Last reviewed · How we verify

NCT01271504

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

Completed Phase 1, PHASE2 Results posted Last updated 12 May 2021
What this trial tests

Phase 1, PHASE2 trial testing Sorafenib in Hepatocellular Carcinoma in 102 participants. Completed in 23 June 2015.

Timeline
19 July 2011
Primary endpoint
23 June 2015
23 June 2015

Quick facts

Lead sponsorEisai Inc.
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment102
Start date19 July 2011
Primary completion23 June 2015
Estimated completion23 June 2015
Sites24 locations across Italy, Ukraine, Belgium, United Kingdom, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Eisai Inc. — full company profile →

Who can join

18 and older, any sex, with Hepatocellular Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Phase 1b: Number of Participants Who Experienced Any Dose Limiting Toxicity (DLT) Primary · Cycle 1 (Cycle length is 28 days)

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).

GroupValue95% CI
Phase 1b: Golvatinib 200 mg + Sorafenib 400 mg1
Phase 1b: Golvatinib 300 mg + Sorafenib 400 mg2
Phase 1b: Cmax: Maximum Observed Plasma Concentration for Golvatinib When Administered in Combination With Sorafenib at Day -7 Primary · Day -7: 0-72 hours post-dose
GroupValue95% CI
Phase 1b: Golvatinib 200 mg + Sorafenib 400 mg1330± 858
Phase 1b: Golvatinib 300 mg + Sorafenib 400 mg2320± 2720
Phase 1b: Cmax: Maximum Observed Plasma Concentration for Golvatinib When Administered in Combination With Sorafenib at Day 1 Cycle 1 Primary · Cycle 1 Day 1: 0-24 hours post-dose (Cycle length is 28 days)
GroupValue95% CI
Phase 1b: Golvatinib 200 mg + Sorafenib 400 mg1820± 750
Phase 1b: Golvatinib 300 mg + Sorafenib 400 mg2820± 3170
Phase 1b: Cmax: Maximum Observed Plasma Concentration for Golvatinib When Administered in Combination With Sorafenib at Day 28 Cycle 1 Primary · Cycle 1 Day 28: 0-24 hours post-dose
GroupValue95% CI
Phase 1b: Golvatinib 200 mg + Sorafenib 400 mg2140± 757
Phase 1b: Golvatinib 300 mg + Sorafenib 400 mg4570± 3610
Phase 1b: Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Golvatinib When Administered in Combination With Sorafenib at Day -7 Primary · Day -7: 0-72 hours post-dose
GroupValue95% CI
Phase 1b: Golvatinib 200 mg + Sorafenib 400 mg21.03 – 24.3
Phase 1b: Golvatinib 300 mg + Sorafenib 400 mg2.381 – 4
Phase 1b: Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Golvatinib When Administered in Combination With Sorafenib at Day 1 Cycle 1 Primary · Cycle 1 Day 1: 0-24 hours post-dose (Cycle length is 28 days)
GroupValue95% CI
Phase 1b: Golvatinib 200 mg + Sorafenib 400 mg32 – 23.8
Phase 1b: Golvatinib 300 mg + Sorafenib 400 mg3.532 – 24
Phase 1b: Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Golvatinib When Administered in Combination With Sorafenib at Day 28 Cycle 1 Primary · Cycle 1 Day 28: 0-24 hours post-dose
GroupValue95% CI
Phase 1b: Golvatinib 200 mg + Sorafenib 400 mg2.981.08 – 4.03
Phase 1b: Golvatinib 300 mg + Sorafenib 400 mg5.010.833 – 23.5
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 Primary · Day -7: 0-72 hours post-dose
GroupValue95% CI
Phase 1b: Golvatinib 200 mg + Sorafenib 400 mg30400± 18900
Phase 1b: Golvatinib 300 mg + Sorafenib 400 mg47200± 37500
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 Primary · Cycle 1 Day 1: 0-24 hours post-dose (Cycle length is 28 days)
GroupValue95% CI
Phase 1b: Golvatinib 200 mg + Sorafenib 400 mg24000± 14300
Phase 1b: Golvatinib 300 mg + Sorafenib 400 mg36800± 38000
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 Primary · Cycle 1 Day 28: 0-24 hours post-dose (Cycle length is 28 days)
GroupValue95% CI
Phase 1b: Golvatinib 200 mg + Sorafenib 400 mg35300± 16700
Phase 1b: Golvatinib 300 mg + Sorafenib 400 mg68700± 72500
Phase 1b: t1/2: Terminal Elimination Half-life for Golvatinib When Administered in Combination With Sorafenib at Day -7 Primary · Day -7: 0-72 hours post-dose
GroupValue95% CI
Phase 1b: Golvatinib 200 mg + Sorafenib 400 mg38.1± 6.82
Phase 1b: Golvatinib 300 mg + Sorafenib 400 mg35.9± 11.7
Phase 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) Primary · From first dose of study drug up to 30 days after last dose of study drug (up to approximately 3 years 11 months)
TEAEs
GroupValue95% CI
Phase 2: Golvatinib 200 mg + Sorafenib 400 mg42
Phase 2: Sorafenib 400 mg40
SAEs
GroupValue95% CI
Phase 2: Golvatinib 200 mg + Sorafenib 400 mg20
Phase 2: Sorafenib 400 mg17

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug up to 30 days after last dose of study drug (up to approximately 3 years 11 months). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase 1b: Golvatinib 200 mg + Sorafenib 400 mg
Serious: 4/7 (57%)
Deaths: 7/7
Phase 1b: Golvatinib 300 mg + Sorafenib 400 mg
Serious: 3/7 (43%)
Deaths: 6/7
Phase 2: Golvatinib 200 mg + Sorafenib 400 mg
Serious: 20/42 (48%)
Deaths: 32/42
Phase 2: Sorafenib 400 mg
Serious: 17/42 (40%)
Deaths: 32/42

