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The purpose of this study is to determine the maximum tolerable dose (MTD) and the related effects of E7080 administered to patients with solid tumors that are resistant to approved existing anti-tumor therapies, or for which no appropriate treatment is available.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| E7080 | Drug | E7080 is administered orally twice a day for 2 weeks to patients with solid tumors that are resistant to approved conventional therapies or for which no appropriate treatment is available. |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Tolerable Dose (MTD) of E7080 Repeatedly Administered Twice a Day | The MTD was defined as the highest dose at which no dose limiting toxicity (DLT) was experienced by the first 3 patients in that cohort, or the dose at which a DLT was experienced by no more than 1 of 6 patients evaluable for toxicity. | up to 4 weeks |
| DLT of E7080 Repeatedly Administered Twice a Day | DLTs were defined as grade 3 or more platelet count decrease, grade 4 neutropenia, any grade 3 or more nonhematologic toxicity (with exceptions of grade 4 hypertension not controlled by any antihypertensive drugs and grade greater than or equal to 3 vomiting and diarrhea not controlled by antiemetic or antidiarrheal drugs), and failure to administer more than 75% of the planned doses of E7080 during the same cycle due to toxicity. | up to 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| To Elucidate the Pharmacokinetic Profile of E7080 | Every 3 weeks | |
| Number of Participants With Adverse Events / Serious Adverse Events | Treatment emergent adverse events (AEs) and serious adverse events (SAEs) were evaluated. |
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Inclusion criteria:
Exclusion criteria:
Patients with clinical symptoms due to brain metastases requiring treatment.
Patients who have any of the following laboratory test findings:
Patients with positive reaction for human immunodeficiency virus (HIV) or hepatitis virus C (HCV) antibody or hepatitis B virus surface (HBs) antigen, or patients with untreated serious infections.
Patients with clinically significant cardiac disorders or unstable ischemic heart diseases including myocardial infarction within six months before the registration for the study.
Patients with marked Baseline prolongation of QT/QTc interval (QTc interval greater than 450 msec for males or greater than 470 msec for females) using the Fridericia method for QTc analysis.
Patients with hemorrhagic or thrombotic diseases or who are using therapeutic doses of anticoagulants such as aspirin, warfarin, or ticlopidine.
Patients who are diagnosed with hypertension (defined as repeatedly measured blood pressure = 160/90 mmHg) at Screening, irrespective of use of antihypertensive drugs.
Patients who have proteinuria greater than 1 on bedside testing.
Patients who have history of insufficient gastrointestinal absorption, or patients who received gastric or intestinal anastomoses within 4 weeks before registration.
Patients who have history of alcoholism, drug addiction or mental or physical disorders, which, in the investigators opinion, may impair study compliance.
Patients who received any investigational drug within 30 days before the registration of the study.
Patients who received CYP3A4 inhibitors including itraconazole, erythromycin, clarithromycin, diltiazem or verapamil during screening and who have to use these drugs during the study.
Pregnant or nursing patients (all female patients with pregnancy potential must have negative pregnancy test performed before registration, and post-menopausal women must be amenorrheic for at least 12 months.) Female patients must use appropriate contraception.
Fertile male patients who refuse to use contraception, or whose female partners are not using appropriate contraception.
Patients who are judged by the investigator to be inappropriate for the study.
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| Name | Affiliation | Role |
|---|---|---|
| Akihiko Tsuruoka | Eisai Co., Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tokyo | Tokyo | 104-0045 | Japan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25047123 | Derived | Koyama N, Saito K, Nishioka Y, Yusa W, Yamamoto N, Yamada Y, Nokihara H, Koizumi F, Nishio K, Tamura T. Pharmacodynamic change in plasma angiogenic proteins: a dose-escalation phase 1 study of the multi-kinase inhibitor lenvatinib. BMC Cancer. 2014 Jul 21;14:530. doi: 10.1186/1471-2407-14-530. | |
| 21372218 | Derived |
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| ID | Title | Description |
|---|---|---|
| FG000 | E7080 Group | E7080 is administered orally twice a day for 2 weeks to patients with solid tumors that are resistant to approved conventional therapies or for which no appropriate treatment is available. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | E7080 Group | E7080 is administered orally twice a day for 2 weeks to patients with solid tumors that are resistant to approved conventional therapies or for which no appropriate treatment is available. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Secondary | To Elucidate the Pharmacokinetic Profile of E7080 | Not Posted | Every 3 weeks | |||||||||||||
| Primary | Maximum Tolerable Dose (MTD) of E7080 Repeatedly Administered Twice a Day | The MTD was defined as the highest dose at which no dose limiting toxicity (DLT) was experienced by the first 3 patients in that cohort, or the dose at which a DLT was experienced by no more than 1 of 6 patients evaluable for toxicity. | Registered participants were included in the tolerability analysis set with the exception of the ineligible participants, participants with a treatment compliance rate of less than 75%, and participants who discontinued the study for reasons other than occurrence of DLT. However, cases of DLT shall be included in analyses. | Posted |
Until tumor progression, unacceptable toxicity, or withdrawal due to other reasons.
