Study of Lenvatinib (E7080) in Participants With Advanced Hepatocellular Carcinoma (HCC)
Phase I/II Study of E7080 in Patients With Advanced Hepatocellular Carcinoma (HCC)
1 other identifier
interventional
66
2 countries
12
Brief Summary
The purpose of this study is to determine maximum tolerated dose (MTD), efficacy, safety and tolerability, pharmacokinetics, pharmacodynamics, and anti-tumor effect of E7080 when is administered continually once daily in participants with advanced hepatocellular carcinoma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1 hepatocellular-carcinoma
Started Jul 2009
Longer than P75 for phase_1 hepatocellular-carcinoma
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 23, 2009
CompletedFirst Posted
Study publicly available on registry
July 24, 2009
CompletedStudy Start
First participant enrolled
July 24, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 15, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
August 13, 2015
CompletedResults Posted
Study results publicly available
February 1, 2019
CompletedFebruary 1, 2019
July 1, 2018
4.9 years
July 23, 2009
August 27, 2018
August 27, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Phase 1: Maximum Tolerated Dose (MTD) of Lenvatinib
The MTD was defined as the highest dose level at which no more than 1 of 6 participants had a dose limiting toxicities (DLT). DLT was defined as any of the following events: grade 4 or higher hematologic toxicity or grade 3 thrombocytopenia that required blood transfusion, grade 3 or higher nonhematologic toxicity, grade 4 hypertension uncontrolled by antihypertensive drug(s), aspartate aminotransferase/alanine aminotransferase (AST/ALT) greater than (\>) 10.0\*upper limit of normal (ULN), proteinuria 4+ by urine dipstick, proteinuria 3+ by urine dipstick was to be monitored by 24-hour urine collection, proteinuria \>3.5 gram (g) for 24 hours, diarrhea/vomiting/nausea of grade 3 or higher that was uncontrollable despite maximal supportive therapies and abnormal clinical laboratory values that required no treatment, grade 3 proteinuria by dipstick, diarrhea/vomiting/nausea that was managed with supportive therapies were not considered as DLT.
Up to 28 days (Cycle1)
Phase 2: Time to Progression (TTP) by Independent Review Assessment
TTP was defined as the time from the date of registration to the date when progressive disease (PD) was first confirmed. PD was evaluated according to modified response evaluation criteria in solid tumors (mRECIST) by an independent imaging review. PD was defined as at least a 20 percent (%) increase in the sum of long diameter (LD) of target lesions as compared with the smallest sum of LD and the increase of LD was at least 5 millimeter (mm) (including new lesions).
From day of registration to the day when PD was first confirmed (approximately up to 6.1 years)
Secondary Outcomes (7)
Phase 1: Best Overall Response (BOR) of Lenvatinib by Investigator Assessment
Every 8 weeks (approximately up to 18.4 months)
Phase 1: Objective Response Rate (ORR) by Investigator Assessment
From day of registration to the day when PD was first confirmed or death (approximately 6.1 years)
Phase 1: Disease Control Rate (DCR) by Investigator Assessment
Up to Week 16
Phase 2: Progression-free Survival (PFS) by Independent Review Assessment
From day of registration to the day when PD was first confirmed or death (approximately 6.1 years)
Phase 2: Objective Response Rate (ORR) by Independent Review Assessment
From day of registration to the day when PD was first confirmed or death (approximately 6.1 years)
- +2 more secondary outcomes
Study Arms (1)
Lenvatinib
EXPERIMENTALInterventions
In the Dose-Escalation Component of the study, lenvatinib will be administered as continuous once-daily oral dosing. Dose-escalation will occur based on safety information obtained during Cycle 1. The recommended dose for the Expansion Component of the study will use the MTD in Cycle 1.
Eligibility Criteria
You may qualify if:
- Histologically or clinically confirmed diagnosis of advanced HCC.
- Eastern Cooperative Oncology Group-Performance Status (ECOG-PS): 0-1.
- Adequate laboratory values/organ function tests.
You may not qualify if:
- Simultaneous or metachronous cancers.
- Pericardial, ascites, or pleural effusion requiring drainage.
- Brain metastasis/meningeal carcinomatosis presenting clinical symptoms or requiring treatment.
- Malabsorption syndrome.
- Artery-portal vein shunt or artery-vein shunt preventing proper diagnosis of tumor.
- Use of drugs known to inhibit cytochrome P3A4.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Eisai Co., Ltd.lead
Study Sites (12)
Unknown Facility
Kashiwa-shi, Chiba, Japan
Unknown Facility
Kurume-shi, Fukuoka, Japan
Unknown Facility
Sapporo, Hokkaido, Japan
Unknown Facility
Kawasaki-shi, Kanagawa, Japan
Unknown Facility
Osaka, Osaka, Japan
Unknown Facility
Osakasayama-shi, Osaka, Japan
Unknown Facility
Saga, Saga-ken, Japan
Unknown Facility
Chuo-ku, Tokyo, Japan
Unknown Facility
Minato-ku, Tokyo, Japan
Unknown Facility
Musashino-shi, Tokyo, Japan
Unknown Facility
Gangnam-gu, Seoul, South Korea
Unknown Facility
Songpa-gu, Seoul, South Korea
Related Publications (1)
Ikeda K, Kudo M, Kawazoe S, Osaki Y, Ikeda M, Okusaka T, Tamai T, Suzuki T, Hisai T, Hayato S, Okita K, Kumada H. Phase 2 study of lenvatinib in patients with advanced hepatocellular carcinoma. J Gastroenterol. 2017 Apr;52(4):512-519. doi: 10.1007/s00535-016-1263-4. Epub 2016 Oct 4.
PMID: 27704266DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Eisai Medical Services
- Organization
- Eisai, Inc.
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 23, 2009
First Posted
July 24, 2009
Study Start
July 24, 2009
Primary Completion
June 15, 2014
Study Completion
August 13, 2015
Last Updated
February 1, 2019
Results First Posted
February 1, 2019
Record last verified: 2018-07