Skip to content

A Study of Necitumumab Monotherapy and the QT/QTc Interval in Patient With Advanced Solid Tumors

A Study to Determine Whether Necitumumab (IMC-11F8) Monotherapy Affects the Corrected QT (QTc) Interval in Patients With Advanced Solid Tumors

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01624467
Enrollment
75
Registered
2012-06-20
Start date
2012-08-31
Completion date
2015-06-30
Last updated
2016-07-25

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

Conditions

Solid Tumors

Keywords

Advanced Solid Tumors

Brief summary

The purpose of this study is to determine whether treatment with necitumumab monotherapy affects the QT/QTc interval among participants with advanced solid tumors refractory to standard treatment or for which no standard treatment is available.

Interventions

BIOLOGICALNecitumumab

800 mg necitumumab, administered once per week IV

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Have documented advanced or metastatic malignant solid tumors (except for colorectal tumors with KRAS mutation) that have not responded to standard therapy or for which no standard therapy is available * May have measurable or non-measurable disease * Have resolution to Grade 0 or 1 by the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 4.0 (NCI-CTCAE 4.0) of all clinically significant toxic effects of prior chemotherapy, surgery, radiotherapy, or hormonal therapy * Have an Eastern Cooperative Oncology Group performance status (ECOG PS) score of 0 or 1 * Have adequate hepatic, renal and hematologic function * Have potassium, magnesium, and calcium within normal limits * Subjects, if female, are surgically sterile, postmenopausal, or compliant with a highly effective contraceptive method during and for 6 months after the treatment period. If male, participants are surgically sterile or compliant with a highly effective contraceptive regimen during and for 6 months after the treatment period * Female subjects of childbearing potential must have a negative serum pregnancy test within 7 days prior to randomization

Exclusion criteria

* Are currently enrolled in, or discontinued a clinical trial involving an anticancer investigational product, or concurrently enrolled in any other type of medical research * Had therapeutic radiotherapy within 14 days prior to the first dose of study therapy * Have received necitumumab or any other monoclonal antibody (mAb) targeting the EGFR (epidermal growth factor receptor) as the most recent prior treatment * Have documented and/or symptomatic brain or leptomeningeal metastases * Have a clinically relevant abnormality on the ECG, preventing an accurate measurement of the QT interval * Have current clinically-relevant coronary artery disease or uncontrolled congestive heart failure * Have medically uncontrolled angina pectoris, or has experienced myocardial infarction within 6 months prior to the first dose of study therapy * Have an implantable pacemaker or automatic implantable cardioverter defibrillator * Have received sotalol within 10 days prior to the first dose of study therapy * Have a history of risk factors for ventricular tachycardia or Torsades de pointes, history of fainting, unexplained loss of consciousness, or convulsions * Have a history of heart failure, congestive heart failure, myocardial infarction, cardiomyopathy, hypokalemia, hypoglycemia, or hypomagnesia * Have any evidence of conduction abnormality (eg, increased QRS complex) * Have congenital long QT syndrome * Have a prolonged QTc interval mean on pretreatment ECG * Have a heart rate \< 50 bpm or \> 100 bpm at rest * Are using a medication that is known to prolong the ECG QT interval, or have received a medication known to prolong the ECG QT interval within 14 days prior to first dose of study therapy * Have a known allergy / history of hypersensitivity reaction to any of the treatment components, including any ingredient used in the formulation of necitumumab, or a known history of severe (Grade 3-4) hypersensitivity reaction to any monoclonal antibody * Have an ongoing or active infection (requiring treatment), including active tuberculosis or known infection with the human immunodeficiency virus * If female, are pregnant or breastfeeding * Have a history of significant neurological or psychiatric disorders, including dementia, seizures, or bipolar disorder

Design outcomes

Primary

MeasureTime frameDescription
Change From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Baseline, Cycle1 Day 1, 8,15, 22, 29, and 36: Pre-infusion, End of Infusion, 1 Hour (hr), 2, 4, 24, 48, 72 hr Post InfusionThe corrected QT interval was calculated using Fridericia's correction (QTcF) from electrocardiogram (ECG) data. Each participant had triplicate QT intervals measured at each timepoint and the average was calculated for each participant at each timepoint. For each timepoint, a participant's corresponding baseline (Day -1, pretreatment) QTcF interval was subtracted from the average QTcF intervals to create the change from time-matched baseline in the QTcF interval

Secondary

MeasureTime frameDescription
PR Change From Time-Matched Baseline ≥25% and Absolute Value of PR > 200 Msec (Electrocardiographic Parameters: PR Interval)Baseline, Cycle1 Day 1, 8, 15, 22, 29, 36: Pre-infusion, End of Infusion, 1 Hour (hr), 2, 4, 24, 48, 72 hr Post Infusion
Change From Time-Matched Baseline in Heart Rate (HR) (Electrocardiographic Parameters: Heart Rate [HR])Baseline, Cycle1 Day 36: Pre-infusion, End of Infusion, 1 Hour (hr), 2, 4, 24, 48, 72 hr Post InfusionChange in HR from time-matched measures performed at baseline.
Pharmacokinetics (PK): Area Under the Concentration-Time Curve of Necitumumab From Zero to Infinity (AUC[0-∞])Cycle1 (Days 1 and 36): Pre-infusion, 50 minutes, 1.5, 2.5, 4.5, 24, 28, 72, and 168 hours
Change From Time-Matched Baseline ≥ 25% and Absolute Value of QRS >110 Msec (Electrocardiographic Parameters: QRS Interval)Baseline, Cycle1 Day 1, 8, 15, 22, 29, 36: Pre-infusion, End of Infusion, 1 Hour (hr), 2, 4, 24, 48, 72 hr Post Infusion
Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR]) (Tumor Response Rate Per Response Evaluation Criteria in Solid Tumors Version 1.1 [RECIST 1.1])Baseline to Measured Progressive Disease (up to 21 Months)ORR is confirmed best overall tumor response of CR or PR. According to RECIST v1.1,CR was defined as the disappearance of all target and non-target lesions. Percentage of participants was calculated as: (total number of participants with CR or PR from start of the treatment until disease progression or recurrence)/total number of participants treated) \* 100. PR defined as a \>30% decrease in the sum of the longest diameters (LD) of the target lesions, taking as reference the baseline sum of the LD.
Number of Participants With an Incidence of Anti-Necitumumab AntibodiesBaseline to Post Infusion 30 Day Follow-up
Pharmacokinetics: Maximum Drug Concentration (Cmax) of NecitumumabCycle 1 (Days 1 and 36); Pre-infusion, 50 minutes, 1.5, 2.5, 4.5, 24, 28, 72, and 168 hours

Countries

United States

Participant flow

Pre-assignment details

Completers are defined as the QTc complete participants who received full doses of necitumumab for ≥1 full 6-week cycle or did not complete the first cycle because of QTc prolongation, and had pretreatment and post-infusion triplicate ECGs at the times specified in all versions of the protocol.

Participants by arm

ArmCount
Necitumumab
800 mg necitumumab, administered once per week IV
75
Total75

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event7
Overall StudyLost to Follow-up1
Overall StudyPer Sponsor Requirement1
Overall StudyProgressive Disease19
Overall StudySubject Withdrew from Treatment1
Overall StudyWithdrawal by Subject2

Baseline characteristics

CharacteristicNecitumumab
Age, Continuous60.3 years
STANDARD_DEVIATION 9.92
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
72 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
Race (NIH/OMB)
Asian
1 Participants
Race (NIH/OMB)
Black or African American
7 Participants
Race (NIH/OMB)
More than one race
1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
Race (NIH/OMB)
White
63 Participants
Sex: Female, Male
Female
31 Participants
Sex: Female, Male
Male
44 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
75 / 75
serious
Total, serious adverse events
33 / 75

Outcome results

Primary

Change From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)

The corrected QT interval was calculated using Fridericia's correction (QTcF) from electrocardiogram (ECG) data. Each participant had triplicate QT intervals measured at each timepoint and the average was calculated for each participant at each timepoint. For each timepoint, a participant's corresponding baseline (Day -1, pretreatment) QTcF interval was subtracted from the average QTcF intervals to create the change from time-matched baseline in the QTcF interval

Time frame: Baseline, Cycle1 Day 1, 8,15, 22, 29, and 36: Pre-infusion, End of Infusion, 1 Hour (hr), 2, 4, 24, 48, 72 hr Post Infusion

Population: QTC evaluable population: all participants who received at least 1 dose of study drug and at least 1 post-infusion ECG.

ArmMeasureGroupValue (MEAN)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, Day 1(D1), Pre-Infusion (n=74)1.00 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D1, End of Infusion (n=75)1.72 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D1, 1 hr Post-Infusion (n=75)0.63 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1,D1, 2 hr Post-Infusion (n=75)-0.17 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1,D1, 4 hr Post-Infusion (n=75)-2.02 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1,D1, 24 hr Post-Infusion (n=73)-3.12 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1,D1, 48 hr Post-Infusion (n=73)-2.67 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1,D1, 72 hr Post-Infusion (n=72)-1.88 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D8, Pre-Infusion (n=72)5.19 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D8, End of Infusion (n=71)8.20 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1 D8, 1 hr Post-Infusion (n=70)5.34 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D8, 2 hr Post-Infusion (n=71)4.41 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D8, 4 hr Post-Infusion (n=72)3.42 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D15, Pre-Infusion (n=63)4.92 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D15, End of Infusion (n=63)6.47 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D15, 1 hr Post-Infusion (n=61)5.07 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D15, 2 hr Post-Infusion (n=62)4.04 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D15 4 hr Post-Infusion (n=62)3.04 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D22, Pre-Infusion (n=61)3.87 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D22, End of Infusion (n=59)6.89 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D22, 1 hr Post-Infusion (n=59)5.03 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D22, 2 hr Post-Infusion (n=60)2.48 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D22 4 hr Post-Infusion (n-60)1.53 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D29, Pre-Infusion (n=59)3.68 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D29, End of Infusion (n=59)6.95 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D29, 1 hr Post-Infusion (n=59)3.99 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D29, 2 hr Post-Infusion (n=59)3.25 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D29, 4 hr Post-Infusion (n=59)1.62 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D36, Pre-Infusion (n=53)4.47 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D36, End of Infusion (n=49)5.14 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D36, 1 hr Post-Infusion (n=50)3.59 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D36, 2 hr Post-Infusion (n-50)2.77 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D36, 4 hr Post-Infusion (n=49)1.15 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D36, 24 hr Post-Infusion (n=49)-0.64 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D36, 48 hr Post-Infusion (n=50)0.09 milliseconds (msec)
NecitumumabChange From Time-Matched Baseline in QT Interval Corrected for Heart Rate (QTc)Cycle 1, D36, 72 hr Post-Infusion (n=50)-0.20 milliseconds (msec)
Secondary

Change From Time-Matched Baseline ≥ 25% and Absolute Value of QRS >110 Msec (Electrocardiographic Parameters: QRS Interval)

Time frame: Baseline, Cycle1 Day 1, 8, 15, 22, 29, 36: Pre-infusion, End of Infusion, 1 Hour (hr), 2, 4, 24, 48, 72 hr Post Infusion

Population: QTC evaluable population: all participants who received at least 1 dose of study drug and at least 1 post-infusion ECG

ArmMeasureValue (NUMBER)
NecitumumabChange From Time-Matched Baseline ≥ 25% and Absolute Value of QRS >110 Msec (Electrocardiographic Parameters: QRS Interval)0 participants
Secondary

Change From Time-Matched Baseline in Heart Rate (HR) (Electrocardiographic Parameters: Heart Rate [HR])

Change in HR from time-matched measures performed at baseline.

Time frame: Baseline, Cycle1 Day 36: Pre-infusion, End of Infusion, 1 Hour (hr), 2, 4, 24, 48, 72 hr Post Infusion

Population: QTC evaluable population: all participants who received at least 1 dose of study drug and at least 1 post-infusion ECG

ArmMeasureGroupValue (MEAN)Dispersion
NecitumumabChange From Time-Matched Baseline in Heart Rate (HR) (Electrocardiographic Parameters: Heart Rate [HR])Cycle 1, D36, Pre-Infusion (n=53))0.50 Beats/minuteStandard Deviation 10.22
NecitumumabChange From Time-Matched Baseline in Heart Rate (HR) (Electrocardiographic Parameters: Heart Rate [HR])Cycle 1, D36, End of Infusion, (n=49)1.92 Beats/minuteStandard Deviation 12.44
NecitumumabChange From Time-Matched Baseline in Heart Rate (HR) (Electrocardiographic Parameters: Heart Rate [HR])Cycle 1, D36, 1 hr Post-Infusion (n=50)2.73 Beats/minuteStandard Deviation 12.21
NecitumumabChange From Time-Matched Baseline in Heart Rate (HR) (Electrocardiographic Parameters: Heart Rate [HR])Cycle 1, D36, 2 hr Post-Infusion (n=50)2.02 Beats/minuteStandard Deviation 11.77
NecitumumabChange From Time-Matched Baseline in Heart Rate (HR) (Electrocardiographic Parameters: Heart Rate [HR])Cycle 1, D36, 4 hr Post-Infusion (n=49)3.36 Beats/minuteStandard Deviation 8.39
NecitumumabChange From Time-Matched Baseline in Heart Rate (HR) (Electrocardiographic Parameters: Heart Rate [HR])Cycle 1, D36, 24 hr Post-Infusion (n=49)3.56 Beats/minuteStandard Deviation 10.05
NecitumumabChange From Time-Matched Baseline in Heart Rate (HR) (Electrocardiographic Parameters: Heart Rate [HR])Cycle 1, D36, 48 hr Post-Infusion, (n=50)5.09 Beats/minuteStandard Deviation 10.55
NecitumumabChange From Time-Matched Baseline in Heart Rate (HR) (Electrocardiographic Parameters: Heart Rate [HR])Cycle 1, D36, 72 hr Post-Infusion (n=50)4.86 Beats/minuteStandard Deviation 12.36
NecitumumabChange From Time-Matched Baseline in Heart Rate (HR) (Electrocardiographic Parameters: Heart Rate [HR])Cycle 1, D36, 168 hr Post-Infusion (n=11)10.75 Beats/minuteStandard Deviation 15.77
Secondary