All participants who received at least one E7080 dose and had evaluable data were included in the safety analyses. Treatment emergent adverse events (AEs) and serious adverse events (SAEs) were evaluated.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | E7080 Group | E7080 is administered orally twice a day for 2 weeks to patients with solid tumors that are resistant to approved conventional therapies or for which no appropriate treatment is available. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hypertension | Vascular disorders | MedDRA version 11.0 | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA version 11.0 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Akihiko Tsuruoka | Eisai Co., Ltd. | +81-3-3817-5252 | 5252 |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C531958 | lenvatinib |
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| Until tumor progression, unacceptable toxicity, or withdrawal due to other reasons. |
| Determine the Clinical Dose for Phase II Study Based on Safety and Pharmacokinetic Profile | Every 3 weeks |
| Evaluate the Anti-tumor Activity of E7080 | Every 3 weeks |
| To Make Exploratory Analyses of Pharmacodynamic Markers | Every 3 weeks |
| Yamada K, Yamamoto N, Yamada Y, Nokihara H, Fujiwara Y, Hirata T, Koizumi F, Nishio K, Koyama N, Tamura T. Phase I dose-escalation study and biomarker analysis of E7080 in patients with advanced solid tumors. Clin Cancer Res. 2011 Apr 15;17(8):2528-37. doi: 10.1158/1078-0432.CCR-10-2638. Epub 2011 Mar 3. |
| Years |
|
| Sex/Gender, Customized | Number | Participants |
|
| Number |
| mg BID |
| up to 4 weeks |
|
|
|
| Secondary | Number of Participants With Adverse Events / Serious Adverse Events | Treatment emergent adverse events (AEs) and serious adverse events (SAEs) were evaluated. | All participants who received at least one E7080 dose and had evaluable data were included in the safety analyses. | Posted | Number | Participants | Until tumor progression, unacceptable toxicity, or withdrawal due to other reasons. |
|
|
|
| Primary | DLT of E7080 Repeatedly Administered Twice a Day | DLTs were defined as grade 3 or more platelet count decrease, grade 4 neutropenia, any grade 3 or more nonhematologic toxicity (with exceptions of grade 4 hypertension not controlled by any antihypertensive drugs and grade greater than or equal to 3 vomiting and diarrhea not controlled by antiemetic or antidiarrheal drugs), and failure to administer more than 75% of the planned doses of E7080 during the same cycle due to toxicity. | Registered participants were included in the tolerability analysis set with the exception of the ineligible participants, participants with a treatment compliance rate of less than 75%, and participants who discontinued the study for reasons other than occurrence of DLT. However, cases of DLT shall be included in analyses. | Posted | Number | Participants with DLT | up to 4 weeks |
|
|
|
| Secondary | Determine the Clinical Dose for Phase II Study Based on Safety and Pharmacokinetic Profile | Not Posted | Every 3 weeks |
| Secondary | Evaluate the Anti-tumor Activity of E7080 | Not Posted | Every 3 weeks |
| Secondary | To Make Exploratory Analyses of Pharmacodynamic Markers | Not Posted | Every 3 weeks |
| 7 |
| 27 |
| 27 |
| 27 |
| Postrenal failure | Renal and urinary disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Haemorrhage | Vascular disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Platelet count decreased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Humerus fracture | Injury, poisoning and procedural complications | MedDRA version 11.0 | Non-systematic Assessment |
|
| Sinus bradycardia | Cardiac disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Eyelid oedema | Eye disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Gingival bleeding | Gastrointestinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Gingivitis | Gastrointestinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Stomach discomfort | Gastrointestinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Chest pain | General disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Face oedema | General disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Fatigue | General disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Malaise | General disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Oedema | General disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Tonsillitis | Infections and infestations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Procedural pain | Injury, poisoning and procedural complications | MedDRA version 11.0 | Non-systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood albumin decreased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood bilirubin increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood calcium decreased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood cholesterol increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood creatine phosphokinase increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood creatinine increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood fibrinogen increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood lactate dehydrogenase increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood potassium increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood sodium decreased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood thyroid stimulating hormone increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood triglycerides increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood urea increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood uric acid increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Blood urine present | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| C-reactive protein increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Electrocardiogram T wave amplitude decreased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Gamma-glutamyltransferase increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Glucose urine present | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Haemoglobin decreased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Leucine aminopeptidase increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Lymphocyte count decreased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Neutrophil count decreased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Neutrophil count increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Platelet count decreased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Platelet count increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Protein total decreased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Protein urine present | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Red blood cell count decreased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Weight decreased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Weight increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| White blood cell count decreased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| White blood cell count increased | Investigations | MedDRA version 11.0 | Non-systematic Assessment |
|
| Anorexia | Metabolism and nutrition disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Hypercholesterolaemia | Metabolism and nutrition disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Hyperlipidaemia | Metabolism and nutrition disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Cancer pain | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 11.0 | Non-systematic Assessment |
|
| Tumour associated fever | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 11.0 | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Haematuria | Renal and urinary disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Dermatitis acneiform | Skin and subcutaneous tissue disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Haemorrhage subcutaneous | Skin and subcutaneous tissue disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Palmar-plantar erythrodysaesthesia syndrome | Skin and subcutaneous tissue disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Hot flush | Vascular disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA version 11.0 | Non-systematic Assessment |
|
Other disclosure agreement that restricts the right of the PI to discuss or publish trial results after the trial is completed.