR was defined as disappearance of tumor lesions, PR was defined as a decrease of at least 30 percent (%) in the sum of diameters of target lesion, SD was defined as steady state of disease, and PD was defined as an increase of at least 20% in the sum of diameters of target lesions.
Area Under the Concentration-Time Curve Over the Dosing Interval (AUCtau) of MEDI-575 After First DoseDay 1 (pre-infusion and end of infusion), Day 2 (24 hours post Day 1 infusion), Day 8, and Day 15The AUCtau defined as area under the plasma concentration time profile from time zero to the end of the dosing interval (tau). The AUCtau of MEDI-575 after first dose is reported.
Maximum Serum Concentration at Steady State (Cmax,ss) of MEDI-575Cycle 1 (pre-infusion and end of infusion on Day 1, Day 2, Day 8, and Day 15); Day 1 of Cycles 2 to 4 (pre-infusion and end of infusion)The Cmax,ss of MEDI-575 is reported.
Time to Maximum Serum Concentration at Steady State (Tmax,ss) of MEDI-575Cycle 1 (pre-infusion and end of infusion on Day 1, Day 2, Day 8, and Day 15); Day 1 of Cycles 2 to 4 (pre-infusion and end of infusion)The Tmax,ss of MEDI-575 is reported.
Trough Serum Concentration at Steady State (Ctrough,ss) of MEDI-575Cycle 1 (pre-infusion and end of infusion on Day 1, Day 2, Day 8, and Day 15); Day 1 of Cycles 2 to 4 (pre-infusion and end of infusion)The Ctrough,ss of MEDI-575 is reported.
Percentage of Participants With Positive Anti-MEDI-575 AntibodiesDay 1 (prior to infusion) of Cycles 1 to 7 (21-day cycle), end of treatment, 30 and 60 days after the last dose (approximately 3 years)Immunogenicity assessment included determination of anti-drug (MEDI-575) antibodies in serum samples.
Number of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesBaseline (Screening [Days -28 to -1])The immunohistochemical expression of PDGFRα in tumor cells in archived formalin-fixed paraffin-embedded tissue samples collected at baseline are reported. The transmembrane receptor tyrosine kinase PDGFRα plays an important role in human carcinogenesis, both as a direct target on tumor cells and also as a mediator of stromal support for cancer cell growth. The data of positive-staining tumor cells are reported in 3 categories: intensity (1+ \[weak expression, staining in \<5 % of tumor cells\]; 2+ \[moderate expression, staining in \>= 5 % of tumor cells\]; and 3+ \[strong expression, staining in \>5 % of the tumor cells\]), localization (membranous, cytoplasmic, or nuclear), and frequency (rare, occasional, or frequent).
Number of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesBaseline (Screening [Days -28 to -1])The immunohistochemical expression of PDGFRα in stromal cells in archived formalin-fixed paraffin-embedded tissue samples collected at baseline are reported. The transmembrane receptor tyrosine kinase PDGFRα plays an important role in human carcinogenesis, both as a direct target on tumor cells and also as a mediator of stromal support for cancer cell growth. The data of positive-staining stromal cells are reported in 3 categories: intensity (1+ \[weak expression, staining in \<5 % of tumor cells\]; 2+ \[moderate expression, staining in \>= 5 % of tumor cells\]; and 3+ \[strong expression, staining in \>5 % of the tumor cells\]), localization (membranous, cytoplasmic, or nuclear), and frequency (rare, occasional, or frequent).
Time of Maximal Observed Concentration (Tmax) of MEDI-575 After First DoseDay 1 (pre-infusion and end of infusion), Day 2 (24 hours post Day 1 infusion), Day 8, and Day 15The tmax refers to the time after dosing when a drug attains its highest measurable concentration (Cmax). The Tmax of MEDI-575 after first dose is reported.
Objective Response Rate (ORR)From initiation of treatment until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)The ORR defined as the percentage of participants with confirmed CR or confirmed PR according to RECIST version 1.1 guidelines. Confirmed responses were those that persist on repeat imaging or assessment greater than or equal to (\>=) 4 weeks after the initial documentation of response. The ORR was evaluated using Kaplan-Meier method.

