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Solid TumorPhase 1NCT03009292

Pharmacokinetic Study of E7080/Lenvatinib in Chinese Subjects With Solid Tumor

A Phase 1 study testing lenvatinib in people with Solid Tumor, run by Eisai Co., Ltd. at 2 sites in China.

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

Study E7080-C086-108 is an open-label, single- and multiple-dose pharmacokinetic (PK) study of lenvatinib (administered orally, once a day [QD]) in Chinese participants with solid tumor. A total of 12 participants will be enrolled to evaluate the PK of 24 milligrams (mg) QD dosing of lenvatinib. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumor
What is being tested?
lenvatinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
2 sitesChina
Study dates
6 Aug 2018to 27 Aug 2021
Phase
Phase 1
Are there results?
None posted in the registry

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

  • Participants with a histological and/or cytological diagnosis of solid tumor
  • Participants with solid tumor that is resistant to standard anti-tumor therapies, or for which no appropriate treatment is available
  • Participants whose toxicity of previous treatment has recovered to Grade 1 or lower (except for alopecia)
  • Participants who have completed previous anti-tumor therapy (such as surgery, radiotherapy) at least 4 weeks before treatment
  • Participants who are 18 years or older at the time of obtaining informed consent
  • Participants with an Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 to 1
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  • Participants who meet all of the following items:
  • Hemoglobin ≥9.0 grams per deciliter (g/dL)
  • Neutrophil count ≥1.5×10^3/microliters (µL)
  • Platelet count ≥10×10^4/µL
  • Total bilirubin ≤1.8 milligrams (mg)/dL
  • Aspartate aminotransferase (AST) ≤100 International Units per liter (IU/L)
  • Alanine aminotransferase (ALT) ≤100 IU/L
  • Serum creatinine ≤1.5 mg/dL or creatinine clearance ≥50 milliliters per minute (mL/min). Creatinine clearance will be calculated based on Cockcroft-Gault method using the following formula: Male: (140-age) × weight ÷ (serum creatinine × 72); Female: 0.85 × (140-age) × weight ÷ (serum creatinine × 72).
  • Participants expected to survive for 12 weeks or longer
  • Males and females of childbearing potential must agree to use appropriate contraception from the giving of consent to 30 days after study drug administration. Female participants of childbearing potential must test negative for pregnancy at screening
  • Participants who voluntarily agree to participate in this study in writing

Who cannot join

  • Participants with brain metastasis accompanied by clinical symptoms or requiring treatment
  • Participants with the following complications or medical history
  • Systemic severe infections requiring medical treatment
  • The following cardiovascular diseases
  • Ischemic cardiac disease or arrhythmia requiring medical treatment
  • Angina pectoris or myocardial infarction within 24 weeks before enrollment
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  • Corrected QT interval (QTc) greater than 480 milliseconds (msec) (Fridericia's method)
  • Hemoptysis (fresh blood) ≥ 1/2 teaspoon (2.5 mL) or clinically significant hemorrhagic or thrombotic events within 4 weeks before enrollment
  • Systolic pressure ≥150 millimeters of mercury (mmHg) and diastolic pressure ≥90 mmHg
  • If proteinuria is ≥2+ in a qualitative test for urine protein, ≥1.0 grams for 24 hours is accumulated
  • Complications or surgery (such as malabsorption syndrome, chronic diarrhea, or total gastrectomy) that could significantly influence the absorption of the investigational drug
  • Have undergone major surgery within 4 weeks before enrollment
  • Co-existing effusion requiring treatment
  • Participants unable to take oral medication
  • Participants scheduled for surgery during the projected course of the study
  • Participants who test positive for human immunodeficiency virus (HIV antibody), or positive for hepatitis B surface (HBs antigen) or hepatitis C virus (HCV antibody)
  • Participants who have taken lenvatinib before
  • Participants who in the view of the principal investigator or sub-investigator are not able to comply with this protocol because of psychiatric or physical diseases including alcoholism or drug addiction
  • Pregnant or nursing participants
  • Participants who are participating in another clinical trial

Trial locations and contacts

2 sites in 1 country.

