Abstract
Eli Lilly is developing necitumumab (Portrazza™), an intravenously administered fully human IgG monoclonal antibody directed against the epidermal growth factor receptor (EGFR), which is expressed in a variety of solid tumours and has been implicated in promoting oncogenesis and tumour progression. Necitumumab is approved as a part of combination therapy (with gemcitabine and cisplatin) in the USA for the first-line treatment of metastatic squamous non-small cell lung cancer (NSCLC), and regulatory submissions have been made in the EU for this same indication. Necitumumab was derived from the proprietary phage display library of Dyax Corp, and originated with ImClone Systems, which was acquired by Eli Lilly in November 2008. Necitumumab was also under phase II development for colorectal cancer in Belgium and Spain; however, no recent development has been reported for this indication. This article summarizes the milestones in the development of necitumumab leading to this first approval for the first-line treatment of metastatic squamous NSCLC, in combination with gemcitabine and cisplatin.
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References
Eastman P. Oncology Drugs Advisory Committee generally favors approval of necitumumab for lung cancer. Oncol Times. 2015;37(15):6–8.
Pirker R. EGFR-directed monoclonal antibodies in non-small cell lung cancer. Targ Oncol. 2013;8(1):47–53.
Eli Lilly and Company. Prescribing information for Portrazza™ (necitumumab). 2015. http://pi.lilly.com/us/portrazza-uspi.pdf. Accessed 25 Nov.
US FDA. FDA approves Portrazza to treat advanced squamous non-small cell lung cancer [media release]. 24 Nov 2015. http://www.fda.gov.
Eli Lilly and Company. FDA approves Portrazza™ (necitumumab) for specific type of lung cancer [media release]. 24 Nov 2015. http://lilly.mediaroom.com.
Eli Lilly and Company. Lilly reports fourth-quarter and full-year 2014 results, updates 2015 guidance [media release]. 30 Jan 2015. http://www.lilly.com.
Eli Lilly and Company. Lilly statement on FDA Advisory Committee review of necitumumab [media release]. 9 July 2015. http://www.lilly.com.
Dyax Corp. Dyax Corp. highlights recent progress in licensing and funded research portfolio [media release]. 22 Sep 2014. http://www.dyax.com.
Tabernero J, Sastre Valera J, Delaunoit T, et al. A phase II multicenter study evaluating the efficacy and safety of IMC-11F8, a recombinant human IgG1 anti- epidermal growth factor receptor (EGFR) monoclonal antibody (Mab), combined with 5-FU/FA and oxaliplatin (mFOLFOX-6) as first- line therapy [abstract no. 4066]. J Clin Oncol. 2008;26(15 Suppl).
Eli Lilly and Company. INSPIRE trial enrollment stopped; enrollment in lung cancer trial SQUIRE continues [media release]. 2 Feb 2011. http://www.bms.com.
Eli Lilly and Company. Lilly completes acquisition of ImClone Systems [media release]. 24 Nov 2008. http://www.lilly.com.
Dyax Corp. Dyax enters into antibody library license agreement with ImClone Systems Incorporated [media release]. 8 Apr 2003. http://www.dyax.com.
ImClone Systems Incorporated. ImClone Systems announces favorable outcome in binding arbitration over rights to IMC-11F8 [media release]. 4 Apr 2006.
Bristol-Myers Squibb. Strong operational and strategic performance in fourth quarter caps transformative 2009 [media release]. 28 Jan 2010. http://www.bms.com.
Eli Lilly and Company. Lilly reports fourth-quarter and full-year 2012 results, revises 2013 EPS guideance [media release]. 29 Jan 2013. http://www.lilly.com.
Eli Lilly and Company. Eli Lilly and Company 2012 annual report. 2013. http://www.lilly.com. Accessed 7 Dec 2015.
Eli Lilly and Company. Lilly and Astrazeneca expand immuno-oncology research collaboration with new combinations [media release]. 22 Oct 2015. http://www.lillyoncology.com.
Eli Lilly and Company. Lilly and Astrazeneca to collaborate on immuno-oncology combination clinical trial in solid tumours [media release]. 29 May 2015. http://www.lilly.com.
US Securities and Exchange Commission. Bristol-Myers Squibb Company Form 10-K: annual report. 2010. http://www.sec.gov/. Accessed 2 Dec 2015.
Kuenen B, Witteveen PO, Ruijter R, et al. A phase I pharmacologic study of necitumumab (IMC-11F8), a fully human IgG1 monoclonal antibody directed against EGFR in patients with advanced solid malignancies. Clin Cancer Res. 2010;16(6):1915–25.
Li S, Kussie P, Ferguson KM. Structural basis for EGF receptor inhibition by the therapeutic antibody IMC-11F8. Structure. 2008;16(2):216–27.
Thatcher N, Hirsch FR, Luft AV, et al. Necitumumab plus gemcitabine and cisplatin versus gemcitabine and cisplatin alone as first-line therapy in patients with stage IV squamous non-small-cell lung cancer (SQUIRE): an open-label, randomised, controlled phase 3 trial. Lancet Oncol. 2015;16:763–74.
Paz-Ares L, Mezger J, Ciuleanu TE, et al. Necitumumab plus pemetrexed and cisplatin as first-line therapy in patients with stage IV non-squamous non-small-cell lung cancer (INSPIRE): an open-label, randomised, controlled phase 3 study. Lancet Oncol. 2015;16:328–37.
Nokihara H, Yamamoto N, Tamura Y, et al. A phase 1 study of necitumumab (anti-EGFR monoclonal antibody) in Japanese patients with advanced solid tumors [abstract no. O3-9-2]. Ann Oncol. 2014;25(Suppl 5):v70.
Kuenen B, Witteveen PO, Ruijter R, et al. A phase I pharmacologic study of necitumumab (IMC-11F8), a fully human IgG1 monoclonal antibody directed against EGFR in patients with advanced solid malignancies. Clin Cancer Res. 2010;16(6):1915–23.
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The preparation of this review was not supported by any external funding. During the peer review process the manufacturer of the agent under review was offered an opportunity to comment on the article. Changes resulting from any comments received were made by the author on the basis of scientific completeness and accuracy. K. P. Garnock-Jones is a salaried employee of Adis, Springer SBM.
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Garnock-Jones, K.P. Necitumumab: First Global Approval. Drugs 76, 283–289 (2016). https://doi.org/10.1007/s40265-015-0537-0
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DOI: https://doi.org/10.1007/s40265-015-0537-0