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IMC-1121B

Phase 2

Cancer | Monoclonal antibody | Oncology |Eli Lilly and Company|Last Updated: Jun 10, 2015

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDBiomarker
Total Trials2
Total Enrollment93
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01017731Study of Ramucirumab (IMC-1121B) Therapy and Corrected QT (QTc) Interval ChangesPHASE2 COMPLETED 68Nov 1, 2009May 1, 2014Jun 10, 20157 United States
NCT00786383Study of IMC-1121B in Patients With Advanced Solid Tumors Not Responding To Standard TherapyPHASE1 COMPLETED 25Feb 1, 2006Jan 1, 2009Aug 19, 20133 United States
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Study Endpoints
Primary Endpoints
Change From Baseline to Cycle 3 in QT/Corrected QT (QTc) Interval Prolongation in Participants
Baseline, Cycle 3 (1 cycle=21 days)

All electrocardiogram (ECG) tests were performed in triplicate prior to ramucirumab treatment. QT is the interval between the Q and T waves and QTc is the QT corrected for heart rate using Fridericia's formula: QTc = QT/RR\^0.33 where RR is the interval between 2 R waves. Each participant's mean QT/QTc value was calculated for each ECG test during Cycle 3 and compared to his/her mean pretreatment QT/QTc value. The greatest change from baseline during Cycle 3 was reported. QTc prolongation is defined as a QTc exceeding 10 milliseconds (msec) with a lower 90% confidence interval (CI) exceeding 5 msec at any postdose time points per the International Conference on Harmonization (ICH) E14 guidelines for non-thorough QT studies (ICH 2005; ICH 2008). Least squares (LS) mean was calculated using a linear mixed model for repeated measures (MMRM) and adjusted for serum concentration.

Number of participants with Adverse Events (AEs)
8 Weeks
Maximum Tolerated Dose
8 Weeks
Secondary Endpoints
Number of Participants With Drug-Related Adverse Events (AEs)
Baseline up to data cut off (approximately 105.6 weeks)
Maximum Concentration (Cmax) During Cycle 1
Cycle 1 [2.25 hours (h), 3.25 h, 4.25 h, 72 h, 168 h, 336 h postdose]
Maximum Concentration (Cmax) During Cycle 1, Day 4
Approximately Week 1 (Cycle 1, Day 4)
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
Treatment Arms
ArmTypeDescription
IMC-1121BEXPERIMENTALActive-control participants (first 16 participants) will receive one dose of moxifloxacin orally 7 days before the first treatment with ramucirumab. All participants will undergo triplicate electrocardiogram (ECG) tests (consisting of three individual ECGs performed consecutively within a period of 4 minutes) and vital signs at various times over the trial period. For Cycle 1, all participants will also receive 2 infusions of diphenhydramine before ramucirumab therapy (the first infusion is 1 day before therapy and the second infusion is 15 minutes before therapy). For Cycles 2, 3, and 4, all participants will receive diphenhydramine 15 minutes before ramucirumab therapy. For Cycle 5 and beyond, diphenhydramine infusions before ramucirumab therapy are at the investigator's discretion. Ramucirumab \[10 milligrams per kilogram (mg/kg)\] intravenously over 60 minutes, once every 3 weeks for minimum of 9 weeks without a break in between.
Interventions
NameTypeDescription
IMC-1121BBIOLOGICALIMC-1121B (Ramucirumab) 10 mg/kg intravenously (IV) over 60 minutes, once every 3 weeks for minimum of 9 weeks.
MoxifloxacinDRUGAdministered orally
DiphenhydramineDRUGAdministered IV
1121BBIOLOGICALCohort 2 8mg/kg I.V., once every other week for 4 weeks
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * The participant has histologically documented advanced or metastatic malignant cancer of solid tumor origin which has not responded to standard therapy or for which no standard therapy is available * The participant has resolution of adverse events from prior anticancer therap...

Countries:United States
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