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CP-751, 871

Phase 2

Prostatic Neoplasms | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Oct 28, 2015

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment204

FDA Designations

No designations recorded

Clinical trial landscape

CP-751, 871 · 5 trials · 5 indications

Phase 2 1Phase 1 4
NCT00313781Study of CP-751,871 in Combination With Docetaxel and Prednisone in Patients With Hormone Insensitive Prostate Cancer (HRPC)Prostatic Neoplasms
COMPLETED204 Analytics
PHASE2COMPLETED
Study of CP-751,871 in Combination With Docetaxel and Prednisone in Patients With Hormone Insensitive Prostate Cancer (HRPC)
Prostatic NeoplasmsUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Prostate Specific Antigen (PSA) Best Response
Baseline, Day 1 and Day 15 of each cycle, end of treatment (up to 28 days post last dose) and follow-up (monthly, up to 150 days post last dose)

Percentage of participants with PSA best response of either PSA normalization (PN) or partial PSA response (PR) relative to the total number of participants evaluable for response. PN was defined as PSA =\< 0.2 nanogram/milliliter (ng/ml) on 2 successive evaluations at least 3 weeks apart and no imaging or clinical evidence of disease progression. PP was defined as \>= 50% decrease in PSA from baseline on 2 successive evaluations at least 3 weeks apart and no imaging or clinical evidence of disease progression.

Objective Response Rate (ORR)
Baseline and every cycle (4 weeks), for up to 6 cycles

Percentage of participants with objective response based on assessment of confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). CR was defined as complete disappearance of all target and non-target disease and no new lesions. PR was defined as ≥30% decrease under baseline of the sum of diameters of all target lesions.

Number of Participants With Treatment-emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline up to 150 days after the last administration of study drug

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 150 days after last dose that were absent before treatment or that worsened relative to pretreatment state.

Maximum Tolerated Dose (MTD)
Cycle 1 Day 1 through Cycle 1 Day 21
Recommended Phase 2 Dose (RP2D)
Cycle 1 Day 1 through Cycle 1 Day 21
Area Under the Curve From Time Zero to 25 Hours Postdose (AUC25) of Docetaxel in Cycle 1
30 minutes before docetaxel infusion; 30 and 50 minutes after the start of docetaxel infusion; and 30 minutes and 1, 3, 8, and 24 hours after the end of docetaxel infusion

Area under the plasma concentration versus time curve (AUC) from time zero to 25 hours post dose, the nominal time of the last sample (24 hours after end of infusion)

Area Under the Curve From Time Zero to 25 Hours Postdose (AUC25) of Docetaxel in Cycle 4
30 minutes before CP-751,871 infusion; 1 hour after the end of CP-751,871 infusion; 30 minutes before docetaxel infusion; 30 and 50 minutes after the start of docetaxel infusion; and 30 minutes and 1, 3, 8, and 24 hours after the end of docetaxel infusion

Area under the plasma concentration versus time curve (AUC) from time zero to 25 hours post dose, the nominal time of the last sample (24 hours after end of infusion)

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Docetaxel in Cycle 1
30 minutes before docetaxel infusion; 30 and 50 minutes after the start of docetaxel infusion; and 30 minutes and 1, 3, 8, and 24 hours after the end of docetaxel infusion

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Docetaxel in Cycle 4
30 minutes before CP-751,871 infusion; 1 hour after the end of CP-751,871 infusion; 30 minutes before docetaxel infusion; 30 and 50 minutes after the start of docetaxel infusion; and 30 minutes and 1, 3, 8, and 24 hours after the end of docetaxel infusion

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)

Dose Normalized Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast(dn)) of Docetaxel in Cycle 1
30 minutes before docetaxel infusion; 30 and 50 minutes after the start of docetaxel infusion; and 30 minutes and 1, 3, 8, and 24 hours after the end of docetaxel infusion

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast) divided by dose

Dose Normalized Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast(dn)) of Docetaxel in Cycle 4
30 minutes before CP-751,871 infusion; 1 hour after the end of CP-751,871 infusion; 30 minutes before docetaxel infusion; 30 and 50 minutes after the start of docetaxel infusion; and 30 minutes and 1, 3, 8, and 24 hours after the end of docetaxel infusion

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast) divided by dose

Maximum Observed Plasma Concentration (Cmax) of Docetaxel in Cycle 1
30 minutes before docetaxel infusion; 30 and 50 minutes after the start of docetaxel infusion; and 30 minutes and 1, 3, 8, and 24 hours after the end of docetaxel infusion
Maximum Observed Plasma Concentration (Cmax) of Docetaxel in Cycle 4
30 minutes before CP-751,871 infusion; 1 hour after the end of CP-751,871 infusion; 30 minutes before docetaxel infusion; 30 and 50 minutes after the start of docetaxel infusion; and 30 minutes and 1, 3, 8, and 24 hours after the end of docetaxel infusion
Dose Normalized Maximum Observed Plasma Concentration (Cmax(dn)) of Docetaxel in Cycle 1
30 minutes before docetaxel infusion; 30 and 50 minutes after the start of docetaxel infusion; and 30 minutes and 1, 3, 8, and 24 hours after the end of docetaxel infusion