Countries

Canada, France, Germany, Hungary, Japan, Poland, United States

Participant flow

Pre-assignment details

Overall, 99 participants were enrolled in the study, (4 participants, all from North America sites, were enrolled in the Phase 1b part of the study and 95 participants in Phase 2 part of the study). Of 95 participants, 14 were enrolled from Japan sites, and 81 were from North American and European Union (EU) sites.

Participants by arm

ArmCount
Carboplatin/Paclitaxel (C/P): North America/EU Population
Carboplatin/paclitaxel regimen (carboplatin area under the plasma concentration-time curve \[AUC\] of 6 milligram per milliliter into minute \[mg/mL\*min\], and paclitaxel 200 milligram per square meter \[mg/m\^2\]) administered as an intravenous (IV) infusion once every 21 days on Day 1, for a total of 6 doses (cycles) or until unacceptable toxicity, disease progression, or other reasons for participant withdrawal.
40
C/P + MEDI-575 (C/P/M): North America/EU Population
Carboplatin/paclitaxel regimen (carboplatin AUC = 6 mg/mL\*min, and paclitaxel 200 mg/m\^2) followed by MEDI-575 at a dose of 25 milligram per kilogram (mg/kg) administered as an IV infusion once every 21 days on Day 1 for a total of 6 cycles. Participants who achieved stable disease or better at the completion of carboplatin/paclitaxel therapy and did not demonstrate toxicity to MEDI-575, MEDI-575 alone was continued until unacceptable toxicity, disease progression, initiation of alternative anticancer therapy, or other reasons for participant withdrawal.
45
Carboplatin/Paclitaxel (C/P): Japan Population
Carboplatin/paclitaxel regimen (carboplatin AUC = 6 mg/mL\*min, and paclitaxel 200 mg/m\^2) administered as an IV infusion once every 21 days on Day 1, for a total of 6 doses (cycles) or until unacceptable toxicity, disease progression, or other reasons for participant withdrawal.
6
C/P + MEDI-575 (C/P/M): Japan Population
Carboplatin/paclitaxel regimen (carboplatin AUC = 6 mg/mL\*min, and paclitaxel 200 mg/m\^2) followed by MEDI-575 at a dose of 25 milligram per kilogram (mg/kg) administered as an IV infusion once every 21 days on Day 1 for a total of 6 cycles. Participants who achieved stable disease or better at the completion of carboplatin/paclitaxel therapy and did not demonstrate toxicity to MEDI-575, MEDI-575 alone was continued until unacceptable toxicity, disease progression, initiation of alternative anticancer therapy, or other reasons for participant withdrawal.
8
Total99

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyDeath203035
Overall StudyLost to Follow-up0100
Overall StudyProgression of disease1000
Overall StudyWithdrawal by Subject7400

Baseline characteristics

CharacteristicTotalCarboplatin/Paclitaxel (C/P): North America/EU PopulationC/P + MEDI-575 (C/P/M): North America/EU PopulationCarboplatin/Paclitaxel (C/P): Japan PopulationC/P + MEDI-575 (C/P/M): Japan Population
Age, Customized
greater than (>) 70 years
20 Participants5 Participants13 Participants0 Participants2 Participants
Age, Customized
less than or equal to (<=) 70 years
79 Participants35 Participants
6.6
32 Participants
8.2
6 Participants
13.9
6 Participants
6
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants1 Participants2 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
96 Participants39 Participants43 Participants6 Participants8 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
15 Participants0 Participants1 Participants6 Participants8 Participants
Race (NIH/OMB)
Black or African American
8 Participants3 Participants5 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
76 Participants37 Participants39 Participants0 Participants0 Participants
Sex: Female, Male
Female
38 Participants17 Participants17 Participants2 Participants2 Participants
Sex: Female, Male
Male
61 Participants23 Participants28 Participants4 Participants6 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
35 / 5323 / 43
other
Total, other adverse events
53 / 5341 / 43
serious
Total, serious adverse events
25 / 5317 / 43

Outcome results

Primary

Number of Participants With Dose Limiting Toxicities (DLT): Phase 1b

A DLT was defined as: 1. Any treatment-related Grade 3 or higher non-hematologic toxicity that occurred during the DLT assessment period with the following exceptions: 1. Grade 3 fever (in the absence of neutropenia) defined as more than (\>) 40.0 degree Celcius (\> 104.0 degree Fahrenheit) that resolved to normal or baseline within 24 hours of treatment and was not considered a serious adverse event (SAE); or 2. Grade 3 rigors/chills that responded to optimal therapy. 2. Any treatment-related Grade 3 or higher hematologic toxicity.

