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NCT00819169

QUILT-3.026: AMG 655 in Combination With AMG 479 in Advanced, Refractory Solid Tumors

Terminated Phase 1, PHASE2 Results posted Last updated 20 August 2024
What this trial tests

Phase 1, PHASE2 trial testing AMG 479 in Colorectal Cancer in 89 participants. Terminated before completion.

Timeline
16 January 2009
Primary endpoint
10 August 2011
10 August 2011

Quick facts

Lead sponsorNantCell, Inc.
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment89
Start date16 January 2009
Primary completion10 August 2011
Estimated completion10 August 2011

Drugs / interventions tested

Conditions studied

Sponsor

NantCell, Inc. — full company profile →

Who can join

16 and older, any sex, with Colorectal Cancer or Locally Advanced. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Dose-limiting Toxicities Primary · Time from first dose up to 24 months

Incidence of adverse events and clinical laboratory abnormalities defined as DLTs. Dose-limiting toxicities included any grade 3 or higher hematologic or nonhematologic toxicity related to conatumumab or the combination of conatumumab with ganitumab except for lymphocytopenia and anemia.

GroupValue95% CI
Part 1 Cohort 10
Part 1 Cohort 20
Part 1 Cohort 30
Objective Response Rate Primary · Time from first dose up to 24 months

The objective response rate (ORR) is defined as confirmed complete response or partial response using modified Response Evaluation Criteria in Solid Tumors \[RECIST\]: a complete response is the disappearance of all target lesions; a partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

GroupValue95% CI
Part 1 Cohort 11
Part 1 Cohort 20
Part 1 Cohort 30
Part 2 Cohort 10
Part 2 Cohort 20
Part 2 Cohort 30
Part 2 Cohort 40
Part 2 Cohort 50
Part 2 Cohort 60
Progression Free Survival Secondary · Time from first dose up to 24 months

Progression-free survival is defined as the number of days from study day 1 (first dose of investigational product) to the first observation of disease progression (by modified RECIST; or clinical progression, whichever came first) or death due to any cause. Disease progression by RECIST is defined as at least a 20% increase in the sum of diameters of target lesions in reference to the smallest sum on study and an absolute increase of at least 5 mm; the appearance of any new lesions is also considered progression.

GroupValue95% CI
Part 1 Cohort 11.41.1 – 15.4
Part 1 Cohort 24.91.6 – 5.5
Part 1 Cohort 31.31.1 – 2.4
Part 2 Cohort 11.61.3 – 3.7
Part 2 Cohort 23.31.9 – 5.4
Part 2 Cohort 31.51.3 – 2.6
Part 2 Cohort 41.41.2 – 2.3
Part 2 Cohort 52.81.6 – 3.9
Part 2 Cohort 61.31.2 – 1.7
To Evaluate Anti-AMG 655 Antibody Formation and Anti-AMG 479 Antibody Formation Secondary · Time from first dose up to 24 months
AMG 655 - Binding antibody positive at any time
GroupValue95% CI
Part 1 Cohort 10
Part 1 Cohort 20
Part 1 Cohort 30
Part 2 Cohort 10
Part 2 Cohort 20
Part 2 Cohort 30
Part 2 Cohort 41
Part 2 Cohort 50
Part 2 Cohort 60
AMG 655 - Neutralizing antibody positive at any time
GroupValue95% CI
Part 1 Cohort 10
Part 1 Cohort 20
Part 1 Cohort 30
Part 2 Cohort 10
Part 2 Cohort 20
Part 2 Cohort 30
Part 2 Cohort 40
Part 2 Cohort 50
Part 2 Cohort 60
AMG 479 - Binding antibody positive at any time
GroupValue95% CI
Part 1 Cohort 10
Part 1 Cohort 20
Part 1 Cohort 30
Part 2 Cohort 12
Part 2 Cohort 20
Part 2 Cohort 30
Part 2 Cohort 40
Part 2 Cohort 50
Part 2 Cohort 60
AMG 479 - Neutralizing antibody positive at any time
GroupValue95% CI
Part 1 Cohort 10
Part 1 Cohort 20
Part 1 Cohort 30
Part 2 Cohort 10
Part 2 Cohort 20
Part 2 Cohort 30
Part 2 Cohort 40
Part 2 Cohort 50
Part 2 Cohort 60
To Evaluate the Concentration Level of AMG 655 Secondary · Cycle 1 Day 1 end of infusion; Cycle 3 Day 1 end of infusion (each cycle is 28 days, each infusion is up to 1 hour)

Median, minimum, and maximum concentration of AMG 655 at specified time points.