Number of Participants With an Incidence of Anti-Necitumumab Antibodies

Time frame: Baseline to Post Infusion 30 Day Follow-up

Population: All participants who received at least 1 dose of study drug and had at least 1 post-infusion blood sample.

ArmMeasureGroupValue (NUMBER)
NecitumumabNumber of Participants With an Incidence of Anti-Necitumumab AntibodiesOverall Antibody Positive9 participants
NecitumumabNumber of Participants With an Incidence of Anti-Necitumumab AntibodiesOverall Treatment Emergent Antibody Positive1 participants
Secondary

Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR]) (Tumor Response Rate Per Response Evaluation Criteria in Solid Tumors Version 1.1 [RECIST 1.1])

ORR is confirmed best overall tumor response of CR or PR. According to RECIST v1.1,CR was defined as the disappearance of all target and non-target lesions. Percentage of participants was calculated as: (total number of participants with CR or PR from start of the treatment until disease progression or recurrence)/total number of participants treated) \* 100. PR defined as a \>30% decrease in the sum of the longest diameters (LD) of the target lesions, taking as reference the baseline sum of the LD.

Time frame: Baseline to Measured Progressive Disease (up to 21 Months)

Population: All participants who received any study drug and had CR or PR.

ArmMeasureValue (NUMBER)
NecitumumabPercentage of Participants Achieving Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR]) (Tumor Response Rate Per Response Evaluation Criteria in Solid Tumors Version 1.1 [RECIST 1.1])2.7 percentage of participants
Secondary

Pharmacokinetics: Maximum Drug Concentration (Cmax) of Necitumumab

Time frame: Cycle 1 (Days 1 and 36); Pre-infusion, 50 minutes, 1.5, 2.5, 4.5, 24, 28, 72, and 168 hours

Population: All participants who received at least one dose of study drug and had evaluable PK parameters in Cycle 1, Days 1 and 36.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
NecitumumabPharmacokinetics: Maximum Drug Concentration (Cmax) of Necitumumab270 microgram/milliliter (μg/mL)Geometric Coefficient of Variation 27
Necitumumab: Cycle 1, Day 36Pharmacokinetics: Maximum Drug Concentration (Cmax) of Necitumumab470 microgram/milliliter (μg/mL)Geometric Coefficient of Variation 30
Secondary

Pharmacokinetics (PK): Area Under the Concentration-Time Curve of Necitumumab From Zero to Infinity (AUC[0-∞])

Time frame: Cycle1 (Days 1 and 36): Pre-infusion, 50 minutes, 1.5, 2.5, 4.5, 24, 28, 72, and 168 hours

Population: All participants who received at least one dose of study drug and had evaluable PK parameters in Cycle 1 on Days 1 and 36.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
NecitumumabPharmacokinetics (PK): Area Under the Concentration-Time Curve of Necitumumab From Zero to Infinity (AUC[0-∞])24500 microgram*hour/milliliter (μg*h/ml)Geometric Coefficient of Variation 34
Necitumumab: Cycle 1, Day 36Pharmacokinetics (PK): Area Under the Concentration-Time Curve of Necitumumab From Zero to Infinity (AUC[0-∞])109000 microgram*hour/milliliter (μg*h/ml)Geometric Coefficient of Variation 61
Secondary

PR Change From Time-Matched Baseline ≥25% and Absolute Value of PR > 200 Msec (Electrocardiographic Parameters: PR Interval)

Time frame: Baseline, Cycle1 Day 1, 8, 15, 22, 29, 36: Pre-infusion, End of Infusion, 1 Hour (hr), 2, 4, 24, 48, 72 hr Post Infusion

Population: QTC evaluable population: all participants who received at least 1 dose of study drug and at least 1 post-infusion ECG.

ArmMeasureValue (NUMBER)
NecitumumabPR Change From Time-Matched Baseline ≥25% and Absolute Value of PR > 200 Msec (Electrocardiographic Parameters: PR Interval)0 percentage of participants

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