A Study of E7130 in Participants With Solid Tumors
A Phase 1 Study of E7130 in Subjects With Solid Tumor
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Inquiry Service
- Email: eisai-chiken_hotline@hhc.eisai.co.jp
Study Locations
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Aichi
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Nagoya, Aichi, Japan
- EISAI Trial Site 9
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Chiba
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Kashiwa, Chiba, Japan
- EISAI Trial Site 1
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Kashiwa, Chiba, Japan
- EISAI Trial Site 6
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Hokkaido
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Sapporo, Hokkaido, Japan
- EISAI Trial Site 8
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Miyagi
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Sendai, Miyagi, Japan
- EISAI Trial Site 4
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Osaka
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Chuo-ku, Osaka, Japan
- EISAI Trial Site 5
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Tokyo
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Bunkyo-ku, Tokyo, Japan
- EISAI Trial Site 7
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Chuo-ku, Tokyo, Japan
- EISAI Trial Site 3
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Koto-ku, Tokyo, Japan
- EISAI Trial Site 2
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants who have provided voluntary written consent for participation in this clinical study
- Participants to whom the rules for complying with this clinical study have been adequately explained, and who intend to and can comply with these rules
- Participants aged greater than or equal to (>=) 20 years at the time of informed consent
- Participants with adequate function of major organs
- Participants with Performance Status score of 0 to 1 established by the Eastern Cooperative Oncology Group (ECOG)
- Participants who are expected to survive for 3 months or longer after starting administration of the investigational drug
- Washout period required from the end of prior treatment to the first administration of study drug
- Participants who agree to submit blood samples prior and during study treatment for progressive disease (PD) markers.
Inclusion Criteria (Part 2 only):
Measurable disease meeting the following criteria:
- At least 1 lesion of >=1.0 centimeter (cm) in the longest diameter for a non-lymph node or >=1.5 cm in the short-axis diameter for a lymph node that is serially measurable according to response evaluation criteria in solid tumours (RECIST) 1.1 using computerized tomography/magnetic resonance imaging (CT/MRI).
Lesions that have had external beam radiotherapy (EBRT) or locoregional therapies such as radiofrequency (RF) ablation must show evidence of progressive disease to be deemed a target lesion.
Exclusion Criteria:
- Medical history of clinically significant cardiovascular impairment
- Serious concomitant systemic infection requiring medical treatment (including bacterial infection and fungal infection)
- Participants who test positive for human immunodeficiency virus (HIV antibody)
- Active viral hepatitis (B or C) as demonstrated by positive serology or requiring treatment hepatitis B surface antigen (HBsAg), anti-hepatitis B surface antibody (anti-HBs)/hepatitis B core antibody (HBcAb) and anti-hepatitis C virus (HCV) antibody test.
- Effusion requiring drainage
- Participants whose toxicity of previous treatment has not recovered to Grade 1 or lower (except for alopecia and hemoglobin)
- Other active malignancy
- Females who are breastfeeding or pregnant at Screening or Baseline (as documented by a positive beta-human chorionic gonadotropin [ß-hCG] or human chorionic gonadotropin [hCG]).
- Women of childbearing potential or men of impregnate potential who don't agree that both the participant and his/her partner will use a medically effective method for contraception during the study and after study drug discontinuation (male; 90 days, female; 60 days)
- Known intolerance to the study drug or any of the excipients
- Any medical or other condition that in the opinion of the investigator(s) would preclude the participant's participation in the study
- Scheduled for surgery during the study
- Diagnosed with meningeal carcinomatosis
- Participants with brain or subdural metastases are not eligible.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: E7130 (2-Week Regimen)
Part 1 (Cycle 1; 28 days): The first cohort of 3 participants will receive 25 micrograms per meters squared (μg/m^2) of E7130, on Day 1 and Day 15 as an intravenous infusion.
If a drug-related Grade 2 or higher toxicity excluding clinically insignificant events is not observed in the initial cohort, dose-limiting toxicities (DLTs) will be evaluated in successive dose levels with single participants until such a toxicity is observed.
Once the maximum tolerated dose (MTD) will be determined.
Part 2: Participants with squamous cell carcinoma of the head and neck and urothelial carcinoma will be evaluated at the dose level determined in Part 1 in a 2-week or in a 3-week regimen based on the evaluations in Part 1.
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Starting dose of 25 μg/m^2 on Day 1 and Day 15 of Cycle 1.