Maximum Observed Plasma Concentration (Cmax) divided by dose

Dose Normalized Maximum Observed Plasma Concentration (Cmax(dn)) of Docetaxel in Cycle 4
30 minutes before CP-751,871 infusion; 1 hour after the end of CP-751,871 infusion; 30 minutes before docetaxel infusion; 30 and 50 minutes after the start of docetaxel infusion; and 30 minutes and 1, 3, 8, and 24 hours after the end of docetaxel infusion

Maximum Observed Plasma Concentration (Cmax) divided by dose

Time to Reach Maximum Observed Plasma Concentration (Tmax) of Docetaxel in Cycle 1
30 minutes before docetaxel infusion; 30 and 50 minutes after the start of docetaxel infusion; and 30 minutes and 1, 3, 8, and 24 hours after the end of docetaxel infusion
Time to Reach Maximum Observed Plasma Concentration (Tmax) of Docetaxel in Cycle 4
30 minutes before CP-751,871 infusion; 1 hour after the end of CP-751,871 infusion; 30 minutes before docetaxel infusion; 30 and 50 minutes after the start of docetaxel infusion; and 30 minutes and 1, 3, 8, and 24 hours after the end of docetaxel infusion

Secondary Endpoints

Progression Free Survival (PFS)
Baseline, Day 15 of each cycle and follow-up (monthly, up to 150 days post last dose)
Human Anti-human Antibody (HAHA) at Baseline (Day 1 of Cycle 1)
Baseline (Day 1 of Cycle 1)
Human Anti-human Antibody (HAHA) at the Last Follow-up Visit
The last follow-up visit (150 days post last dose)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AEXPERIMENTALFor patients treated with docetaxel and prednisone only, who progress during treatment, CP-751,871 will be added to the regimen to test reversibility of chemoresistance.
BACTIVE_COMPARATOR -
1EXPERIMENTAL -
CP-751,871 combined with docetaxelEXPERIMENTAL -
Single agent CP-751,871EXPERIMENTALdose escalation design

Interventions

NameTypeDescription
CP-751,871DRUGCP-750,871 is administered intravenously at a dose of 20 mg/kg on day 1 of each 21-day cycle (for patient convenience and logistical management, the dose of CP-751,871 may be deferred up to 7 days).
docetaxelDRUGDocetaxel is administered IV on day 1 of each 21-day cycle, at a dose of 75 mg/m2.
prednisoneDRUGPrednisone is administered at a dose of 5 mg twice daily.
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Eligibility Criteria

Age Range18 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites18

Inclusion Criteria: * Diagnosis of metastatic, progressive hormone refractory prostate cancer * Adequate bone marrow, liver and kidney function Exclusion Criteria: * Previous treatment with chemotherapy

Countries:United StatesCanadaGermanySpainSwitzerlandUnited KingdomAustraliaBrazilChileFranceIsraelItaly
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Frequently asked questions about CP-751, 871

What is CP-751,871 used for?

CP-751,871 is an investigational monoclonal antibody being studied in oncology for several cancers, including prostate cancer, non-small-cell lung cancer, colorectal neoplasms, multiple myeloma, Ewing's sarcoma family of tumors, and advanced non-hematologic malignancies. It is being developed by Pfizer, Inc. (NYSE: PFE).

What does CP-751,871 target?

CP-751,871 targets the insulin-like growth factor 1 receptor (IGF-1R), as indicated by its study title 'Anti-IGF-IR CP-751,871'. By binding to this receptor, the antibody is designed to interfere with cancer cell growth signaling pathways.

Who makes CP-751,871?

CP-751,871 is developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol PFE. Pfizer is conducting clinical trials of this investigational drug in multiple oncology indications.

What phase is CP-751,871 in?

CP-751,871 is in Phase 2 clinical development. It has completed three trials, including a Phase 2 study in prostate cancer and Phase 1 studies in other solid tumors. It is not FDA approved and remains investigational.

What clinical trials is CP-751,871 in?

CP-751,871 has completed three clinical trials: NCT00313781 (Phase 2, prostate cancer, 204 patients), NCT00474760 (Phase 1, Ewing's sarcoma, 65 patients), and NCT00603538 (Phase 1, non-small-cell lung cancer, 19 patients). All trials are completed with no active studies.

Is CP-751,871 the same as figitumumab?

CP-751,871 is also known as figitumumab, a name used in some clinical literature. This investigational monoclonal antibody targeting IGF-1R has been studied under both names in Pfizer's oncology trials.