Serious adverse events (57 terms)

ReactionSystemPhase 1b: Golvatinib 200 m…Phase 1b: Golvatinib 300 m…Phase 2: Golvatinib 200 mg…Phase 2: Sorafenib 400 mg
Abdominal PainGastrointestinal disorders
SepsisInfections and infestations
AnaemiaBlood and lymphatic system disorders
Gastric UlcerGastrointestinal disorders
Hepatic FailureHepatobiliary disorders
Hepatic EncephalopathyNervous system disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
GastroenteritisInfections and infestations
Transaminases IncreasedInvestigations
Metabolic EncephalopathyNervous system disorders
Confusional StatePsychiatric disorders
Nephropathy ToxicRenal and urinary disorders
Acute Respiratory FailureRespiratory, thoracic and mediastinal disorders
Pleural EffusionRespiratory, thoracic and mediastinal disorders
Dermatitis AcneiformSkin and subcutaneous tissue disorders
Dermatitis PsoriasiformSkin and subcutaneous tissue disorders
Febrile NeutropeniaBlood and lymphatic system disorders
Cardiac ArrestCardiac disorders
Abdominal DistensionGastrointestinal disorders
ConstipationGastrointestinal disorders
Diverticular PerforationGastrointestinal disorders
DysphagiaGastrointestinal disorders
HaematemesisGastrointestinal disorders
HaematocheziaGastrointestinal disorders
Other adverse events (276 terms — click to expand)

ReactionSystemPhase 1b: Golvatinib 200 m…Phase 1b: Golvatinib 300 m…Phase 2: Golvatinib 200 mg…Phase 2: Sorafenib 400 mg
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
Palmar-Plantar Erythrodysaesthesia SyndromeSkin and subcutaneous tissue disorders
Decreased AppetiteMetabolism and nutrition disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
Aspartate Aminotransferase IncreasedInvestigations
RashSkin and subcutaneous tissue disorders
AstheniaGeneral disorders
Blood Alkaline Phosphatase IncreasedInvestigations
HypertensionVascular disorders
PruritusSkin and subcutaneous tissue disorders
Abdominal PainGastrointestinal disorders
Alanine Aminotransferase IncreasedInvestigations
Abdominal Pain UpperGastrointestinal disorders
AscitesGastrointestinal disorders
HeadacheNervous system disorders
AlopeciaSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
Lipase IncreasedInvestigations
Back PainMusculoskeletal and connective tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
HyperbilirubinaemiaHepatobiliary disorders
StomatitisGastrointestinal disorders
Urinary Tract InfectionInfections and infestations
PyrexiaGeneral disorders
Weight DecreasedInvestigations
DyspepsiaGastrointestinal disorders
Oedema PeripheralGeneral disorders
Blood Bilirubin IncreasedInvestigations
Pain In ExtremityMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
DysphoniaRespiratory, thoracic and mediastinal disorders
Musculoskeletal Chest PainMusculoskeletal and connective tissue disorders
ThrombocytopeniaBlood and lymphatic system disorders
Amylase IncreasedInvestigations
HypoalbuminaemiaMetabolism and nutrition disorders
HypocalcaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders

Most-reported serious reactions: Abdominal Pain, Sepsis, Anaemia, Gastric Ulcer, Hepatic Failure, Hepatic Encephalopathy, Nausea, Vomiting.

Data from ClinicalTrials.gov NCT01271504 adverse events section.

Sponsor's own description

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.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Recent developments of c-Met as a therapeutic target in hepatocellular carcinoma.
    Bouattour M, Raymond E, Qin S, Cheng AL, et al · · 2018 · cited 199× · PMID 28862760 · DOI 10.1002/hep.29496
  2. Targeting the HGF/Met signaling pathway in cancer therapy.
    Cecchi F, Rabe DC, Bottaro DP. · · 2012 · cited 180× · PMID 22530990 · DOI 10.1517/14728222.2012.680957
  3. Mechanisms of resistance to sorafenib and the corresponding strategies in hepatocellular carcinoma.
    Zhai B, Sun XY. · · 2013 · cited 148× · PMID 23898367 · DOI 10.4254/wjh.v5.i7.345
  4. Small molecule inhibitors targeting the cancers.
    Liu GH, Chen T, Zhang X, Ma XL, et al · · 2022 · cited 127× · PMID 36254250 · DOI 10.1002/mco2.181
  5. Targeting the HGF-cMET Axis in Hepatocellular Carcinoma.
    Venepalli NK, Goff L. · · 2013 · cited 52× · PMID 23606971 · DOI 10.1155/2013/341636
  6. MET inhibitors for treatment of advanced hepatocellular carcinoma: A review.
    Qi XS, Guo XZ, Han GH, Li HY, et al · · 2015 · cited 49× · PMID 25987766 · DOI 10.3748/wjg.v21.i18.5445
  7. Molecular therapies in hepatocellular carcinoma: what can we target?
    Galuppo R, Ramaiah D, Ponte OM, Gedaly R. · · 2014 · cited 37× · PMID 24573715 · DOI 10.1007/s10620-014-3058-x
  8. Treating hepatocellular carcinoma progression following first-line sorafenib: therapeutic options and clinical observations.
    He AR, Goldenberg AS. · · 2013 · cited 24× · PMID 24179481 · DOI 10.1177/1756283x13498540

Verify or expand the search:

Other trials of Sorafenib

Trials testing the same drug.

Other recruiting trials for Hepatocellular Carcinoma

Currently open trials in the same condition.

Other Eisai Inc. trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01271504.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing