Study of Lenvatinib (E7080) in Participants With Advanced Hepatocellular Carcinoma (HCC)
Phase I/II Study of E7080 in Patients With Advanced Hepatocellular Carcinoma (HCC)
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Typ studiów
Typ studiów
Zapisy (Rzeczywisty)
Zapisy
Faza
Faza
- Faza 2
- Faza 1
Kontakty i lokalizacje
Lokalizacje studiów
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Chiba
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Kashiwa-shi, Chiba, Japonia
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Fukuoka
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Kurume-shi, Fukuoka, Japonia
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Hokkaido
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Sapporo-shi, Hokkaido, Japonia
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Kanagawa
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Kawasaki-shi, Kanagawa, Japonia
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Osaka
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Osaka-shi, Osaka, Japonia
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Osakasayama-shi, Osaka, Japonia
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Saga
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Saga-shi, Saga, Japonia
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Tokyo
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Chuo-ku, Tokyo, Japonia
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Minato-ku, Tokyo, Japonia
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Musashino-shi, Tokyo, Japonia
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Seoul
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Gangnam-gu, Seoul, Republika Korei
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Songpa-gu, Seoul, Republika Korei
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion criteria:
- Histologically or clinically confirmed diagnosis of advanced HCC.
- Eastern Cooperative Oncology Group-Performance Status (ECOG-PS): 0-1.
- Adequate laboratory values/organ function tests.
Exclusion criteria:
- 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.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Nielosowe
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
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Eksperymentalny: Lenwatynib
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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.
Inne nazwy:
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Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Phase 1: Maximum Tolerated Dose (MTD) of Lenvatinib
Ramy czasowe: Up to 28 days (Cycle1)
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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.
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Up to 28 days (Cycle1)
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Phase 2: Time to Progression (TTP) by Independent Review Assessment
Ramy czasowe: From day of registration to the day when PD was first confirmed (approximately up to 6.1 years)
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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).
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From day of registration to the day when PD was first confirmed (approximately up to 6.1 years)
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Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Phase 1: Best Overall Response (BOR) of Lenvatinib by Investigator Assessment
Ramy czasowe: Every 8 weeks (approximately up to 18.4 months)
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BOR was performed using RECIST1.1 and was measured as complete response (CR) defined as when an overall response of CR was obtained 2 or more consecutive times at intervals of at least 28 days (the date when the second overall response of CR was confirmed and the BOR established as CR was regarded as the "CR confirmed date), partial response (PR) defined as when the overall response of PR or better (CR or PR) was obtained 2 or more consecutive times at intervals of at least 28 days (the date when the second overall response of PR was confirmed and the BOR established as PR will be regarded as the "PR confirmed date), PD defined as when the BOR was neither CR, PR, or stable disease (SD), and the overall response was PD, SD defined as when the BOR obtained was neither CR nor PR, but no PD from the initial administration to the end of Cycle 2 and the overall response of SD or better occurred at least once and not evaluable (NE) was when the overall response was NE in all cases.
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Every 8 weeks (approximately up to 18.4 months)
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Phase 1: Objective Response Rate (ORR) by Investigator Assessment
Ramy czasowe: From day of registration to the day when PD was first confirmed or death (approximately 6.1 years)
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ORR was defined as the percentage of participants who achieved a tumor response measured by RECIST 1.1 of CR defined as disappearance of all target lesions (a short diameter is less than (<)10 mm if it exists in a lymph node) plus PR defined as at least 30% decrease in the sum of the long diameter LD (hereafter referred to as sum of LD) of all target lesions, as compared with Baseline summed LD.
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From day of registration to the day when PD was first confirmed or death (approximately 6.1 years)
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Phase 1: Disease Control Rate (DCR) by Investigator Assessment
Ramy czasowe: Up to Week 16
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DCR was measured by RECIST 1.1 and defined as CR which was defined as disappearance of all target lesions (a short diameter was <10 mm if it exists in a lymph node) plus PR which was defined as at least 30% decrease in the sum of the long diameter (hereafter referred to as sum of LD) of all target lesions, as compared with baseline summed LD plus SD which was reduction in tumor volume of less than 50% or an increase in the volume of 1 or more measurable lesions of less than 25% without the appearance of any new lesions which was neither tumor shrinkage corresponding to PR nor tumor expansion corresponding to PD.
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Up to Week 16
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Phase 2: Progression-free Survival (PFS) by Independent Review Assessment
Ramy czasowe: From day of registration to the day when PD was first confirmed or death (approximately 6.1 years)
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PFS was defined as the time from the date of registration until the date when PD was first confirmed or death (whichever occurred first) as determined by mRECIST and PD was defined as at least a 20% increase in the sum of long diameters of target lesions, taking as reference the baseline sum of diameters of target lesions.
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From day of registration to the day when PD was first confirmed or death (approximately 6.1 years)
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Phase 2: Objective Response Rate (ORR) by Independent Review Assessment
Ramy czasowe: From day of registration to the day when PD was first confirmed or death (approximately 6.1 years)
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ORR was defined as the percentage of participants who achieved a tumor response measured by mRECIST of CR defined as disappearance of all target lesions (a short diameter is <10 mm if it exists in a lymph node) plus PR defined as at least 30% decrease in the sum of the long diameter LD (hereafter referred to as sum of LD) of all target lesions, as compared with Baseline summed LD.
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From day of registration to the day when PD was first confirmed or death (approximately 6.1 years)
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Phase 2: Disease Control Rate (DCR) by Independent Review Assessment
Ramy czasowe: Weeks 8 and 16
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DCR was measured by mRECIST and defined as CR which was defined as disappearance of all target lesions (a short diameter is <10 mm if it exists in a lymph node) plus PR which was defined as at least 30% decrease in the sum of the long diameter (hereafter referred to as sum of LD) of all target lesions, as compared with baseline summed LD plus SD which was reduction in tumor volume of less than 50% or an increase in the volume of 1 or more measurable lesions of less than 25% without the appearance of any new lesions which was neither tumor shrinkage corresponding to PR nor tumor expansion corresponding to PD.
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Weeks 8 and 16
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Phase 2: Overall Survival (OS)
Ramy czasowe: From day of registration to the day of death (approximately 6.1 years)
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OS was defined as the time from the date of registration until the date of death.
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From day of registration to the day of death (approximately 6.1 years)
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Współpracownicy i badacze
Sponsor
Sponsor
Publikacje i pomocne linki
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Rzeczywisty)
Zakończenie podstawowe
Ukończenie studiów (Rzeczywisty)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Oszacować)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Choroby Układu Pokarmowego
- Nowotwory według typu histologicznego
- Nowotwory
- Nowotwory według lokalizacji
- Rak gruczołowy
- Nowotwory gruczołowe i nabłonkowe
- Nowotwory Układu Pokarmowego
- Choroby wątroby
- Nowotwory wątroby
- Rak
- Rak wątrobowokomórkowy
- Molekularne mechanizmy działania farmakologicznego
- Inhibitory enzymów
- Środki przeciwnowotworowe
- Inhibitory kinazy białkowej
- Lenwatynib
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- E7080-J081-202
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