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This is an open-label, three-parallel group pharmacokinetic study. Patients with advanced solid tumors will be assigned to one of three groups to receive I.V. doses of eribulin (E7389). The three groups are: normal hepatic function, mild hepatic impairment (Child-Pugh A) and moderate hepatic impairment (Child-Pugh B) according to the Child-Pugh System for classifying hepatic impairment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| E7389 1.4 mg/m^2 | Experimental |
| |
| E7389 1.1 mg/m^2 | Experimental |
| |
| E7839 0.7 mg/m^2 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| E7389 | Drug | E7389 Intravenous injection starting dose on Day 1 is 1.4 mg/m^2 for normal hepatic function. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean (SD) Pharmacokinetic (PK) Parameter Area Under Concentration Time Curve From Zero to Infinity (AUC0-oo) | Pre-dose (-0.5h); post-dose at 15 min, 30 min, 60 min, 2 hrs, 4 hrs, 6 hrs, 10 hrs, 24 hrs, 48 hrs, 72hrs, 96 hrs, 120 hrs and 144 hours. | |
| Mean (SD) Pharmacokinetic (PK) Parameter Maximum Observed Plasma Concentration (Cmax) | Pre-dose (-0.5h); post-dose at 15 min, 30 min, 60 min, 2 hrs, 4 hrs, 6 hrs, 10 hrs, 24 hrs, 48 hrs, 72hrs, 96 hrs, 120 hrs and 144 hours. | |
| Best Overall Response Per Response Evaluation Criteria in Solid Tumors (RECIST) | Defined as the best response from the start of treatment until disease progression or recurrence. Lesions measured by computed tomography (CT) scan and magnetic resonance imaging (MRI). Objective response rate: complete response (CR-disappearance of all lesions)+ partial response (PR-30% decrease in lesion diameter), Progressive Disease (PD-20% increase in lesion diameter), stable disease (SD-neither shrinkage nor increase of lesions). | throughout the study and up to 30 days after the last dose of study drug |
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Inclusion Criteria:
Additional Inclusion Criteria for the Group of Patients with No Hepatic Impairment:
Additional Inclusion Criteria for the Group of Patients with Hepatic Impairment:
All the general inclusion criteria listed above plus:
Exclusion Criteria:
Patients who have received any of the following treatments within the specified period before E7389 treatment start:
Patients with any clinically significant laboratory abnormality except for those parameters influenced by hepatic impairment.
Patients with severe (Child-Pugh C) hepatic dysfunction according to the Child-Pugh scoring system.
Patients with encephalopathy ≥ Grade 1.
Patients receiving any drug known to induce or inhibit CYP3A4 activity. Clinically significant drugs are listed in a comprehensive list that can be found at http://medicine/iupui.edu/flockhart/table.htm.
Patients, who require therapeutic anti-coagulant therapy other than for line patency with warfarin or related compounds and cannot be changed to heparin-based therapy, are not eligible.
Women who are pregnant or breast-feeding; women of childbearing potential with either a positive pregnancy test at screening or no pregnancy test; women of childbearing potential unless (1) surgically sterile or (2) using adequate measures of contraception in the opinion of the Investigator. Perimenopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential.
Fertile men who are not willing to use contraception or fertile men with a female partner who are not willing to use contraception
Severe/uncontrolled intercurrent illness/infection.
Significant cardiovascular impairment (history of congestive heart failure > New York Heart Association [NYHA] Grade II, unstable angina or myocardial infarction within the past six months, or serious cardiac arrhythmia).
Patients with organ allografts requiring immunosuppression (not including blood and blood components transfusions).
Patients with known positive HIV status.
Patients with brain or subdural metastases are not eligible, unless they are stable and have completed local therapy and have discontinued the use of corticosteroids for this indication for at least four weeks before starting treatment with E7389.
Patients with meningeal carcinomatosis.
Patients with a hypersensitivity to halichondrin B and/or halichondrin B-like compounds.
Patients who participated in a prior E7389 clinical trial.
Patients with preexisting neuropathy > Grade 2.