Cycle 1-End of Infusion
GroupValue95% CI
Part 1 Cohort 117.517.3 – 19.4
Part 1 Cohort 259.059.0 – 59.0
Part 1 Cohort 3313261 – 365
Part 2 Cohort 1244240 – 247
Part 2 Cohort 2266266 – 266
Part 2 Cohort 3240115 – 319
Part 2 Cohort 4224130 – 293
Part 2 Cohort 5327275 – 341
Part 2 Cohort 624791.3 – 392
Cycle 3-End of infusion
GroupValue95% CI
Part 1 Cohort 123.623.6 – 23.6
Part 1 Cohort 262.362.3 – 62.3
Part 1 Cohort 3302302 – 302
Part 2 Cohort 1448448 – 448
Part 2 Cohort 3311233 – 380
Part 2 Cohort 4253253 – 253
Part 2 Cohort 5423356 – 490
Part 2 Cohort 6371328 – 466
To Evaluate the Concentration Level of AMG 479 Secondary · Cycle 1 Day 1 end of infusion; Cycle 3 Day 1 end of infusion (each cycle is 28 days, each infusion is up to 1 hour)

Median, minimum, and maximum concentration of AMG 479 at specified time points.

Cycle 1-End of infusion
GroupValue95% CI
Part 1 Cohort 1272198 – 279
Part 1 Cohort 2268268 – 268
Part 1 Cohort 3303257 – 349
Part 2 Cohort 1215193 – 237
Part 2 Cohort 2297297 – 297
Part 2 Cohort 3227130 – 634
Part 2 Cohort 4236121 – 391
Part 2 Cohort 5324248 – 439
Part 2 Cohort 6254169 – 445
Cycle 3-End of Infusion
GroupValue95% CI
Part 1 Cohort 1308308 – 308
Part 1 Cohort 3338338 – 338
Part 2 Cohort 1404404 – 404
Part 2 Cohort 3262205 – 364
Part 2 Cohort 4249249 – 249
Part 2 Cohort 5323300 – 381
Part 2 Cohort 6365244 – 420

Adverse events — posted to ClinicalTrials.gov

Time frame: All serious adverse events that occurred after the subject signed the informed consent form through to the Day 30 Safety Follow-up Visit or 30 days after the last dose of protocol-specified therapy, whichever was later, up to 25 months. All non-serious adverse events that occurred after enrollment through to the Day 30 Safety Follow-up Visit or 30 days after the last dose of protocol-specified therapy, whichever was later, up to 25 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1 Cohort 1
Serious: 2/3 (67%)
Deaths: 1/3
Part 1 Cohort 2
Serious: 0/3 (0%)
Deaths: 1/3
Part 1 Cohort 3
Serious: 2/3 (67%)
Deaths: 3/3
Part 2 Cohort 1
Serious: 3/15 (20%)
Deaths: 8/15
Part 2 Cohort 2
Serious: 6/7 (86%)
Deaths: 5/8
Part 2 Cohort 3
Serious: 2/16 (13%)
Deaths: 7/16
Part 2 Cohort 4
Serious: 3/16 (19%)
Deaths: 9/16
Part 2 Cohort 5
Serious: 3/9 (33%)
Deaths: 4/9
Part 2 Cohort 6
Serious: 2/15 (13%)
Deaths: 7/16

Serious adverse events (36 terms)

ReactionSystemPart 1 Cohort 1Part 1 Cohort 2Part 1 Cohort 3Part 2 Cohort 1Part 2 Cohort 2Part 2 Cohort 3Part 2 Cohort 4Part 2 Cohort 5Part 2 Cohort 6
HyperglycaemiaMetabolism and nutrition disorders
Pleural EffusionRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Pericardial EffusionCardiac disorders
IleusGastrointestinal disorders
Metastases To Small IntestineNeoplasms benign, malignant and unspecified (incl cysts and polyps)
PneumoniaInfections and infestations
Small Intestinal ObstructionGastrointestinal disorders
Abdominal PainGastrointestinal disorders
ConstipationGastrointestinal disorders
Gastrointestinal HaemorrhageGastrointestinal disorders
Intestinal ObstructionGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
AstheniaGeneral disorders
PyrexiaGeneral disorders
JaundiceHepatobiliary disorders
Urinary Tract InfectionInfections and infestations
Humerus FractureInjury, poisoning and procedural complications
Blood Amylase IncreasedInvestigations
Blood BilirubinInvestigations
Malignant Neoplasm ProgressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases To Central Nervous SystemNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Peripheral Motor NeuropathyNervous system disorders
SomnolenceNervous system disorders
Other adverse events (192 terms — click to expand)