Time frame: From Day 1 to Day 21 of first cycle

Population: The evaluable population for dose determination included all participants who were in Phase 1b, received at least 1 full cycle of MEDI-575 and completed the safety follow-up through the DLT evaluation period or participants who experienced any DLT.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Dose Limiting Toxicities (DLT): Phase 1b0 Participants
Primary

Progression Free-Survival (PFS)

Progression-free survival defined as the time from randomization (randomization referred to the date of treatment assignment) to disease progression (defined according to Response Evaluation Criteria for Solid Tumors \[RECIST\] version 1.1 guidelines) or death due to any cause, whichever occurs first. Participants without progression or death at the time of analysis were censored at their last date of tumor evaluation. PFS was assessed only in North America/European Union (EU) participants. Progression-free survival was evaluated using Kaplan-Meier method.

Time frame: From randomization until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)

Population: The Intent-to-Treat (ITT) North America/EU population included all North America/EU participants who were randomized into Phase 2 portion of the study. The PFS was analyzed for only those participants who had disease progression.

ArmMeasureValue (MEDIAN)
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bProgression Free-Survival (PFS)5.5 months
Carboplatin/Paclitaxel + MEDI-575 - North America/EUProgression Free-Survival (PFS)4.6 months
p-value: 0.02795% CI: [1.1, 4.5]Log Rank
Secondary

Area Under the Concentration-Time Curve Over the Dosing Interval (AUCtau) of MEDI-575 After First Dose

The AUCtau defined as area under the plasma concentration time profile from time zero to the end of the dosing interval (tau). The AUCtau of MEDI-575 after first dose is reported.

Time frame: Day 1 (pre-infusion and end of infusion), Day 2 (24 hours post Day 1 infusion), Day 8, and Day 15

Population: Participants who were treated with MEDI-575 and for whom serum concentrations were available for PK data analyses. Here Number of Participants Analyzed denotes the participants evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bArea Under the Concentration-Time Curve Over the Dosing Interval (AUCtau) of MEDI-575 After First Dose3550 microgram*day per milliliterStandard Deviation 496.1
Carboplatin/Paclitaxel + MEDI-575 - North America/EUArea Under the Concentration-Time Curve Over the Dosing Interval (AUCtau) of MEDI-575 After First Dose4803 microgram*day per milliliterStandard Deviation 1948
Secondary

Best Overall Response

Best overall response of a participant was defined as the best tumor response \[Complete Response (CR), Partial Response (PR), Stable Disease (SD), or Progressive Disease (PD)\] observed during the trial period assessed according to the Response Evaluation Criteria for Solid Tumors (RECIST) version 1.1 criteria. The participant's best overall response assignment depended on the findings of both target and non-target disease and also on the appearance of new lesions. CR was defined as disappearance of tumor lesions, PR was defined as a decrease of at least 30 percent (%) in the sum of diameters of target lesion, SD was defined as steady state of disease, and PD was defined as an increase of at least 20% in the sum of diameters of target lesions.