Patients with other significant disease or disorders that, in the Investigator's opinion, would exclude the patient from the study.
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| Name | Affiliation | Role |
|---|---|---|
| Prof. JHM Schellens | National Cancer Institute-Antoni van Leuwenhoek Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital | Amsterdam | 1066 CX | Netherlands | |||
| Utrecht Medical Centre |
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This study was recruited at 2 centers in The Netherlands during the period of Feb 2008 to Jan 2010.
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| ID | Title | Description |
|---|---|---|
| FG000 | E7389 1.4 mg/m^2 | E7389 Intravenous injection starting dose on Day 1 is 1.4 mg/m^2 for normal hepatic function. |
| FG001 | E7389 1.1 mg/m^2 | E7389 Intravenous injection starting dose on Day 1 is 1.1 mg/m^2 for mild hepatic impairment (Child-Pugh A) |
| FG002 | E7389 0.7 mg/m^2 | E7389 Intravenous injection starting dose on Day 1 is 0.7 mg/m^2 for moderate hepatic impairment (Child-Pugh B) |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | E7389 1.4 mg/m^2 | E7389 Intravenous injection starting dose on Day 1 is 1.4 mg/m^2 for normal hepatic function. |
| BG001 | E7389 1.1 mg/m^2 | E7389 Intravenous injection starting dose on Day 1 is 1.1 mg/m^2 for mild hepatic impairment (Child-Pugh A) |
| 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 | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Mean (SD) Pharmacokinetic (PK) Parameter Area Under Concentration Time Curve From Zero to Infinity (AUC0-oo) | Pharmacokinetic Population | Posted | Mean | Standard Deviation | ng*hr/mL | Pre-dose (-0.5h); post-dose at 15 min, 30 min, 60 min, 2 hrs, 4 hrs, 6 hrs, 10 hrs, 24 hrs, 48 hrs, 72hrs, 96 hrs, 120 hrs and 144 hours. |
|
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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 | E7389 1.4 mg/m^2 | E7389 Intravenous injection starting dose on Day 1 is 1.4 mg/m^2 for normal hepatic function. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Duodenal Obstruction | Gastrointestinal disorders |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Eisai Inc. | Eisai Call Center | 888-422-4743 |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C490954 | eribulin |
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| E7389 | Drug | E7389 Intravenous injection starting dose on Day 1 is 1.1 mg/m^2 for mild hepatic impairment (Child-Pugh A) |
|
|
| E7389 | Drug | E7389 Intravenous injection starting dose on Day 1 is 0.7 mg/m^2 for moderate hepatic impairment (Child-Pugh B) |
|
|
| Utrecht |
| Netherlands |
| Withdrawal by Subject |
|
| BG002 | E7389 0.7 mg/m^2 | E7389 Intravenous injection starting dose on Day 1 is 0.7 mg/m^2 for moderate hepatic impairment (Child-Pugh B) |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Number | participants |
|
| E7389 0.7 mg/m^2 |
E7389 Intravenous injection starting dose on Day 1 is 0.7 mg/m^2 for moderate hepatic impairment (Child-Pugh B) |
|
|
| Primary | Mean (SD) Pharmacokinetic (PK) Parameter Maximum Observed Plasma Concentration (Cmax) | Pharmacokinetic Population | Posted | Mean | Standard Deviation | ng/mL | Pre-dose (-0.5h); post-dose at 15 min, 30 min, 60 min, 2 hrs, 4 hrs, 6 hrs, 10 hrs, 24 hrs, 48 hrs, 72hrs, 96 hrs, 120 hrs and 144 hours. |
|
|
|
| Primary | Best Overall Response Per Response Evaluation Criteria in Solid Tumors (RECIST) | Defined as the best response from the start of treatment until disease progression or recurrence. Lesions measured by computed tomography (CT) scan and magnetic resonance imaging (MRI). Objective response rate: complete response (CR-disappearance of all lesions)+ partial response (PR-30% decrease in lesion diameter), Progressive Disease (PD-20% increase in lesion diameter), stable disease (SD-neither shrinkage nor increase of lesions). | ITT Population | Posted | Number | Number of Participants | throughout the study and up to 30 days after the last dose of study drug |
|
|
|
| 1 |
| 6 |
| 6 |
| 6 |
| EG001 | E7389 1.1 mg/m^2 | E7389 Intravenous injection starting dose on Day 1 is 1.1 mg/m^2 for mild hepatic impairment (Child-Pugh A) | 4 | 7 | 7 | 7 |
| EG002 | E7389 0.7 mg/m^2 | E7389 Intravenous injection starting dose on Day 1 is 0.7 mg/m^2 for moderate hepatic impairment (Child-Pugh B) | 3 | 5 | 5 | 5 |
| Gastrointestinal Hemorrhage | Gastrointestinal disorders |
|
| Ileus | Gastrointestinal disorders |
|
| Esophageal Varices Hemorrhage | Gastrointestinal disorders |
|
| Vomiting | Gastrointestinal disorders |
|
| Blood Bilirubin Increased | Investigations |
|
| Blood Creatinine Increased | Investigations |
|
| Dehydration | Metabolism and nutrition disorders |
|
| Malignant Ascites | Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
| Malignant Neoplasm Progression | Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
| Rib Fracture | Injury, poisoning and procedural complications |
|
| Back Pain | Musculoskeletal and connective tissue disorders |
|
| Confusional State | Psychiatric disorders |
|
| Pleural Effusion | Respiratory, thoracic and mediastinal disorders |
|
| Vomiting | Gastrointestinal disorders |
|
| Constipation | Gastrointestinal disorders |
|
| Diarrhea | Gastrointestinal disorders |
|
| Abdominal Pain | Gastrointestinal disorders |
|
| Abdominal Pain Upper | Gastrointestinal disorders |
|
| Stomatitis | Gastrointestinal disorders |
|
| Abdominal Distention | Gastrointestinal disorders |
|
| Dry Mouth | Gastrointestinal disorders |
|
| Hematochezia | Gastrointestinal disorders |
|
| Melena | Gastrointestinal disorders |
|
| Fatigue | General disorders |
|
| Edema Peripheral | General disorders |
|
| Pyrexia | General disorders |
|
| Alopecia | Skin and subcutaneous tissue disorders |
|
| Rash | Skin and subcutaneous tissue disorders |
|
| Muscle Spasms | Musculoskeletal and connective tissue disorders |
|
| Back Pain | Musculoskeletal and connective tissue disorders |
|
| Muscular Weakness | Musculoskeletal and connective tissue disorders |
|
| Muscular Stiffness | Musculoskeletal and connective tissue disorders |
|
| Myalgia | Musculoskeletal and connective tissue disorders |
|
| Weight Decreased | Investigations |
|
| Blood Bilirubin Increased | Investigations |
|
| Aspartate Aminotransferase Increased | Investigations |
|
| Blood Creatinine Increased | Investigations |
|
| Peripheral Sensory Neuropathy | Nervous system disorders |
|
| Dysgeusia | Nervous system disorders |
|
| Headache | Nervous system disorders |
|
| Paresthesia | Nervous system disorders |
|
| Peripheral Motor Neuropathy | Nervous system disorders |
|
| Neutropenia | Blood and lymphatic system disorders |
|
| Anemia | Blood and lymphatic system disorders |
|
| Thrombocytopenia | Blood and lymphatic system disorders |
|
| Anorexia | Metabolism and nutrition disorders |
|
| Dehydration | Metabolism and nutrition disorders |
|
| Cough | Respiratory, thoracic and mediastinal disorders |
|
| Dysphonia | Respiratory, thoracic and mediastinal disorders |
|
| Dyspnea | Respiratory, thoracic and mediastinal disorders |
|
| Pharyngolaryngeal Pain | Respiratory, thoracic and mediastinal disorders |
|
| Hypotension | Vascular disorders |
|
| Confusional State | Psychiatric disorders |
|
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| Best Overall Response - Stable Disease |
|
| Best Overall Response - Progressive Disease |
|
| Best Overall Response - Missing |
|