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AMG 655/Panitumumab Combination Metastatic Colorectal Cancer Study
This study is ongoing, but not recruiting participants.
Sponsored by: Amgen
Information provided by: Amgen
ClinicalTrials.gov Identifier: NCT00630786
  Purpose

This is an exploratory phase 1b/2, global, multicenter, single-arm, 2-part (phase 1b and 2) study of AMG 655 in combination with panitumumab in subjects with Metastatic Colorectal Cancer.

The objective for Part 1 is to identify a tolerable dose of AMG 655 in combination with panitumumab based on the incidence of dose-limiting toxicities in subjects with Metastatic Colorectal Cancer.

The objective for Part 2 is to evaluate the objective response rate stratified by KRAS status (wild-type versus mutant) in subjects with Metastatic Colorectal Cancer treated with the combination of panitumumab and AMG 655 (tolerable dose identified in part 1).


Condition Intervention Phase
Colon Cancer
Colorectal Cancer
Rectal Cancer
Metastatic Colorectal Cancer
Oncology
Drug: Panitumumab in combination with AMG 655
Phase I
Phase II

MedlinePlus related topics: Cancer Colorectal Cancer
Drug Information available for: Panitumumab
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label, Single Group Assignment, Safety/Efficacy Study
Official Title: A Phase 1b/2 Trial of AMG 655 in Combination With Panitumumab in Subjects With Metastatic Colorectal Cancer

Further study details as provided by Amgen:

Primary Outcome Measures:
  • Part 1: Identify tolerable dose of AMG 655 in combination with panitumumab; Part 2: To evaluate the effect of the combination of panitumumab and AMG 655 overall and stratified by KRAS status. [ Time Frame: Part 1: 4 months; Part 2: 1.5 years ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 65
Study Start Date: January 2008
Estimated Study Completion Date: January 2010
Estimated Primary Completion Date: November 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Single: Experimental Drug: Panitumumab in combination with AMG 655

Part 1. A tolerable dose level of AMG 655 [up to 3 dose levels of AMG 655 (10 mg/kg, 3 mg/kg, or 1 mg/kg) will be evaluated in de-escalation manner] in combination with panitumumab 6 mg/kg.

Part 2. If and when a tolerable dose level of AMG 655 in combination with panitumumab is identified, then enrollment into part 2 will be opened. Subjects enrolled in part 2 will be treated with the combination that is determined tolerable in part 1.


  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

101 Histologically or cytologically confirmed metastatic adenocarcinoma of the colon or rectum 102 Radiographically documented disease progression per modified RECIST during or following treatment with fluoropyrimidine, irinotecan, and/or oxaliplatin chemotherapy for Metastatic Colorectal Cancer. Progressive disease must be documented during or ≤ 6 months after the last dose of the most recent chemotherapy regimen prior to enrollment.

103 At least 1 uni-dimensionally measurable lesion measuring ≥ 20 mm in one dimension per modified RECIST. Lesion must not be chosen from a previously irradiated field, unless there has been documented disease progression in that field after irradiation and prior to enrollment. All sites of disease must be evaluated.

104 Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 105 Available archived paraffin-embedded tumor tissue from the primary tumor or metastasis for submission to the central laboratory 106 Man or woman ≥ 18 years of age at the time of enrollment 107 Hematologic function within the following limits:

  • Absolute neutrophil count (ANC) > 1.0 x 109 cells/L
  • Platelets ≥ 100 x 109/L 108 Renal function within the following limits:
  • Creatinine < 2.0 mg/dL 109 Hepatic function within the following limits:
  • Aspartate aminotransferase (AST) ≤ 2.5 x ULN (≤ 5 x ULN if liver metastases)
  • Alanine aminotransferase (ALT) ≤ 2.5 x ULN (≤ 5 x ULN if liver metastases)
  • Bilirubin ≤ 2 x ULN 110 Metabolic function within the following limits:
  • Amylase ≤ 2 x ULN
  • Lipase ≤ 2 x ULN
  • Magnesium ≥ lower limit of normal 111 Negative pregnancy test ≤ 72 hours before enrollment (for woman of childbearing potential only) 112 Subject must have received 1, 2, or 3 prior chemotherapy regimens for Metastatic Colorectal Cancer 113 Competent to comprehend, sign, and date the IEC/IRB approved written informed consent

Exclusion Criteria:

201 History of other primary cancer, unless:

  • Curatively resected non-melanomatous skin cancer
  • Curatively treated cervical carcinoma in situ
  • Other primary solid tumor curatively treated with no known active disease present and no treatment administered for ≥ 5 years before enrollment 202 Prior treatment with anti-EGFr inhibitors (eg, cetuximab, erlotinib, gefitinib), unless treatment was received in the adjuvant setting ≥ 6 months before enrollment 203 Use of systemic chemotherapy and radiotherapy ≤ 30 days before enrollment 204 Use of prior anti-tumor therapies with a short serum half-life (less than 1 week) including prior experimental agents or approved anti-tumor small molecules ≤ 30 days before enrollment 205 Use of anti-tumor therapies with a longer serum half-life (eg, bevacizumab) including prior experimental or approved protein/antibodies ≤ 42 days before enrollment 206 Any investigational agent or therapy ≤ 30 days before enrollment 207 Known allergy or hypersensitivity to any component of panitumumab and/or AMG 655 208 History of or known presence of central nervous system (CNS) metastases 209 History of interstitial lung disease (eg, pneumonitis, pulmonary fibrosis) or evidence of interstitial lung disease on baseline chest computerized tomography (CT) scan 210 Clinically significant cardiovascular disease (including myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) ≤ 1 year before enrollment 211 Active inflammatory bowel disease or other active bowel disease causing chronic diarrhea (defined as ≥ CTC grade 2 [CTCAE version 3.0]) 212 Known positive test for human immunodeficiency virus (HIV) infection, hepatitis C virus, acute or chronic hepatitis B infection 213 Any co-morbid disease or condition that could increase the risk of toxicity (eg, significant ascites, significant pleural effusion) 214 Any uncontrolled concurrent illness (eg, infection, bleeding) or history of any medical condition that may interfere with the interpretation of the study results 215 Major surgical procedure (requiring general anesthesia) ≤ 28 days or minor surgical procedure (excluding central venous catheter placement) ≤ 14 days before enrollment. Subjects must have recovered from surgery related toxicities.

    216 Other investigational procedures are excluded 217 Subject is currently pregnant or breast feeding 218 Man or woman of childbearing potential who is not willing to use adequate contraceptive precautions during treatment and for 6 months (for women) or 1 month (for men) after the last investigational product administration. Adequate contraceptive precautions includes double barrier contraceptive methods (eg, diaphragm and condom) or abstinence.

    219 Previously enrolled into this study 220 Subject unwilling or unable to comply with study requirements

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00630786

Locations
United States, Florida
Research Site
Boynton Beach, Florida, United States
United States, New Jersey
Research Site
Denville, New Jersey, United States
United States, North Carolina
Research Site
Durham, North Carolina, United States
United States, Ohio
Research Site
Middletown, Ohio, United States
United States, South Carolina
Research Site
Greenville, South Carolina, United States
United States, Tennessee
Research Site
Nashville, Tennessee, United States
Research Site
Memphis, Tennessee, United States
Research Site
Collierville, Tennessee, United States
United States, Texas
Research Site
Austin, Texas, United States
Belgium
Research Site
Gent, Belgium
Research Site
Bruxelles, Belgium
France
Research Site
Boulogne Billancourt, France
Sponsors and Collaborators
Amgen
Investigators
Study Director: MD Amgen
  More Information

AmgenTrials clinical trials website  This link exits the ClinicalTrials.gov site

Responsible Party: Amgen Inc. ( Global Development Leader )
Study ID Numbers: 20060332
Study First Received: February 28, 2008
Last Updated: January 6, 2009
ClinicalTrials.gov Identifier: NCT00630786  
Health Authority: EU: CHMP;   France: Ministry of Health;   Germany: Federal Institute for Drugs and Medical Devices;   United States: Food and Drug Administration;   United States: Institutional Review Board;   United States: Western Institutional Review Board;   Belgium: Federal Public Service (FPS) Health, Food Chain Safety and Environment

Study placed in the following topic categories:
Digestive System Neoplasms
Rectal Neoplasms
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Intestinal Neoplasms
Rectal neoplasm
Digestive System Diseases
Gastrointestinal Neoplasms
Colonic Neoplasms
Rectal cancer
Colorectal Neoplasms

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site

ClinicalTrials.gov processed this record on January 15, 2009