Time frame: From initiation of treatment until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)

Population: The ITT North America/European Union (EU) population included all North America/EU participants who were randomized into Phase 2 portion of the study. The ITT Japanese population included all Japanese participants who were randomized into the Phase 2 portion of the study.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bBest Overall ResponseUnknown7 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bBest Overall ResponsePartial response12 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bBest Overall ResponseProgressive disease1 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bBest Overall ResponseComplete response1 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bBest Overall ResponseStable disease19 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUBest Overall ResponseComplete response0 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUBest Overall ResponseStable disease12 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUBest Overall ResponseProgressive disease5 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUBest Overall ResponsePartial response19 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUBest Overall ResponseUnknown5 Participants
Carboplatin/Paclitaxel - JapanBest Overall ResponseProgressive disease1 Participants
Carboplatin/Paclitaxel - JapanBest Overall ResponseUnknown0 Participants
Carboplatin/Paclitaxel - JapanBest Overall ResponsePartial response2 Participants
Carboplatin/Paclitaxel - JapanBest Overall ResponseStable disease3 Participants
Carboplatin/Paclitaxel - JapanBest Overall ResponseComplete response0 Participants
Carboplatin/Paclitaxel + MEDI-575 - JapanBest Overall ResponseUnknown1 Participants
Carboplatin/Paclitaxel + MEDI-575 - JapanBest Overall ResponseComplete response0 Participants
Carboplatin/Paclitaxel + MEDI-575 - JapanBest Overall ResponsePartial response1 Participants
Carboplatin/Paclitaxel + MEDI-575 - JapanBest Overall ResponseProgressive disease1 Participants
Carboplatin/Paclitaxel + MEDI-575 - JapanBest Overall ResponseStable disease5 Participants
Secondary

Duration of Response (DR)

The DR defined as the duration from the first documentation of OR to the first documented disease progression. Participants without progression at the time of analysis were censored at their last date of tumor evaluation. The DR was evaluated using Kaplan-Meier method.

Time frame: From initiation of treatment until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)

Population: The ITT North America/EU population included all North America/EU participants who were randomized into Phase 2 portion of the study. The ITT Japanese population included all Japanese participants who were randomized into the Phase 2 portion of the study. Participants who achieved OR were analyzed for this outcome measure.

ArmMeasureValue (MEDIAN)
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bDuration of Response (DR)3.3 months
Carboplatin/Paclitaxel + MEDI-575 - North America/EUDuration of Response (DR)4.2 months
Carboplatin/Paclitaxel - JapanDuration of Response (DR)4.9 months
Carboplatin/Paclitaxel + MEDI-575 - JapanDuration of Response (DR)2.1 months
Secondary

Maximum Observed Serum Concentration (Cmax) of MEDI-575 After First Dose

The Cmax of MEDI-575 after first dose is reported.

Time frame: Day 1 (pre-infusion and end of infusion), Day 2 (24 hours post Day 1 infusion), Day 8, and Day 15

Population: Participants who were treated with MEDI-575 and for whom serum concentrations were available for PK data analyses. Here Number of Participants Analyzed denotes the participants evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bMaximum Observed Serum Concentration (Cmax) of MEDI-575 After First Dose589.3 microgram per milliliterStandard Deviation 175.6
Carboplatin/Paclitaxel + MEDI-575 - North America/EUMaximum Observed Serum Concentration (Cmax) of MEDI-575 After First Dose628.9 microgram per milliliterStandard Deviation 441.8
Secondary

Maximum Serum Concentration at Steady State (Cmax,ss) of MEDI-575

The Cmax,ss of MEDI-575 is reported.

Time frame: Cycle 1 (pre-infusion and end of infusion on Day 1, Day 2, Day 8, and Day 15); Day 1 of Cycles 2 to 4 (pre-infusion and end of infusion)

Population: Participants who were treated with MEDI-575 and for whom serum concentrations were available for PK data analyses. Here Number of Participants Analyzed denotes the participants who received at least 4 doses of MEDI-575 and were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bMaximum Serum Concentration at Steady State (Cmax,ss) of MEDI-5752997 microgram per milliliterStandard Deviation 2588
Carboplatin/Paclitaxel + MEDI-575 - North America/EUMaximum Serum Concentration at Steady State (Cmax,ss) of MEDI-575619.7 microgram per milliliterStandard Deviation 160.5
Secondary

Number of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEs

Laboratory investigations included hematology, coagulation, serum chemistry and urinalysis parameters. Participants with abnormalities in these laboratory investigations recorded as AEs or SAEs were reported.

