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Hepatocellular CarcinomaPhase 1/2NCT01271504

E7050 in Combination With Sorafenib Versus Sorafenib Alone as First Line Therapy in Participants With Hepatocellular Carcinoma

A Phase 1/2 study testing Sorafenib in people with Hepatocellular Carcinoma, run by Eisai Inc. at 24 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to determine whether patients with hepatocellular carcinoma who receive either E7050 administered with Sorafenib or Sorafenib alone experience greater benefit (cancer responds to treatment) when E7050 is administered with Sorafenib. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hepatocellular Carcinoma
What is being tested?
Sorafenib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
102 participants
Where
24 sitesin 6 countries
Study dates
19 Jul 2011to 23 Jun 2015
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Unresectable locally advanced or metastatic HCC;
  • Histologic confirmation not required if other diagnostic criteria are met;
  • No previous systemic anti-cancer therapy permitted (2 prior systemic anti-cancer regimen are allowed in Phase Ib). Previous chemoembolization, radioembolization, radiofrequency ablation, or other local ablative therapies are permitted if greater than 6 weeks of first day of study-defined treatment;
  • ECOG PS 0 or 1; Child-Pugh Cirrhotic Status A or B with a score of 7;
  • Blood pressure must be well-controlled (less than or equal to 140/90 mmHg at screening) with or without antihypertensive medication. Patients must have no history of hypertensive crisis or hypertensive encephalopathy;

Who cannot join

  • Previously received E7050 anti-cmet, or anti-angiogenic therapy (prior anti-angiogenic therapy is permitted in Phase Ib only);
  • Presence of brain metastases, unless the patient has received adequate treatment at least 4 weeks prior to randomization, and is stable, asymptomatic, and off steroids for at least 4 weeks prior to randomization;
  • Palliative radiotherapy is not permitted throughout the study period;
  • Active hemoptysis
  • Serious non-healing wound, ulcer, or active bone fracture;
  • Major surgical procedure, open biopsy or significant traumatic injury within 28 days prior to commencing study treatment, or anticipation of need for a major surgical procedure during the course of the study;
  • Clinically significant gastrointestinal bleeding (bleeding requiring procedural intervention, eg. variceal banding, transjugular intrahepatic portosystemic shunt (TIPS) procedure, arterial embolization, topical coagulation therapy) within 6 months prior to first dose.

Trial locations and contacts

24 sites in 6 countries.

24 sites in 6 countries

United States7 sites
  • Study site

    Chapel Hill, North Carolina, 27599

  • Study site

    Cincinnati, Ohio, 45267

  • Study site

    Fort Myers, Florida, 33905

  • Study site

    Nashville, Tennessee, 37203

  • Study site

    St. Petersburg, Florida, 33705

  • Study site

    Toledo, Ohio, 43623

  • Study site

    Tucson, Arizona, 85715

Other trials in United States

Spain4 sites
  • Study site

    Madrid, 28007

  • Study site

    Madrid, 28034

  • Study site

    Madrid, 28046

  • Study site

    Madrid, 28050

Other trials in Spain

Ukraine4 sites
  • Study site

    Dnipropetrovsk, 49102

  • Study site

    Donetsk, 83092

  • Study site

    Kharkiv, 61037

  • Study site

    Lviv, 79031

Other trials in Ukraine

Belgium3 sites
  • Study site

    Brussels, 1070

  • Study site

    Brussels, 1200

  • Study site

    Leuven, 3000

Other trials in Belgium

Italy3 sites
  • Study site

    Modena, 40124

  • Study site

    Pavia, 27100

  • Study site

    Rozzano, Milano, 20089

Other trials in Italy

United Kingdom3 sites
  • Study site

    Glasgow, Strathclyde, G12 OYN

  • Study site

    London, Greater London, WC1E 6BT

  • Study site

    Manchester, Greater Manchester, M20 4BX

Other trials in United Kingdom

About this study

Official title: An Open-Label, Multicenter, Randomized, Phase Ib/II Study of E7050 in Combination With Sorafenib Versus Sorafenib Alone as First Line Therapy in Patients With Hepatocellular Carcinoma

The purpose of this study is to determine whether patients with hepatocellular carcinoma who receive either E7050 administered with Sorafenib or Sorafenib alone experience greater benefit (cancer responds to treatment) when E7050 is administered with Sorafenib.

Read the detailed description

This open-label, multicenter, randomized study will consist of a Phase Ib: a safety run-in period with 3 ascending doses of E7050 in combination with sorafenib; and a Phase II portion: a randomized 2-arm period. Approximately 95 patients with hepatocellular carcinoma will be enrolled in the study (10-15 patients in the Phase Ib portion and 80 patients in the Phase II portion). Patients will only participate in either the Phase Ib or the Phase II portion of the study. In both Phase Ib and phase II, Patients will receive study treatment (E7050 plus sorafenib or sorafenib alone) until the occurrence of progressive disease (PD)for approximately six 28-day cycles (24 weeks). After 6 cycles. ath the discretion of the Investigator and in consultation with the Medical Monitor, patients who are experiencing clinical benefit may continue E7050, with or without sorafenib (Arm 1), or may continue sorafenib alone (Arm 2), depending on the original randomization treatment arm, for as long as clinical benefit is sustained and the treatment is well tolerated. Patients will be followed until death following completion of therapy.

