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Trial ยท NCT00981058

First-line Treatment of Participants With Stage IV Squamous Non-Small Cell Lung Cancer With Necitumumab and Gemcitabine-Cisplatin

NCT00981058, Phase 3, Completed, Eli Lilly and Company; results first posted 2016-06-27

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. First-line Treatment of Participants With Stage IV Squamous Non-Small Cell Lung Cancer With Necitumumab and Gemcitabine-Cisplatin. Trials, record NCT00981058. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00981058

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
First-line Treatment of Participants With Stage IV Squamous Non-Small Cell Lung Cancer With Necitumumab and Gemcitabine-Cisplatin
NCT number
NCT00981058
Status
Completed
Phases
Phase 3
Enrollment
1,093 participants, actual
Lead sponsor
Eli Lilly and Company
Conditions
Non Small Cell Lung Cancer
Interventions
Necitumumab, Gemcitabine, Cisplatin
First posted
2009-09-22
Last updated
2025-06-18
Other registries' IDs
eudract:2009-013838-25
Results first posted
2016-06-27

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOverall Survival Time (OS)Randomization to Death from Any Cause (Up to 31 Months)
Overall survival is defined as the time from randomization to death from any cause. Participants who do not die at the end of the extended follow-up period, or were lost to follow-up during the study, were censored at the last date they were known to be alive. OS was estimated by the Kaplan-Meier method.
SecondaryProgression-Free Survival (PFS)Randomization to Measured Progressive Disease or Death from Any Cause (Up to 31 Months)
PFS is defined as the time from randomization until the first radiographic documentation of objective measured progressive disease as defined by RECIST (Version 1.0), or death from any cause. Progressive Disease (PD) was defined as having at least a 20% increase in the sum of the longest diameter of target lesions. Participants who die without a reported prior progression were considered to have progressed on the day of their death. Participants who did not progress or were lost to follow-up were censored at the day of their last radiographic tumor assessment. If no baseline or postbaseline radiologic assessment was available, the participants were censored at the date of randomization. If death or PD occurs after two or more consecutive missing radiographic visits, censoring occurred at the date of the last radiographic visit prior to the missed visits.
SecondaryPercentage of Participants Achieving Complete Response (CR) and Partial Response (PR) (Objective Response Rate [ORR])Baseline to Measured Progressive Disease (Up to 31 Months)
ORR is confirmed best overall tumor response of CR or PR. According to RECIST v1.0, CR was defined as the disappearance of all target and non-target lesions. PR defined as a \>=30% decrease in the sum of the longest diameters (LD) of the target lesions, taking as reference the baseline sum of the LD; Percentage of participants was calculated as: (total number of participants with CR or PR from start of the treatment until disease progression or recurrence)/total number of participants treated) \* 100.
SecondaryTime to Treatment Failure (TTF)Randomization to Measured Progressive Disease, Death From Any Cause, Discontinuation of Treatment or Initiation of New Anticancer Therapy (Up to 31 Months)
TTF is defined as the time from the date of randomization until the date of the first radiographic documentation of PD, death from any cause, discontinuation of treatment for any reason, or initiation of new cancer therapy. Participants who withdrew from the study for reasons other than progression or death were censored at the date of study withdrawal. Participants who did not meet any of the criteria for treatment failure were censored at their date of last contact in the study.
SecondaryMean Change From Baseline in Patient Reported Outcomes (PRO) Using the European Quality of Life-5 Dimension (EQ-5D)Baseline, Cycle 6 (Cycle = 3 Weeks)
The EQ-5D is a generic, multidimensional, health-related, quality-of-life instrument. The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression using a three level scale 1-3 (no problem, some problems, and major problems). These combinations of attributes were converted into a weighted health-state Index Score according to the United Kingdom (UK) population-based algorithm. The possible values for the Index Score ranged from -0.59 (severe problems in all 5 dimensions) to 1.0 (no problem in any dimension).
SecondaryMean Change From Baseline in PRO Using the Outcomes Lung Cancer Symptom Scale (LCSS)Baseline, Cycle 6 (Cycle = 3 Weeks)
The LCSS consisted of 9 items: 6 items focused on lung cancer symptoms \[loss of appetite, fatigue, cough, dyspnea (shortness of breath), hemoptysis (blood in sputum), and pain\] and 3 items were global items (symptom distress, interference with activity level, and global quality of life). Participant responses to each item were measured using visual analogue scales (VAS) with 100-mm lines. A higher score for any item represented a higher level of symptoms/problems. Scores for each of the reported categories ranged from 0 (for best outcome) to 100 (for worst outcome). The Average Symptom Burden Index (ASBI) was the mean of the 6 symptom items of the LCSS, and the Total LCSS was the mean of all 9 LCSS items. ASBI and Total LCSS were not computed for a participant if he/she had 1 or more missing values for the 6 and 9 items, respectively.
SecondaryNumber of Participants With an Epidermal Growth Factor Hormone (EGFR) Protein Expression Measured by Immunohistochemistry (IHC)31 Months
EGFR IHC Histoscore H-score = weighted sum of % 1+ cells, twice % 2+ cells, and three times % 3+ cells. IHC H-score criteria was used to assess participants with a low EGFR expression defined by a H-score cutoff value of \<200 and participants with a high EGFR expression defined by a H-score of cutoff value of \>=200.
SecondaryPharmacokinetics (PK): Minimum Concentration (Cmin) of NecitumumabDay 1 of Cycle 2, 3, 4, 5 and 6 Prior to Necitumumab Drug Infusion, Up to 24 Months
SecondaryNumber of Participants With a Serum Anti-Necitumumab Antibody AssessmentBaseline through 31 MonthsA participant was considered to have an anti-Necitumumab antibody response if anti-drug antibodies (ADA) were detected at any time point.

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall Survival Time (OS)Randomization to Death from Any Cause (Up to 31 Months)All randomized participants. Censored participants: Necitumumab + Gemcitabine + Cisplatin = 127, Gemcitabine + Cisplatin = 106MonthsMEDIAN
SECONDARYProgression-Free Survival (PFS)Randomization to Measured Progressive Disease or Death from Any Cause (Up to 31 Months)All randomized participants. Censored participants: Necitumumab + Gemcitabine + Cisplatin = 114, Gemcitabine + Cisplatin = 131monthsMEDIAN
SECONDARYPercentage of Participants Achieving Complete Response (CR) and Partial Response (PR) (Objective Response Rate [ORR])Baseline to Measured Progressive Disease (Up to 31 Months)All randomized participants.percentage of participantsNUMBER
SECONDARYTime to Treatment Failure (TTF)Randomization to Measured Progressive Disease, Death From Any Cause, Discontinuation of Treatment or Initiation of New Anticancer Therapy (Up to 31 Months)All randomized participants. Censored participants: Necitumumab + Gemcitabine + Cisplatin = 16, Gemcitabine + Cisplatin =20MonthsMEDIAN
SECONDARYMean Change From Baseline in Patient Reported Outcomes (PRO) Using the European Quality of Life-5 Dimension (EQ-5D)Baseline, Cycle 6 (Cycle = 3 Weeks)All randomized participants who had evaluable baseline and postbaseline EQ-5D data.units on a scaleMEAN
SECONDARYMean Change From Baseline in PRO Using the Outcomes Lung Cancer Symptom Scale (LCSS)Baseline, Cycle 6 (Cycle = 3 Weeks)All randomized participants who had evaluable data for LCSS.millimeter (mm)MEAN
SECONDARYNumber of Participants With an Epidermal Growth Factor Hormone (EGFR) Protein Expression Measured by Immunohistochemistry (IHC)31 MonthsAll randomized participants who received at least one dose of study drug and had evaluable data for EGFR IHC.participantsNUMBER
SECONDARYPharmacokinetics (PK): Minimum Concentration (Cmin) of NecitumumabDay 1 of Cycle 2, 3, 4, 5 and 6 Prior to Necitumumab Drug Infusion, Up to 24 MonthsAll randomized participants who received at least one dose of study drug and had evaluable data for PK.micrograms/milliliter (ug/mL)GEOMETRIC_MEAN
SECONDARYNumber of Participants With a Serum Anti-Necitumumab Antibody AssessmentBaseline through 31 MonthsAll randomized participants who received who received at least 1 dose of drug and had evaluable data for antibodies.participantsNUMBER