Starting dose is lower than one at which the first DLT was observed in the 2-week regimen administered on Day 1 of Cycle 1.
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Experimental: E7130 (3-Week Regimen)
Part 1 (Cycle 1; 21 days): On Day 1, participants will receive E7130 at (-1) a lower dose than the dose at which the first DLT was observed in the 2-week regimen.
Once the MTD will be determined.
Part 2: Participants with squamous cell carcinoma of the head and neck and urothelial carcinoma will be evaluated at the dose level determined in Part 1 in a 3-week or in a 2-week regimen based on the evaluations in Part 1.
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Starting dose of 25 μg/m^2 on Day 1 and Day 15 of Cycle 1.
Starting dose is lower than one at which the first DLT was observed in the 2-week regimen administered on Day 1 of Cycle 1.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Part 1: Number of participants assigned to the every 2 weeks regimen with dose-limiting toxicities (DLTs)
Time Frame: Cycle 1 (28 days)
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DLTs are defined as study drug related adverse events (AEs).
Toxicity will be evaluated according to National Cancer Institute Common Terminology Criteria for Adverse Events version 4.03 (NCI CTCAE 4.03).
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Cycle 1 (28 days)
|
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Part 1: Number of participants assigned to the every 3 weeks regimen with DLTs
Time Frame: Cycle 1 (21 days)
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DLTs are defined as study drug related AEs.
Toxicity will be evaluated according to NCI CTCAE 4.03.
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Cycle 1 (21 days)
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Part 1 and Part 2: Number of participants with adverse events (AEs)
Time Frame: Up to approximately 83 months
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Up to approximately 83 months
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|
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Part 1 and Part 2: Number of participants with any clinically significant clinical laboratory test value
Time Frame: Up to approximately 83 months
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Clinical significance will be determined by the Investigator.
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Up to approximately 83 months
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Part 1 and Part 2: Number of participants with any clinically significant vital sign value
Time Frame: Up to approximately 83 months
|
Clinical significance will be determined by the Investigator.
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Up to approximately 83 months
|
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Part 1 and Part 2: Change from Baseline in arterial oxygen saturation
Time Frame: Baseline; Up to approximately 83 months
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Baseline; Up to approximately 83 months
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Part 1 and Part 2: Change from Baseline in body weight
Time Frame: Baseline; Up to approximately 83 months
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Baseline; Up to approximately 83 months
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Part 1 and Part 2: Number of participants with any clinically significant 12-lead electrocardiogram (ECG) value
Time Frame: Up to approximately 83 months
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Up to approximately 83 months
|
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Part 1 and Part 2: Change from Baseline in the performance status (PS) score established by the Eastern Cooperative Oncology Group (ECOG)
Time Frame: Baseline; Up to approximately 83 months
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Baseline; Up to approximately 83 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Part 1: Maximum Tolerated Dose (MTD) of E7130
Time Frame: Cycle 1 and Cycle 2 (56 days [every 2 weeks regimen] [each Cycle length = 28 days], 42 days [every 3 weeks regimen] [each Cycle length = 21 days])
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The MTD will be selected as the dose with the smallest difference between the target DLT rate of 25% and an estimate of DLT rate based on the posterior distribution of DLT rate for each dose.
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Cycle 1 and Cycle 2 (56 days [every 2 weeks regimen] [each Cycle length = 28 days], 42 days [every 3 weeks regimen] [each Cycle length = 21 days])
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Part 1: Maximum observed plasma concentration (Cmax) of E7130
Time Frame: Bi-weekly: Cycles 1-2 Days 1 and 15: 0-168 hours post-infusion (each Cycle length=28 days); Tri-weekly: Cycles 1-2 Day 1: 0-336 hours post-infusion (each Cycle length=21 days)
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Cmax is the maximum observed concentration of E7130 after administration of the drug.
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Bi-weekly: Cycles 1-2 Days 1 and 15: 0-168 hours post-infusion (each Cycle length=28 days); Tri-weekly: Cycles 1-2 Day 1: 0-336 hours post-infusion (each Cycle length=21 days)
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Part 1: Time to reach maximum plasma concentration (Tmax) of E7130
Time Frame: Bi-weekly: Cycles 1-2 Days 1 and 15: 0-168 hours post-infusion (each Cycle length=28 days); Tri-weekly: Cycles 1-2 Day 1: 0-336 hours post-infusion (each Cycle length=21 days)
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Tmax is the time at which the highest drug concentration occurs.
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Bi-weekly: Cycles 1-2 Days 1 and 15: 0-168 hours post-infusion (each Cycle length=28 days); Tri-weekly: Cycles 1-2 Day 1: 0-336 hours post-infusion (each Cycle length=21 days)
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Part 1: Area under the plasma concentration time curve (AUC) from time 0 to infinity
Time Frame: Bi-weekly: Cycles 1-2 Days 1 and 15: 0-168 hours post-infusion (each Cycle length=28 days); Tri-weekly: Cycles 1-2 Day 1: 0-336 hours post-infusion (each Cycle length=21 days)
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Bi-weekly: Cycles 1-2 Days 1 and 15: 0-168 hours post-infusion (each Cycle length=28 days); Tri-weekly: Cycles 1-2 Day 1: 0-336 hours post-infusion (each Cycle length=21 days)
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Part 1: Terminal elimination phase half-life (t1/2) of E7130
Time Frame: Bi-weekly: Cycles 1-2 Days 1 and 15: 0-168 hours post-infusion (each Cycle length=28 days); Tri-weekly: Cycles 1-2 Day 1: 0-336 hours post-infusion (each Cycle length=21 days)
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Bi-weekly: Cycles 1-2 Days 1 and 15: 0-168 hours post-infusion (each Cycle length=28 days); Tri-weekly: Cycles 1-2 Day 1: 0-336 hours post-infusion (each Cycle length=21 days)
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Part 1: Total clearance of E7130
Time Frame: Bi-weekly: Cycles 1-2 Days 1 and 15: 0-168 hours post-infusion (each Cycle length=28 days); Tri-weekly: Cycles 1-2 Day 1: 0-336 hours post-infusion (each Cycle length=21 days)
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Bi-weekly: Cycles 1-2 Days 1 and 15: 0-168 hours post-infusion (each Cycle length=28 days); Tri-weekly: Cycles 1-2 Day 1: 0-336 hours post-infusion (each Cycle length=21 days)
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Part 1: Volume of distribution (Vd)
Time Frame: Bi-weekly: Cycles 1-2 Days 1 and 15: 0-168 hours post-infusion (each Cycle length=28 days); Tri-weekly: Cycles 1-2 Day 1: 0-336 hours post-infusion (each Cycle length=21 days)
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Bi-weekly: Cycles 1-2 Days 1 and 15: 0-168 hours post-infusion (each Cycle length=28 days); Tri-weekly: Cycles 1-2 Day 1: 0-336 hours post-infusion (each Cycle length=21 days)
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Part 1 and Part 2: Recommended dose for future studies
Time Frame: Up to approximately 83 months
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The recommended dose will be determined based on the on the MTD, the optimal biologic dose, and efficacy/safety/pharmacokinetic/pharmacodynamic data in Part 1 and Part 2.
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Up to approximately 83 months
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Part 1 and Part 2: Number of participants with advanced solid tumors with anti-tumor activity
Time Frame: Up to approximately 83 months
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Up to approximately 83 months
|
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Part 1 and Part 2: Best Overall Response (BOR)
Time Frame: Up to approximately 83 months
|
The BOR will be based on Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1.
BOR is defined as complete response (CR), partial response (PR), stable disease (SD), progression of disease (PD), and not evaluable (NE), where SD has to be achieved at ≥5 weeks after the first dose.
|
Up to approximately 83 months
|
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Part 1 and Part 2: Objective Response Rate (ORR)
Time Frame: Up to approximately 83 months
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The ORR is defined as the percentage of participants with a BOR of CR or PR.
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Up to approximately 83 months
|
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Part 1 and Part 2: Disease Control Rate (DCR)
Time Frame: Up to approximately 83 months
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DCR is defined as the percentage of participants with a BOR of CR, PR, or SD.
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Up to approximately 83 months
|
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Part 1 and Part 2: Clinical Benefit Rate (CBR)
Time Frame: Up to approximately 83 months
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The CBR is defined as the percentage of participants with a BOR of CR, PR, or durable SD (duration of SD ≥23 weeks).
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Up to approximately 83 months
|
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Part 2: Progression-free survival (PFS)
Time Frame: Up to approximately 83 months
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PFS is defined as the time from the date of the first dose to the first documented date of the event (disease progression or death from any cause, whichever occurs first).
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Up to approximately 83 months
|
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Part 2: Overall Survival (OS)
Time Frame: Up to approximately 83 months
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OS is defined as the time from the date of the first dose to the date of death from any cause.
|
Up to approximately 83 months
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- E7130-J081-101
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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