Time frame: From signing of informed consent form until 90 days post the last dose treatment (approximately 3 years)

Population: The safety population included all participants who received at least one dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypomagnesaemia10 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHyponatraemia4 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypophosphataemia2 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsIron deficiency0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsVitamin B12 deficiency0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsUrine analysis abnormal0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsSpecific gravity urine increased0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHaematuria1 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsProteinuria1 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsPyelocaliectasis0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsGamma-glutamyl transferase increased0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsAnaemia15 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsFebrile neutropenia3 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsIdiopathic thrombocytopenic purpura0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsLeukopenia2 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsLymphadenopathy0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsLymphopenia2 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsNeutropenia7 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsThrombocytopenia3 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsActivated partial thromboplastin time prolonged0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHaemoglobin decreased1 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsLymphocyte count decreased0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsNeutrophil count decreased5 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsPlatelet count decreased5 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsWhite blood cell count decreased4 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsAlanine aminotransferase increased2 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsAspartate aminotransferase increased3 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsBlood alkaline phosphatase increased2 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsBlood bilirubin increased2 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsBlood creatinine increased1 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsBlood magnesium decreased0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsElectrolyte imbalance1 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypercholesterolaemia1 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHyperglycaemia5 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypertriglyceridaemia2 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypoalbuminaemia3 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypocalcaemia3 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypoglycaemia1 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypokalemia8 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsActivated partial thromboplastin time prolonged1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypomagnesaemia20 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsBlood creatinine increased3 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHyponatraemia8 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHaemoglobin decreased5 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypophosphataemia4 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypertriglyceridaemia1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsIron deficiency1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsLymphocyte count decreased1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsVitamin B12 deficiency1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsBlood magnesium decreased1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsUrine analysis abnormal1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsNeutrophil count decreased14 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsSpecific gravity urine increased1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypokalemia12 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHaematuria1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsPlatelet count decreased9 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsProteinuria1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsElectrolyte imbalance0 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsPyelocaliectasis1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsWhite blood cell count decreased10 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsGamma-glutamyl transferase increased1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypoalbuminaemia7 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsAnaemia25 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsAlanine aminotransferase increased5 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsFebrile neutropenia6 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypercholesterolaemia0 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsIdiopathic thrombocytopenic purpura1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsAspartate aminotransferase increased4 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsLeukopenia6 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypoglycaemia1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsLymphadenopathy2 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsBlood alkaline phosphatase increased2 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsLymphopenia1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHyperglycaemia7 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsNeutropenia13 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsBlood bilirubin increased0 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsThrombocytopenia10 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Abnormalities in Laboratory Investigations Reported as AEs or SAEsHypocalcaemia6 Participants
Secondary

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Time frame: From signing of informed consent form until 90 days post the last dose treatment (approximately 3 years)

Population: The safety population included all participants who received at least one dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Any AE42 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Any SAE17 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Any AE53 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Any SAE25 Participants
Secondary

Number of Participants With Electrocardiogram (ECG) Abnormalities Reported as AEs

The 12-lead ECG data were performed and obtained in triplicate that is 3 ECGs obtained within a 5 minute time period. Number of participants with ECG abnormalities were reported and recorded as AEs.

Time frame: From signing of informed consent form until 90 days post the last dose treatment (approximately 3 years)

Population: The safety population included all participants who received at least one dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Electrocardiogram (ECG) Abnormalities Reported as AEsTachycardia2 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Electrocardiogram (ECG) Abnormalities Reported as AEsAtrial fibrillation0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Electrocardiogram (ECG) Abnormalities Reported as AEsAtrial flutter0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Electrocardiogram (ECG) Abnormalities Reported as AEsAtrioventricular block first degree0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Electrocardiogram (ECG) Abnormalities Reported as AEsMyocardial infarction1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Electrocardiogram (ECG) Abnormalities Reported as AEsMyocardial infarction0 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Electrocardiogram (ECG) Abnormalities Reported as AEsAtrioventricular block first degree1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Electrocardiogram (ECG) Abnormalities Reported as AEsAtrial fibrillation1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Electrocardiogram (ECG) Abnormalities Reported as AEsTachycardia3 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Electrocardiogram (ECG) Abnormalities Reported as AEsAtrial flutter1 Participants
Secondary

