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

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