For Healthcare Professionals

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


About the study

The research study is testing the investigational drug necitumumab (IMC-11F8) in the treatment of advanced non-small cell lung cancer. The aim of this study is to determine if necitumumab, given together with a standard chemotherapy combination consisting of cisplatin and gemcitabine will be more effective in improving participant disease than the standard chemotherapy combination alone.

Who can take part

You may be eligible to participate in the study if you meet the following criteria:


Inclusion Criteria:

  1. Has histologically or cytologically confirmed squamous NSCLC
  2. Has Stage IV disease at the time of study entry
  3. Measurable or nonmeasurable disease at the time of study entry as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.0) (participants with only truly nonmeasurable disease are not eligible)
  4. Has resolution to Grade ≤ 1 of all clinically significant toxic effects of prior chemotherapy, surgery, radiotherapy, or hormonal therapy (with the exception of alopecia)
  5. Has adequate hepatic function
  6. Has adequate renal function
  7. Has adequate hematologic function
  8. If female, is surgically sterile, postmenopausal, or compliant with a highly effective contraceptive method (failure rate < 1%) during and for 6 months after the treatment period (oral hormonal contraception alone is not considered highly effective and must be used in combination with a barrier method)
  9. If male, the participant is surgically sterile or compliant with a highly effective contraceptive regimen during and for 6 months after the treatment period
  10. Female participants of childbearing potential must have a negative serum pregnancy test within 7 days prior to randomization
  11. Has archived tumor tissue available for analysis of EGFR and KRAS mutation status (by PCR) and EGFR gene copy number (by FISH); minimum of four slides, paraffin-embedded tissue, required


Exclusion Criteria:

  1. Has nonsquamous NSCLC (adenocarcinoma/large cell or other)
  2. Has received prior anticancer therapy with monoclonal antibodies, signal transduction inhibitors, or any therapies targeting the EGFR, vascular endothelial growth factor (VEGF), or VEGF receptor
  3. Has received previous chemotherapy for advanced NSCLC (participants who have received adjuvant chemotherapy are eligible if the last administration of the prior adjuvant regimen occurred at least 1 year prior to randomization)
  4. Has undergone major surgery or received any investigational therapy in the 4 weeks prior to randomization
  5. Has undergone chest irradiation within 12 weeks prior to randomization (except palliative irradiation of bone lesions, which is allowed)
  6. Has brain metastases that are symptomatic or require ongoing treatment with steroids or anticonvulsants. Participants who have undergone previous radiotherapy for brain metastases, who are now nonsymptomatic and no longer require treatment with steroids or anticonvulsants, are eligible
  7. Has superior vena cava syndrome contraindicating hydration
  8. Has current clinically-relevant coronary artery disease or uncontrolled congestive heart failure
  9. Has experienced myocardial infarction within 6 months prior to randomization
  10. Has an ongoing or active infection (requiring antibiotics), including active tuberculosis or known infection with the human immunodeficiency virus
  11. Has a history of significant neurological or psychiatric disorders, including dementia, seizures, or bipolar disorder
  12. Has any National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 3.0 Grade ≥ 2 peripheral neuropathy
  13. Has significant third space fluid retention, requiring repeated drainage
  14. Has any other serious uncontrolled medical disorders or psychological conditions that would, in the opinion of the investigator, limit the participant's ability to complete the study or sign an informed consent document
  15. Has a known allergy / history of hypersensitivity reaction to any of the treatment components, including any ingredient used in the formulation of necitumumab (IMC-11F8), or any other contraindication to one of the administered treatments
  16. Is pregnant or breastfeeding
  17. Has a known history of drug abuse
  18. Has a concurrent active malignancy other than adequately-treated basal cell carcinoma of the skin or preinvasive carcinoma of the cervix. A participant with previous history of malignancy other than NSCLC is eligible, provided that he/she has been free of disease for ≥ 3 years

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Study Locations

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How to Apply

Contact the study center to learn if this study is a good match for you.

Study’s details


Non Small Cell Lung Cancer

Age (in years)



Phase 3

Participants needed


Est. Completion Date

Dec 31, 2023

Treatment type



Eli Lilly and Company identifier


Study number


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