Results by group45

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Overall Survival Time (OS)Necitumumab + Gemcitabine + Cisplatin11.595% Confidence Interval 10.4 to 12.6Months
Overall Survival Time (OS)Gemcitabine + Cisplatin9.995% Confidence Interval 8.9 to 11.1Months
Progression-Free Survival (PFS)Necitumumab + Gemcitabine + Cisplatin5.795% Confidence Interval 5.6 to 6.0months
Progression-Free Survival (PFS)Gemcitabine + Cisplatin5.595% Confidence Interval 4.8 to 5.6months
Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR) (Objective Response Rate [ORR])Necitumumab + Gemcitabine + Cisplatin31.295% Confidence Interval 27.4 to 35.2percentage of participants
Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR) (Objective Response Rate [ORR])Gemcitabine + Cisplatin28.895% Confidence Interval 25.2 to 32.8percentage of participants
Time to Treatment Failure (TTF)Necitumumab + Gemcitabine + Cisplatin4.395% Confidence Interval 4.2 to 4.8Months
Time to Treatment Failure (TTF)Gemcitabine + Cisplatin3.695% Confidence Interval 3.3 to 4.1Months
Mean Change From Baseline in Patient Reported Outcomes (PRO) Using the European Quality of Life-5 Dimension (EQ-5D)Necitumumab + Gemcitabine + Cisplatin-0.0053Standard Deviation 0.23626units on a scale
Mean Change From Baseline in Patient Reported Outcomes (PRO) Using the European Quality of Life-5 Dimension (EQ-5D)Gemcitabine + Cisplatin-0.0083Standard Deviation 0.23866units on a scale

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDNecitumumab + Gemcitabine + Cisplatin545
Overall StudySTARTEDGemcitabine + Cisplatin548
Overall StudyReceived at Least 1 Dose of Study DrugNecitumumab + Gemcitabine + Cisplatin538
Overall StudyReceived at Least 1 Dose of Study DrugGemcitabine + Cisplatin541
Overall StudyCOMPLETEDNecitumumab + Gemcitabine + Cisplatin476
Overall StudyCOMPLETEDGemcitabine + Cisplatin487
Overall StudyNOT COMPLETEDNecitumumab + Gemcitabine + Cisplatin69
Overall StudyNOT COMPLETEDGemcitabine + Cisplatin61

Adverse events532

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersNecitumumab + Gemcitabine + Cisplatin221538221
otherAnaemiaBlood and lymphatic system disordersGemcitabine + Cisplatin246541246
otherLeukopeniaBlood and lymphatic system disordersNecitumumab + Gemcitabine + Cisplatin7153871
otherLeukopeniaBlood and lymphatic system disordersGemcitabine + Cisplatin8554185
otherNeutropeniaBlood and lymphatic system disordersNecitumumab + Gemcitabine + Cisplatin220538220
otherNeutropeniaBlood and lymphatic system disordersGemcitabine + Cisplatin229541229
otherThrombocytopeniaBlood and lymphatic system disordersNecitumumab + Gemcitabine + Cisplatin103538103
otherThrombocytopeniaBlood and lymphatic system disordersGemcitabine + Cisplatin124541124
otherAbdominal pain upperGastrointestinal disordersNecitumumab + Gemcitabine + Cisplatin3153831
otherAbdominal pain upperGastrointestinal disordersGemcitabine + Cisplatin2954129

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityNecitumumab + Gemcitabine + Cisplatin476538
Total, all-cause mortalityGemcitabine + Cisplatin487541
Total, other adverse eventsNecitumumab + Gemcitabine + Cisplatin518538
Total, other adverse eventsGemcitabine + Cisplatin512541
Total, serious adverse eventsNecitumumab + Gemcitabine + Cisplatin262538
Total, serious adverse eventsGemcitabine + Cisplatin208541

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
26045340DERIVEDPubMed
26980471DERIVEDPubMed
27207107DERIVEDPubMed
29158123DERIVEDPubMed
42381014DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Necitumumab + Gemcitabine + Cisplatin vs Gemcitabine + Cisplatin: deaths from any causeTrial comparisons
Necitumumab + Gemcitabine + Cisplatin vs Gemcitabine + Cisplatin: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00981058

GET https://conductscience.org/api/trials/v1/NCT00981058/results?page=2