Number of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor Samples

The immunohistochemical expression of PDGFRα in stromal cells in archived formalin-fixed paraffin-embedded tissue samples collected at baseline are reported. The transmembrane receptor tyrosine kinase PDGFRα plays an important role in human carcinogenesis, both as a direct target on tumor cells and also as a mediator of stromal support for cancer cell growth. The data of positive-staining stromal cells are reported in 3 categories: intensity (1+ \[weak expression, staining in \<5 % of tumor cells\]; 2+ \[moderate expression, staining in \>= 5 % of tumor cells\]; and 3+ \[strong expression, staining in \>5 % of the tumor cells\]), localization (membranous, cytoplasmic, or nuclear), and frequency (rare, occasional, or frequent).

Time frame: Baseline (Screening [Days -28 to -1])

Population: Evaluable populations for PDGFRα expression included all randomized participants who had formalin-fixed paraffin-embedded samples available at baseline and had positive-staining for tumor cells.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesLocalization: cytoplasmic3 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesFrequency: frequent2 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesLocalization: nuclear0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesLocalization: membranous0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesIntensity: 1+2 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesFrequency: occasional1 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesIntensity: 3+0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesIntensity: 2+1 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesFrequency: rare0 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesLocalization: membranous1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesIntensity: 1+3 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesIntensity: 2+10 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesIntensity: 3+3 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesLocalization: cytoplasmic15 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesLocalization: nuclear0 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesFrequency: rare3 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesFrequency: occasional4 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesFrequency: frequent9 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesIntensity: 3+2 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesIntensity: 1+3 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesFrequency: rare1 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesIntensity: 2+5 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesFrequency: frequent6 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesLocalization: membranous0 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesLocalization: cytoplasmic10 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesFrequency: occasional3 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With PDGFRα Expression in Stromal Cells of Archived Tumor SamplesLocalization: nuclear0 Participants
Secondary

Number of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor Samples

The immunohistochemical expression of PDGFRα in tumor cells in archived formalin-fixed paraffin-embedded tissue samples collected at baseline are reported. The transmembrane receptor tyrosine kinase PDGFRα plays an important role in human carcinogenesis, both as a direct target on tumor cells and also as a mediator of stromal support for cancer cell growth. The data of positive-staining tumor cells are reported in 3 categories: intensity (1+ \[weak expression, staining in \<5 % of tumor cells\]; 2+ \[moderate expression, staining in \>= 5 % of tumor cells\]; and 3+ \[strong expression, staining in \>5 % of the tumor cells\]), localization (membranous, cytoplasmic, or nuclear), and frequency (rare, occasional, or frequent).

Time frame: Baseline (Screening [Days -28 to -1])

Population: Evaluable populations for PDGFRα expression included all randomized participants who had formalin-fixed paraffin-embedded samples available at baseline and had positive-staining for tumor cells.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesLocalization: cytoplasmic0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesFrequency: frequent0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesLocalization: nuclear1 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesLocalization: membranous0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesIntensity: 1+1 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesFrequency: occasional0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesIntensity: 3+0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesIntensity: 2+0 Participants
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesFrequency: rare1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesLocalization: membranous2 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesIntensity: 1+2 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesIntensity: 2+2 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesIntensity: 3+1 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesLocalization: cytoplasmic3 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesLocalization: nuclear0 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesFrequency: rare3 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesFrequency: occasional0 Participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesFrequency: frequent2 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesIntensity: 3+0 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesIntensity: 1+3 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesFrequency: rare1 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesIntensity: 2+0 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesFrequency: frequent1 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesLocalization: membranous0 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesLocalization: cytoplasmic2 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesFrequency: occasional1 Participants
Carboplatin/Paclitaxel - JapanNumber of Participants With Platelet-derived Growth Factor Receptor Alpha (PDGFRα) Expression in Tumor Cells of Archived Tumor SamplesLocalization: nuclear1 Participants
Secondary

Objective Response Rate (ORR)

The ORR defined as the percentage of participants with confirmed CR or confirmed PR according to RECIST version 1.1 guidelines. Confirmed responses were those that persist on repeat imaging or assessment greater than or equal to (\>=) 4 weeks after the initial documentation of response. The ORR was evaluated using Kaplan-Meier method.

Time frame: From initiation of treatment until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)

Population: The ITT North America/EU population included all North America/EU participants who were randomized into Phase 2 portion of the study. The ITT Japanese population included all Japanese participants who were randomized into the Phase 2 portion of the study.

ArmMeasureValue (NUMBER)
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bObjective Response Rate (ORR)22.5 percentage of participants
Carboplatin/Paclitaxel + MEDI-575 - North America/EUObjective Response Rate (ORR)31.7 percentage of participants
Carboplatin/Paclitaxel - JapanObjective Response Rate (ORR)33.3 percentage of participants
Carboplatin/Paclitaxel + MEDI-575 - JapanObjective Response Rate (ORR)12.5 percentage of participants
Comparison: Treatment effect Carboplatin/Paclitaxel + MEDI-575 versus Carboplatin/Paclitaxel.p-value: 0.487Cochran-Mantel-Haenszel
Comparison: Treatment effect Carboplatin/Paclitaxel + MEDI-575 versus Carboplatin/Paclitaxel.p-value: 0.386Cochran-Mantel-Haenszel
Secondary

Overall Survival (OS)

Overall survival defined as the time from initiation of study treatment until death due to any cause. Participants who were still alive at the time of analysis were censored at their last date of last contact. The OS was evaluated using Kaplan-Meier method.

Time frame: From initiation of treatment until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)

Population: The ITT North America/EU population and the ITT Japanese population included all participants who were randomized into the Phase 2 portion of the study. The Number of Participants Analyzed denotes the number of participants evaluated for this outcome measure.

ArmMeasureValue (MEDIAN)
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bOverall Survival (OS)11.8 months
Carboplatin/Paclitaxel + MEDI-575 - North America/EUOverall Survival (OS)10.0 months
Carboplatin/Paclitaxel - JapanOverall Survival (OS)NA months
Carboplatin/Paclitaxel + MEDI-575 - JapanOverall Survival (OS)11.5 months
95% CI: [0.7, 2.4]
95% CI: [0.4, 10.8]
Secondary

Percentage of Participants With Positive Anti-MEDI-575 Antibodies

Immunogenicity assessment included determination of anti-drug (MEDI-575) antibodies in serum samples.

Time frame: Day 1 (prior to infusion) of Cycles 1 to 7 (21-day cycle), end of treatment, 30 and 60 days after the last dose (approximately 3 years)

Population: The evaluable population included all participants who were treated with MEDI-575 and for whom at least one serum sample for immunogenicity testing was available.

ArmMeasureValue (NUMBER)Dispersion
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bPercentage of Participants With Positive Anti-MEDI-575 Antibodies25.0 percentage of participants 496.1
Carboplatin/Paclitaxel + MEDI-575 - North America/EUPercentage of Participants With Positive Anti-MEDI-575 Antibodies26.5 percentage of participants 1948
Secondary

Time of Maximal Observed Concentration (Tmax) of MEDI-575 After First Dose

The tmax refers to the time after dosing when a drug attains its highest measurable concentration (Cmax). The Tmax of MEDI-575 after first dose is reported.

Time frame: Day 1 (pre-infusion and end of infusion), Day 2 (24 hours post Day 1 infusion), Day 8, and Day 15

Population: Participants who were treated with MEDI-575 and for whom serum concentrations were available for PK data analyses. Here Number of Participants Analyzed denotes the participants evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bTime of Maximal Observed Concentration (Tmax) of MEDI-575 After First Dose0.044 dayStandard Deviation 0.002
Carboplatin/Paclitaxel + MEDI-575 - North America/EUTime of Maximal Observed Concentration (Tmax) of MEDI-575 After First Dose0.046 dayStandard Deviation 0.009
Secondary

Time to Maximum Serum Concentration at Steady State (Tmax,ss) of MEDI-575

The Tmax,ss of MEDI-575 is reported.