China2 sites
  • Beijing Cancer Hospital

    Beijing, Beijing Municipality

  • Harbin Medical University Cancer Hospital

    Harbin, Heilongjiang

Other trials in China

About this study

Study E7080-C086-108 is an open-label, single- and multiple-dose pharmacokinetic (PK) study of lenvatinib (administered orally, once a day [QD]) in Chinese participants with solid tumor. A total of 12 participants will be enrolled to evaluate the PK of 24 milligrams (mg) QD dosing of lenvatinib.

Conditions
Solid Tumor
Being tested
lenvatinib
Keywords
solid tumor, Lenvatinib, pharmacokinetics

What participants receive

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

Study groups in NCT03009292
Study groupRoleWhat they receive
24 mg lenvatinibExperimentalParticipants will receive once daily oral dosing of lenvatinib 24 milligrams (mg)
Receives: Drug: lenvatinib

What is being measured

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

  1. Area under the concentration-time curve over the dosing interval on multiple dosing (AUC[0-τ])

    Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. AUC(0-τ) is defined as the area under the concentration-time profile from time zero to the end of the dosing interval at steady state. AUC represents the total drug exposure over a defined period of time.

    Measured: Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15)

  2. Time at which the highest drug concentration occurs at steady-state (tss,max)

    Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. tss,max is the time at which the maximum concentration of lenvatinib is observed in the plasma at steady state, which occurs when the rates of drug administration and drug elimination are equal.

    Measured: Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15)

  3. Average steady-state concentration (Css,av)

    Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. Css,av is the average concentration of lenvatinib in plasma at the time that a steady state has been achieved, which occurs when the rates of drug administration and drug elimination are equal.

    Measured: Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15)

  4. Minimum observed concentration at steady-state (Css,min)

    Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. Css,min is the lowest concentration of lenvatinib in plasma at the time that a steady state has been achieved, which occurs when the rates of drug administration and drug elimination are equal.

    Measured: Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15

  5. Maximum observed concentration at steady-state (Css,max)

    Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. Css,max is the highest concentration of lenvatinib in plasma at the time that a steady state has been achieved, which occurs when rates of drug administration and drug elimination are equal.

    Measured: Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15)

  6. Area under the concentration-time curve from zero time to time of last quantifiable concentration (AUC[0-t])

    Blood samples will be collected to determine the plasma lenvatinib concentration at various time points. AUC(0-t) is defined as the AUC from time "0" to the time of the last measurable concentration. AUC represents the total drug exposure over a defined period of time.

    Measured: Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15)

  7. Time at which the highest drug concentration occurs (tmax)

    Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. Tmax is the time at which the maximum concentration of lenvatinib is observed in plasma after a single dose of lenvatinib.

    Measured: Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15)

  8. Maximum observed concentration (Cmax)

    Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. Cmax is the highest concentration of lenvatinib observed in plasma after a single dose of lenvatinib.

    Measured: Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15)

Secondary outcomes (35)
  1. Mean blood urea nitrogen (BUN) values

    Blood samples will be collected to determine the amount of nitrogen in the blood.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  2. Mean creatinine values

    Blood chemistry tests will be performed to determine serum creatinine levels. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  3. Mean albumin values

    Blood chemistry tests will be performed to determine serum albumin values. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  4. Mean cholesterol values

    Blood chemistry tests will be performed to determine cholesterol levels. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  5. Mean lactate dehydrogenase values

    Blood chemistry tests will be performed to determine serum lactate dehydrogenase levels. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  6. Mean total protein values

    Blood chemistry tests will be performed to determine total protein levels. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  7. Mean C-reactive protein (CRP) values

    Blood chemistry tests will be performed to determine CRP levels. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  8. Mean gamma-glutamyl transpeptidase (γ-GTP) values

    Blood chemistry tests will be performed to determine γ-GTP levels. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  9. Mean total bilirubin values

    Blood chemistry tests will be performed to determine total bilirubin levels. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  10. Mean alanine transaminase (ALT) values

    ALT is a transaminase enzyme and is commonly measured clinically as a biomarker for liver health. ALT will be summarized as the mean and standard deviation for all participants.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  11. Mean aspartate transaminase (AST) values

    AST is a pyridoxal phosphate-dependent transaminase enzyme and is commonly measured clinically as a biomarker for liver health. AST will be summarized as the mean and standard deviation for all participants.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  12. Mean alkaline phosphatase (ALP) values

    ALP is a hydrolase enzyme responsible for the dephosphorylation of molecules, including nucleotides, proteins, and alkaloids, and is commonly measured clinically as a biomarker for liver health. ALP will be summarized as the mean and standard deviation for all participants.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  13. Mean body temperature