Being tested
Sorafenib
Keywords
Cancer, liver, hepatocellular carcinoma, phase I, phase II
Medical subject headings
Carcinoma, Hepatocellular, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SorafenibDrug

    Phase Ib: Cohort 1; 200 mg E7050 + 400 mg Sorafenib Cohort 2; 300 mg E7050 + 400 mg Sorafenib Cohort 3; 400 mg E7050 + Sorafenib

  • SorafenibDrug

    E7050 given orally at 200, 300 or 400 mg once daily.

    Sorafenib given orally, 400 mg twice daily.

Study groups in NCT01271504
Study groupRoleWhat they receive
Phase Ib: Cohort 1,2, and 3Active comparatorPhase Ib: Cohort 1; 200 mg E7050 + 400 mg Sorafenib Cohort 2; 300 mg E7050 + 400 mg Sorafenib Cohort 3; 400 mg E7050 + Sorafenib
Receives: Drug: Sorafenib
Phase II: Arm 1; E7050 + SorafenibActive comparatorPhase II: Arm 1; E7050 + 400 mg Sorafenib Arm 2; 400 mg Sorafenib
Receives: Drug: Sorafenib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Phase 1b: Number of Participants Who Experienced Any Dose Limiting Toxicity (DLT)

    DLTs were defined as clinically significant adverse events (AEs) (non-hematological, hematological and other events) occurring less than or equal to (<=) 28 days after commencing study treatment and considered to be at least possibly or probably related to study drug by the Investigator. Toxicity will be evaluated according to National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0 (NCI CTCAE v.4.0).

    Measured: Cycle 1 (Cycle length is 28 days)

  2. Phase 1b: Cmax: Maximum Observed Plasma Concentration for Golvatinib When Administered in Combination With Sorafenib at Day -7

    Measured: Day -7: 0-72 hours post-dose

  3. Phase 1b: Cmax: Maximum Observed Plasma Concentration for Golvatinib When Administered in Combination With Sorafenib at Day 1 Cycle 1

    Measured: Cycle 1 Day 1: 0-24 hours post-dose (Cycle length is 28 days)

  4. Phase 1b: Cmax: Maximum Observed Plasma Concentration for Golvatinib When Administered in Combination With Sorafenib at Day 28 Cycle 1

    Measured: Cycle 1 Day 28: 0-24 hours post-dose

  5. Phase 1b: Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Golvatinib When Administered in Combination With Sorafenib at Day -7

    Measured: Day -7: 0-72 hours post-dose

  6. Phase 1b: Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Golvatinib When Administered in Combination With Sorafenib at Day 1 Cycle 1

    Measured: Cycle 1 Day 1: 0-24 hours post-dose (Cycle length is 28 days)

  7. Phase 1b: Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Golvatinib When Administered in Combination With Sorafenib at Day 28 Cycle 1

    Measured: Cycle 1 Day 28: 0-24 hours post-dose

  8. Phase 1b: AUCt: Area Under the Plasma Concentration-time Curve From Time 0 to Time t Over the Dosing Interval for Golvatinib When Administered in Combination With Sorafenib at Day -7

    Measured: Day -7: 0-72 hours post-dose

  9. Phase 1b: AUCt: Area Under the Plasma Concentration-time Curve From Time 0 to Time t Over the Dosing Interval for Golvatinib When Administered in Combination With Sorafenib at Day 1 Cycle 1

    Measured: Cycle 1 Day 1: 0-24 hours post-dose (Cycle length is 28 days)

  10. Phase 1b: AUCt: Area Under the Plasma Concentration-time Curve From Time 0 to Time t Over the Dosing Interval for Golvatinib When Administered in Combination With Sorafenib at Day 28 Cycle 1

    Measured: Cycle 1 Day 28: 0-24 hours post-dose (Cycle length is 28 days)

  11. Phase 1b: t1/2: Terminal Elimination Half-life for Golvatinib When Administered in Combination With Sorafenib at Day -7

    Measured: Day -7: 0-72 hours post-dose

  12. Phase 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    Measured: From first dose of study drug up to 30 days after last dose of study drug (up to approximately 3 years 11 months)

  13. Phase 2: Number of Participants With AEs by Severity Grades

    AE severity was graded using CTCAE version 4.0, where Grade 1 = mild, Grade 2 = moderate, Grade 3 = Severe, Grade 4 = Life-threatening, and Grade 5 = Death related to the AE. All AEs graded as 4 or 5 were considered to be serious. Higher grade indicates more severe condition.

    Measured: From first dose of study drug up to 30 days after last dose of study drug (up to approximately 3 years 11 months)

  14. Phase 2: Number of Participants With Adverse Events Related to Vital Signs

    Number of participants are reported with AEs related to Vital signs including body temperature, respiratory rate, heart rate, height, and weight.

    Measured: From first dose of study drug up to 30 days after last dose of study drug (up to approximately 3 years 11 months)

  15. Phase 2: Number of Participants With Clinically Significant Change From Baseline in Blood Pressure Including Systolic and Diastolic Blood Pressures

    Measured: From first dose of study drug up to 30 days after last dose of study drug (up to approximately 3 years 11 months)

  16. Phase 2: Number of Participants With Worst Shifts Post Baseline in Eastern Cooperative Oncology Group Performance Status (ECOG-PS)

    Number of participants with worst shifts post baseline in ECOG-PS levels were reported. ECOG has 6 levels (0-5). Level 0 is the best status (fully active, able to carry on all pre-disease performance without restriction); Level 1 is mildly restricted (Restricted in physically strenuous activity but ambulatory ad able to carry out work of a light or sedentary nature, e.g. light house work, office work); Level 2 is more restricted (Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours); Level 3 is restricted (Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours); Level 4 is highly restricted (completely disabled; cannot carry on any selfcare; totally confined to bed or chair); and Level 5 is death (dead).

    Measured: From first dose of study drug up to 30 days after last dose of study drug (up to approximately 3 years 11 months)

  17. Phase 2: Number of Participants With Clinically Significant Change From Baseline in Laboratory Values

    Measured: From first dose of study drug up to 30 days after last dose of study drug (up to approximately 3 years 11 months)

  18. Phase 2: Number of Participants With Markedly Abnormal Change From Baseline in Electrocardiograms (ECGs) Parameters

    Measured: From first dose of study drug up to 30 days after last dose of study drug (up to approximately 3 years 11 months)

Secondary outcomes (5)
  1. Phase 2: Time to Progression (TTP)

    TTP was defined as the time from the date of randomization until the date of PD of such participants disease based on independent assessments according to Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1. PD was defined as at least a 20% increase or 5 millimeter (mm) increase in the sum of diameters of target lesions (taking as reference the smallest sum on study) recorded since the treatment started or the appearance of 1 or more new lesions. TTP was estimated and analyzed using Kaplan-Meier (K-M) method.

    Measured: From the date of randomization until the date of PD (up to approximately 3 years 11 months)

  2. Phase 2: Progression Free Survival (PFS)

    PFS was defined as the time from the date of randomization of a participant until (1) the date of first documented progression (2) the date of such participant's death due to any cause based on independent assessments according to RECIST v. 1.1. PD was defined as at least a 20% increase or 5 mm increase in the sum of diameters of target lesions (taking as reference the smallest sum on study) recorded since the treatment started or the appearance of 1 or more new lesions. PFS was estimated and analyzed using KM method.

    Measured: From the date of randomization until the earlier of the following two events: the date of PD or the date of death (Up to approximately 3 years 11 months)

  3. Phase 2: Percentage of Participants With PFS at Week 12

    The PFS rate at week 12 was defined as the percentage of participants who were still alive without disease progression at 12 weeks from the date of randomization. PFS was defined as the time from the date of randomization of a participant until (1) the date of first documented progression (2) the date of such participant's death due to any cause based on independent assessments according to RECIST v. 1.1. PD was defined as at least a 20% increase or 5 mm increase in the sum of diameters of target lesions (taking as reference the smallest sum on study) recorded since the treatment started or the appearance of 1 or more new lesions.

    Measured: At 12 weeks

  4. Phase 2: Overall Survival (OS)

    OS was defined as the time from the date of randomization until the date of death. Participants were censored at the date of last known alive. OS was analyzed using K-M method.

    Measured: From the date of randomization until the date of death (Up to approximately 3 years 11 months)

  5. Phase 2: Percentage of Participants With Overall Response

    Overall response rate was defined as percentage of participants with best confirmed response (CR) or partial response (PR) assessed by investigator per RECIST v1.1. A confirmatory scan was required after no less than 4 weeks and no later than 8 weeks, starting on the date that the response was first recorded. CR was defined as the disappearance of all target and non-target lesions (non-lymph nodes). All pathological lymph nodes (whether target or non-target) must have a reduction in their short axis to less than (<)10 mm. PR was defined as at least a 30 percent (%) decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From the date of randomization until disease progression or death (Up to approximately 3 years 11 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Jan 2011 (estimated)
  2. Study start19 Jul 2011
  3. Primary completion23 Jun 2015
  4. Study completion23 Jun 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
102 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01271504
Sponsor's protocol ID
E7050-701
Other IDs
2011-000752-41
Status last verified
Aug 2017
First submitted
5 Jan 2011
Last updated
12 May 2021
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Sorafenib in people with Hepatocellular Carcinoma, run by Eisai Inc. at 24 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 May 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in United States, Spain, Ukraine, Belgium, Italy and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Apr 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1b: Number of Participants Who Experienced Any Dose Limiting Toxicity (DLT) (time frame: Cycle 1 (Cycle length is 28 days)). The study lists 18 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 May 2021.

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