Time frame: Cycle 1 (pre-infusion and end of infusion on Day 1, Day 2, Day 8, and Day 15); Day 1 of Cycles 2 to 4 (pre-infusion and end of infusion)

Population: Participants who were treated with MEDI-575 and for whom serum concentrations were available for PK data analyses. Here Number of Participants Analyzed denotes the participants who received at least 4 doses of MEDI-575 and were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bTime to Maximum Serum Concentration at Steady State (Tmax,ss) of MEDI-5750.042 dayStandard Deviation 0
Carboplatin/Paclitaxel + MEDI-575 - North America/EUTime to Maximum Serum Concentration at Steady State (Tmax,ss) of MEDI-5750.049 dayStandard Deviation 0.017
Secondary

Time to Progression (TTP)

The TTP was measured from randomization until the documentation of disease progression. Disease progression defined according to RECIST version 1.1 guidelines. Participants without progression at the time of analysis were censored at their last date of tumor evaluation. The TTP was evaluated using Kaplan-Meier method.

Time frame: From initiation of treatment until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)

Population: The ITT North America/EU population included all North America/EU participants who were randomized into Phase 2 portion of the study. The ITT Japanese population included all Japanese participants who were randomized into the Phase 2 portion of the study. The TTP was analyzed for only those participants who had disease progression.

ArmMeasureValue (MEDIAN)
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bTime to Progression (TTP)6.4 months
Carboplatin/Paclitaxel + MEDI-575 - North America/EUTime to Progression (TTP)4.6 months
Carboplatin/Paclitaxel - JapanTime to Progression (TTP)6.5 months
Carboplatin/Paclitaxel + MEDI-575 - JapanTime to Progression (TTP)4.6 months
95% CI: [1.2, 7.4]
95% CI: [0.3, 4.3]
Secondary

Time to Response (TTR)

The TTR was measured from initiation of study treatment to the first documentation of objective response (OR). The OR defined as the participants with confirmed CR or confirmed PR according to RECIST version 1.1 guidelines. Confirmed responses were those that persist on repeat imaging or assessment \>=4 weeks after the initial documentation of response. The TTR was evaluated using Kaplan-Meier method.

Time frame: From initiation of treatment until the end of study (14 months from last participant enrolled or sponsor stopped the study), assessed at every 6 weeks until disease progression and every 3 months until the end of the study (approximately 3 years)

Population: The ITT North America/EU population included all North America/EU participants who were randomized into Phase 2 portion of the study. The ITT Japanese population included all Japanese participants who were randomized into the Phase 2 portion of the study. Participants who achieved OR were analyzed for this outcome measure.

ArmMeasureValue (MEDIAN)
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bTime to Response (TTR)1.4 months
Carboplatin/Paclitaxel + MEDI-575 - North America/EUTime to Response (TTR)1.4 months
Carboplatin/Paclitaxel - JapanTime to Response (TTR)2.2 months
Carboplatin/Paclitaxel + MEDI-575 - JapanTime to Response (TTR)2.8 months
Secondary

Trough Serum Concentration at Steady State (Ctrough,ss) of MEDI-575

The Ctrough,ss of MEDI-575 is reported.

Time frame: Cycle 1 (pre-infusion and end of infusion on Day 1, Day 2, Day 8, and Day 15); Day 1 of Cycles 2 to 4 (pre-infusion and end of infusion)

Population: Participants who were treated with MEDI-575 and for whom serum concentrations were available for PK data analyses. Here Number of Participants Analyzed denotes the participants who received at least 4 doses of MEDI-575 and were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Carboplatin/Paclitaxel + MEDI-575 - Phase 1bTrough Serum Concentration at Steady State (Ctrough,ss) of MEDI-575375 microgram per milliliterStandard Deviation 155
Carboplatin/Paclitaxel + MEDI-575 - North America/EUTrough Serum Concentration at Steady State (Ctrough,ss) of MEDI-575168 microgram per milliliterStandard Deviation 75.6

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