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Phase I Imaging Study Evaluating Dalotuzumab (MK0646) in Combination With Erlotinib for Patients With Non-Small Cell Lung Cancer (MK-0646-008)

Primary Purpose

Carcinoma, Non-small Cell Lung

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Comparator: erlotinib + dalotuzumab
Comparator: erlotinib monotherapy
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Carcinoma, Non-small Cell Lung

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patient has locally advanced or metastatic stage IIIB/IV Non-small cell lung cancer
  • Patient has measurable disease
  • Patient has accessible tumor and consents to undergo a tumor biopsy [Part II only]
  • Patient is 18 years of age or older
  • Patient has a performance status of 0-2 on ECOG scale
  • Women of childbearing potential have a negative pregnancy test
  • Patients in Part I must: 1. be a female non-smoker with non-squamous histology who has had one or two prior systemic chemotherapies or 2. have documented EGFR mutation or EGFR gene amplification, regardless of demographic or clinical characteristics, who have had no more than two prior systemic chemotherapies.
  • Patients in Part II must have had one or two chemotherapy regimens for recurrent or metastatic disease

Exclusion Criteria:

  • Patient has had chemotherapy within 2 weeks or biological therapy (e.g. bevacizumab) within 4 weeks
  • Patient has not recovered from adverse events from previous therapy within 4 weeks
  • Patient has received EGFR-TKI inhibitor/anti-EGFR mAb therapy
  • Patient has received IGF1R-TKI inhibitor/anti-IGF1R mAB therapy
  • Patient has untreated brain metastases
  • Patient has had radiotherapy to a field that affects the chest or abdomen, or thoracic surgery within 3 months prior to entering the study
  • Patient is taking part in another clinical study
  • Patient abuses drugs or alcohol
  • Patient is pregnant or breastfeeding
  • Subject is HIV positive
  • Patient has active hepatitis
  • Patient is using growth hormone or growth hormone inhibitors
  • Patient has poorly controlled diabetes mellitus

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Part 1

    Part 2

    Arm Description

    erlotinib

    erlotinib + dalotuzumab

    Outcomes

    Primary Outcome Measures

    Validate imaging platform and molecular markers

    Secondary Outcome Measures

    Progression-free survival, overall survival

    Full Information

    First Posted
    August 4, 2008
    Last Updated
    April 1, 2016
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00729742
    Brief Title
    Phase I Imaging Study Evaluating Dalotuzumab (MK0646) in Combination With Erlotinib for Patients With Non-Small Cell Lung Cancer (MK-0646-008)
    Official Title
    A Phase 1b, Multicenter Trial to Evaluate Molecular Determinants of Response to Erlotinib and MK0646 in Advanced Non-Small-Cell Lung Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2009 (undefined)
    Primary Completion Date
    June 2010 (Actual)
    Study Completion Date
    May 2011 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    5. Study Description

    Brief Summary
    This study will use imaging to look at tumor response to erlotinib (Part I) and the combination of erlotinib and dalotuzumab (Part II).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Carcinoma, Non-small Cell Lung

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    49 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Part 1
    Arm Type
    Experimental
    Arm Description
    erlotinib
    Arm Title
    Part 2
    Arm Type
    Experimental
    Arm Description
    erlotinib + dalotuzumab
    Intervention Type
    Drug
    Intervention Name(s)
    Comparator: erlotinib + dalotuzumab
    Other Intervention Name(s)
    TARCEVA®
    Intervention Description
    Part II: All patients will receive 1 week of erlotinib 150 mg tablets per day. Arm 1: Patients who experience a PET response will continue on erlotinib monotherapy until disease progression. Arm 2: Patients who fail to receive a PET response will continue to take erlotinib in combination with dalotuzumab 10 mg/kg IV infusion once weekly. At the time of disease progression, patients on erlotinib monotherapy will be offered to crossover to dalotuzumab 10 mg/kg IV infusion once weekly in combination with erlotinib.
    Intervention Type
    Drug
    Intervention Name(s)
    Comparator: erlotinib monotherapy
    Other Intervention Name(s)
    TARCEVA®
    Intervention Description
    Part I: All patients will receive erlotinib 150 mg tablets per day until disease progression.
    Primary Outcome Measure Information:
    Title
    Validate imaging platform and molecular markers
    Time Frame
    FDG response at Weeks 1 and 3 following chemotherapy
    Secondary Outcome Measure Information:
    Title
    Progression-free survival, overall survival
    Time Frame
    3 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patient has locally advanced or metastatic stage IIIB/IV Non-small cell lung cancer Patient has measurable disease Patient has accessible tumor and consents to undergo a tumor biopsy [Part II only] Patient is 18 years of age or older Patient has a performance status of 0-2 on ECOG scale Women of childbearing potential have a negative pregnancy test Patients in Part I must: 1. be a female non-smoker with non-squamous histology who has had one or two prior systemic chemotherapies or 2. have documented EGFR mutation or EGFR gene amplification, regardless of demographic or clinical characteristics, who have had no more than two prior systemic chemotherapies. Patients in Part II must have had one or two chemotherapy regimens for recurrent or metastatic disease Exclusion Criteria: Patient has had chemotherapy within 2 weeks or biological therapy (e.g. bevacizumab) within 4 weeks Patient has not recovered from adverse events from previous therapy within 4 weeks Patient has received EGFR-TKI inhibitor/anti-EGFR mAb therapy Patient has received IGF1R-TKI inhibitor/anti-IGF1R mAB therapy Patient has untreated brain metastases Patient has had radiotherapy to a field that affects the chest or abdomen, or thoracic surgery within 3 months prior to entering the study Patient is taking part in another clinical study Patient abuses drugs or alcohol Patient is pregnant or breastfeeding Subject is HIV positive Patient has active hepatitis Patient is using growth hormone or growth hormone inhibitors Patient has poorly controlled diabetes mellitus
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Monitor
    Organizational Affiliation
    Merck Sharp & Dohme LLC
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Phase I Imaging Study Evaluating Dalotuzumab (MK0646) in Combination With Erlotinib for Patients With Non-Small Cell Lung Cancer (MK-0646-008)

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