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Phase 1 N=82 Treatment

An Open Label Dose Escalation Study Of E7080

Solid Tumor or Lymphoma

Enrolled (actual)
82
Serious AEs
48.4%
Results posted
May 2016
Primary outcome: Primary: Maximum Tolerated Dose (MTD) — 25 milligram (mg)

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
Lenvatinib (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Eisai Inc.
Primary completion
Jun 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximum Tolerated Dose (MTD)
25
SECONDARY
Summary of Adverse Events (AEs) and Serious Adverse Events (SAEs)
100.0; 100.0; 100.0; 100.0; 100.0; 100.0
SECONDARY
Dose-limiting Toxicities (DLTs)
0; 0; 0; 0; 0; 1
SECONDARY
Treatment-Related Adverse Events (All Grades) With an Overall Incidence Greater Than or Equal to 10%
10; 40; 63; 57; 38; 17
SECONDARY
Best Overall Response (BOR)
0; 0; 0; 0; 0; 0
SECONDARY
Maximum Plasma Concentration (Cmax) of Lenvatinib
0.753; 1.740; 4.255; 20.967; 49.883; 127.067
SECONDARY
Time to Maximum Plasma Concentration (Tmax) of Lenvatinib
4.280; 5.785; 3.263; 3.973; 9.557; 2.023
SECONDARY
Apparent Plasma Half-life (t1/2) of Lenvatinib
18.180; 10.695; 12.805; 8.077; 5.981; 6.567
SECONDARY
Area Under the Plasma Concentration Curve From Time 0 to Infinity (AUC(0-inf))
123.745; 376.645; 780.275; 1335.493; 1895.454; 1693.298
SECONDARY
Area Under the Plasma Concentration Curve From Time 0 to 24 Hours (AUC(0-24))
14.348; 30.207; 61.915; 220.910; 659.553; 1168.257
SECONDARY
Clearance Corrected for the Fraction of Lenvatinib Absorbed (CL/F)
6.560; 6.470; 4.225; 8.190; 6.614; 9.534
SECONDARY
Apparent Volume of Distribution (Vz/F)
162.975; 65.795; 80.365; 97.190; 57.039; 88.069
SECONDARY
Fraction of Unchanged Lenvatinib Excreted in the Urine (fe)
0.530; 0.253; 0.217; 0.363; 0.355; 0.390
SECONDARY
Renal Clearance (CLr) of Lenvatinib
0.060; 0.037; 0.027; 0.035; 0.021; 0.017
SECONDARY
Effect of Food on the Area Under the Curve From Zero to 24 Hours (AUC(0-24))
3851.773; 4039.681
SECONDARY
Effect of Food on the Maximum Plasma Concentration (Cmax) of Lenvatinib
508.558; 544.058
SECONDARY
Effect of Food on Time to Maximum Concentration (Tmax) of Lenvatinib
4.980; 2.030 0.0146 sig

Summary

The purpose of this study is to determine the maximum tolerated dose (MTD) of lenvatinib in patients with solid tumors or lymphomas.

Eligibility Criteria

INCLUSION CRITERIA

Patients must meet all of the inclusion criteria outlined below in order to be eligible to participate in the study:

  • Patients with histologically and/or cytologically confirmed solid tumor or lymphoma who are resistant/refractory to approved therapies or for whom no appropriate therapies are available.
  • All previous treatment (including surgery and radiotherapy) must have been completed at least four weeks prior to study entry and any acute toxicities must have resolved.
  • Aged greater than or equal to 18 years.
  • Karnofsky performance status greater than or equal 70%.
  • Written informed consent to participate in the study.

EXCLUSION CRITERIA

Patients with the following characteristics will not be eligible for the study:

  • Brain tumors or brain or leptomeningeal metastases.
  • Any of the following laboratory parameters:
  • hemoglobin less than 9 g/dl (5.6 mmol/L)
  • neutrophils less than 1.5 x 10^9/L
  • platelets less than 100 x 10^9/L
  • serum bilirubin greater than 25 micro-mol/l (1.5 mg/dl)
  • other liver parameters greater than 3 x the upper limit of normal (ULN)
  • serum creatinine greater than 1.5 x ULN or creatinine clearance less than 60 ml/minute
  • Uncontrolled infections.
  • Clinically significant cardiac impairment or unstable ischemic heart disease including a myocardial infarction within six months of study start.
  • Any treatment with investigational drugs within 30 days before the start of the study.
  • Pregnancy or lactation (all women of childbearing potential must have a negative pregnancy test before inclusion in the study; post-menopausal women must be amenorrheic for at least 12 months). Female patients of childbearing potential must use adequate contraceptive protection, defined as two forms of contraception, one of which must be a barrier method.
  • Fertile males not willing to use contraception or whose female partners are not using adequate contraceptive protection.
  • History of alcoholism, drug addiction, or any psychiatric or psychological condition which, in the opinion of the investigator, would impair study compliance.
  • Legal incapacity.
  • Centrally located or squamous cell carcinoma of the lung.
  • Proteinuria greater than 1+ on bedside testing.
  • History of gastrointestinal malabsorption.
  • Surgery involving gastro- and/or intestinal anastomosis within four weeks of study start.
  • Patients with bleeding or thrombotic disorders.
  • Patients using therapeutic dosages of anticoagulants.
  • Poorly controlled hypertension (defined as a change in hypertensive therapy within three months of study start) or patients diagnosed with hypertension (defined as a repeat blood pressure measurement of 160/90 mmHg or higher) at screening.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00121719). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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