    Body temperature in degrees Celsius will be analyzed from the armpit of the participants. Body temperature will be summarized as the mean and standard deviation for all participants

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  14. Mean body weight

    Body weight of the participants will be measured in kilograms (kg). It will be summarized as the mean and standard deviation for all participants.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  15. Mean heart rate

    Heart rate of the participants will be measured in beats per minute (bpm). It will be summarized as the mean and standard deviation for all participants.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  16. Mean QT values

    The QT interval is a measure of the time between the start of the Q wave and the end of the T wave in the heart's electrical cycle. QT values will be measured in milliseconds (msec) and will be summarized as the mean and standard deviation for all participants.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  17. Mean QT corrected (QTc) values

    The QT interval is a measure of the time between the start of the Q wave and the end of the T wave in the heart's electrical cycle. QTc values will be measured in milliseconds (msec) and it will be summarized as the mean and standard deviation for all participants.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  18. Mean QTc corrected using Fridericia's method (QTcF) values

    The QT interval is a measure of the time between the start of the Q wave and the end of the T wave in the heart's electrical cycle. QTcF values will be measured in msec and will be summarized as the mean and standard deviation for all participants.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  19. Number of participants with abnormal, clinically significant physical examination findings

    Physical examinations will be performed to determine abnormal findings that meet the definition of an AE. Clinical significance will be determined by the Investigator.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  20. Mean calcium values

    Blood chemistry tests will be performed to determine calcium levels. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  21. Mean chloride values

    Blood chemistry tests will be performed to determine chloride levels. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  22. Mean potassium values

    Blood chemistry tests will be performed to determine potassium levels. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  23. Mean sodium values

    Blood chemistry tests will be performed to determine sodium levels. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  24. Mean lymphocyte count

    Hematology tests will be performed to determine the lymphocyte count in blood. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  25. Mean neutrophil count

    Hematology tests will be performed to determine the neutrophil count in blood. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  26. Mean white blood cell (WBC) count

    Hematology tests will be performed to determine the WBC count in blood. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  27. Mean platelet count

    Hematology tests will be performed to determine the platelet count in blood. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  28. Mean hemoglobin values

    Hematology tests will be performed to determine the hemoglobin levels in blood. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  29. Mean red blood cell (RBC) count

    Hematology tests will be performed to determine the RBC count in blood. Participants should be in a seated or supine position during blood collection.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  30. Number of participants with any serious adverse event and any non-serious adverse event

    An Adverse Event (AE) is any untoward medical occurrence in a clinical investigation participant administered with an investigational product. A serious adverse event (SAE) is any untoward medical occurrence that at any dose: results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions; or is a congenital abnormality/birth defect.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  31. Mean protein in urine values

    Urine samples will be collected to determine the amount of protein in the urine.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  32. Mean glucose in urine values

    Urine samples will be collected to determine the amount of glucose in the urine.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  33. Mean occult blood in urine values

    Urine samples will be collected to determine the amount of microscopic blood in the urine.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  34. Mean systolic blood pressure and diastolic blood pressure values

    Blood pressure will be measured after the participant has been sitting.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

  35. Mean pulse

    Pulse will be measured after the participant has been sitting.

    Measured: until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28)

Timeline

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

  1. First posted4 Jan 2017 (estimated)
  2. Study start6 Aug 2018
  3. Primary completion24 Dec 2018
  4. Study completion27 Aug 2021

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
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03009292
Sponsor's protocol ID
E7080-C086-108
Status last verified
Mar 2021
First submitted
31 Dec 2016
Last updated
28 Sep 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Liu D, Liu L, Shen L, Kubota T, Suzuki T, Ikezawa H, Shiba S, Bai Y. Pharmacokinetic study of lenvatinib in Chinese patients with solid tumors. Future Oncol. 2021 May;17(15):1855-1863. doi: 10.2217/fon-2020-0877. Epub 2021 Jan 21.

    PubMed 33474967

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing lenvatinib in people with Solid Tumor, run by Eisai Co., Ltd. at 2 sites in China.

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 17 inclusion and 20 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 28 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in China. 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 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.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Area under the concentration-time curve over the dosing interval on multiple dosing (AUC[0-τ]) (time frame: Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15)). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03009292, which also lists 1 linked publication.

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 28 Sep 2021.

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