ReactionSystemPart 1 Cohort 1Part 1 Cohort 2Part 1 Cohort 3Part 2 Cohort 1Part 2 Cohort 2Part 2 Cohort 3Part 2 Cohort 4Part 2 Cohort 5Part 2 Cohort 6
FatigueGeneral disorders
Decreased AppetiteMetabolism and nutrition disorders
ChillsGeneral disorders
NauseaGastrointestinal disorders
AstheniaGeneral disorders
DehydrationMetabolism and nutrition disorders
Back PainMusculoskeletal and connective tissue disorders
PyrexiaGeneral disorders
Pleural EffusionRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
PneumoniaInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
Chest PainGeneral disorders
Weight DecreasedInvestigations
AnaemiaBlood and lymphatic system disorders
Sinus TachycardiaCardiac disorders
Abdominal DistensionGastrointestinal disorders
Abdominal PainGastrointestinal disorders
Abdominal Pain UpperGastrointestinal disorders
ConstipationGastrointestinal disorders
DyspepsiaGastrointestinal disorders
PainGeneral disorders
Drug HypersensitivityImmune system disorders
HyperglycaemiaMetabolism and nutrition disorders
HypoalbuminaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders
Pain In ExtremityMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
EnteritisGastrointestinal disorders
VomitingGastrointestinal disorders
Mucosal InflammationGeneral disorders
Alanine AminotransferaseInvestigations
Breath Sounds AbnormalInvestigations
Haemoglobin DecreasedInvestigations
Oropharyngeal PainRespiratory, thoracic and mediastinal disorders
Deep Vein ThrombosisVascular disorders
NeutropeniaBlood and lymphatic system disorders

Most-reported serious reactions: Hyperglycaemia, Pleural Effusion, Dyspnoea, Pericardial Effusion, Ileus, Metastases To Small Intestine, Pneumonia, Small Intestinal Obstruction.

Data from ClinicalTrials.gov NCT00819169 adverse events section.

Sponsor's own description

This is a multi-center, 2-part phase 1b/2 study of AMG 655 in combination with AMG 479 to be conducted in the United States and Spain. Part 1 is a dose escalation segment to identify a dose of AMG 655 in combination with AMG 479 that is safe and tolerable. Part 2 will evaluate the safety and estimate the efficacy of AMG 655 at the dose selected in Part 1 in combination with AMG 479 for the treatment of patients with advanced NSCLC (non-squamous histology; squamous histology), CRC, pancreatic cancer, ovarian cancer, and sarcoma.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. TRAIL on trial: preclinical advances in cancer therapy.
    Stuckey DW, Shah K. · · 2013 · cited 216× · PMID 24076237 · DOI 10.1016/j.molmed.2013.08.007
  2. Death receptors as targets in cancer.
    Micheau O, Shirley S, Dufour F. · · 2013 · cited 151× · PMID 23638798 · DOI 10.1111/bph.12238
  3. Principles of antibody-mediated TNF receptor activation.
    Wajant H. · · 2015 · cited 111× · PMID 26292758 · DOI 10.1038/cdd.2015.109
  4. Insulin/IGF-driven cancer cell-stroma crosstalk as a novel therapeutic target in pancreatic cancer.
    Mutgan AC, Besikcioglu HE, Wang S, Friess H, et al · · 2018 · cited 87× · PMID 29475434 · DOI 10.1186/s12943-018-0806-0
  5. Trial Watch: Immunostimulatory cytokines.
    Vacchelli E, Galluzzi L, Eggermont A, Galon J, et al · · 2012 · cited 70× · PMID 22754768 · DOI 10.4161/onci.20459
  6. Insulin-Like Growth Factor-1 Signaling in Lung Development and Inflammatory Lung Diseases.
    Wang Z, Li W, Guo Q, Wang Y, et al · · 2018 · cited 64× · PMID 30018981 · DOI 10.1155/2018/6057589
  7. Insulin-like growth factor: current concepts and new developments in cancer therapy.
    King ER, Wong KK. · · 2012 · cited 57× · PMID 21875414 · DOI 10.2174/157489212798357930
  8. Trial Watch: Immunostimulatory cytokines.
    Vacchelli E, Eggermont A, Fridman WH, Galon J, et al · · 2013 · cited 47× · PMID 24073369 · DOI 10.4161/onci.24850

Verify or expand the search:

Other trials of AMG 479

Trials testing the same drug.

Other recruiting trials for Colorectal Cancer

Currently open trials in the same condition.

Other NantCell, Inc. trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing