Last reviewed · How we verify

NCT01728623

A Study of E7080 in Subjects With Advanced Thyroid Cancer

Completed Phase 2 Results posted Last updated 14 August 2020
What this trial tests

Phase 2 trial testing E7080 capsule in Thyroid Cancer in 51 participants. Completed in 1 October 2015.

Timeline
3 September 2012
Primary endpoint
9 July 2015
1 October 2015

Quick facts

Lead sponsorEisai Co., Ltd.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment51
Start date3 September 2012
Primary completion9 July 2015
Estimated completion1 October 2015
Sites3 locations across Japan

Drugs / interventions tested

Conditions studied

Sponsor

Eisai Co., Ltd. — full company profile →

Who can join

20 and older, any sex, with Thyroid Cancer. 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.

Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs) Primary · Screening visit to 30 days after the last dose of study drug, or assessed up to 3 years

Only TEAEs are included in the summary. For detailed list of adverse events (AEs), see the AE section. For each participant, only one TEAE in the same category was counted and for multiple TEAEs with different Common Terminology Criteria for Adverse Events version 4.0 (CTCAE v 4.0) grades, only the event with the highest grade was reported. All AEs were graded using CTCAE v 4.0, except for alopecia and infertility.

TEAEs
GroupValue95% CI
Arm 4: Lenvatinib (DTC, MTC, ATC)100.0
CTCAE Grade 3 or 4 TEAEs
GroupValue95% CI
Arm 4: Lenvatinib (DTC, MTC, ATC)82.4
Serious TEAEs
GroupValue95% CI
Arm 4: Lenvatinib (DTC, MTC, ATC)52.9
TEAEs leading to study drug withdrawal
GroupValue95% CI
Arm 4: Lenvatinib (DTC, MTC, ATC)2.0
TEAEs leading to study drug reduction
GroupValue95% CI
Arm 4: Lenvatinib (DTC, MTC, ATC)96.1
TEAEs leading to study drug interruption
GroupValue95% CI
Arm 4: Lenvatinib (DTC, MTC, ATC)66.7
Progression-free Survival (PFS) Secondary · From first date of study treatment until progression of disease or date of death from any cause, whichever comes first, assessed up to 34 months

PFS was defined as the time from (1) the date of randomization to the date of first documentation of disease progression based on Investigator and Independent Review Committee assessments according to Response Evaluation Criteria In Solid Tumors version 1.1 (RECIST v1.1), or (2) death, whichever came first. Disease progression for the MTC group was measured using computed tomography (CT) or magnetic resonance imaging (MRI) on targeted tumors. Disease progression per RECIST v1.1 was defined as at least a 20 percent (%) relative increase and 5 millimeter (mm) absolute increase in the sum of diam

GroupValue95% CI
Lenvatinib (Arm 1)25.818.4 – NA
Lenvatinib (Arm 2)9.21.8 – NA
Lenvatinib (Arm 3)7.41.7 – 12.9
Overall Survival (OS) Secondary · From study start until date of death from any cause, assessed up to 34 months

OS was defined as the time from the date of first dose of study treatment to the date of death from any cause. If death was not observed for a participant, the survival time was censored at the date the participant was last known alive or the data cutoff date (whichever occurred first). Summarized by the Kaplan-Meier method using median time with 95% CI.

GroupValue95% CI
Lenvatinib (Arm 1)31.831.8 – NA
Lenvatinib (Arm 2)12.13.8 – NA
Lenvatinib (Arm 3)10.63.8 – 19.8
Best Overall Response (BOR) Secondary · Date of first dose of study treatment to CR, PR, SD, PD, or NE, assessed up to 34 months

BOR was defined as the best response observed between the time of first dose and the study completion, assessed by either of complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD), or not evaluable (NE). Tumor assessment was performed by the investigator using RECIST 1.1. The CR and PR were determined only when these responses met each criterion even after 28 days from the time observed. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had to have reduction in short axis to less than 10 mm.

CR
GroupValue95% CI
Lenvatinib (Arm 1)0
Lenvatinib (Arm 2)0
Lenvatinib (Arm 3)0
PR
GroupValue95% CI
Lenvatinib (Arm 1)68.0
Lenvatinib (Arm 2)22.2
Lenvatinib (Arm 3)23.5
SD
GroupValue95% CI
Lenvatinib (Arm 1)32.0
Lenvatinib (Arm 2)77.8
Lenvatinib (Arm 3)70.6
PD
GroupValue95% CI
Lenvatinib (Arm 1)0
Lenvatinib (Arm 2)0
Lenvatinib (Arm 3)5.9
NE
GroupValue95% CI
Lenvatinib (Arm 1)0
Lenvatinib (Arm 2)0
Lenvatinib (Arm 3)0
Objective Response Rate (ORR) Secondary · Date of CR or PR to date of PD or death (whichever was first), assessed up to 34 months

ORR was defined as the percentage of participants who had BOR of CR or PR. Tumor assessment was performed by the investigator using RECIST 1.1. ORR based on the investigator assessment was provided with a corresponding exact 95% CI which was calculated using exact method of binomial distribution.

GroupValue95% CI
Lenvatinib (Arm 1)68.046.5 – 85.1
Lenvatinib (Arm 2)22.22.8 – 60.0
Lenvatinib (Arm 3)23.56.8 – 49.9
Disease Control Rate (DCR) Secondary · Date of CR, PR, or SD to date of PD or death (whichever was first), assessed up to 34 months

The DCR was defined as the percentage of participants who had BOR of CR, PR, or SD. Tumor assessment was performed by the investigator using RECIST 1.1. DCR based on the investigator assessment was provided with a corresponding exact 95% CI which was calculated using exact method of binomial distribution.

GroupValue95% CI
Lenvatinib (Arm 1)100.086.3 – 100.0
Lenvatinib (Arm 2)100.066.4 – 100.0
Lenvatinib (Arm 3)94.171.3 – 99.9
Clinical Benefit Rate (CBR) Secondary · Date of CR, PR, or dSD to date of PD or death (whichever was first), assessed up to 34 months

The CBR was defined as the percentage of participants who had BOR of CR, PR, or durable SD (dSD). Tumor assessment was performed by the investigator using RECIST 1.1. Durable stable disease was defined as SD lasting greater than or equal to 23 weeks for DTC and MTC, greater than or equal to 11 weeks for ATC. A 95% CI was calculated using exact method of binomial distribution.

GroupValue95% CI
Lenvatinib (Arm 1)84.063.9 – 95.5
Lenvatinib (Arm 2)77.840.0 – 97.2
Lenvatinib (Arm 3)70.644.0 – 89.7

Adverse events — posted to ClinicalTrials.gov

Time frame: AEs were collected for up to 3 years. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm 4: Lenvatinib (DTC, MTC, ATC)
Serious: 27/51 (53%)
Deaths: 4/51

Serious adverse events (30 terms)

ReactionSystemArm 4: Lenvatinib (DTC, MT…
Decreased appetiteMetabolism and nutrition disorders
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
PneumoniaInfections and infestations
NauseaGastrointestinal disorders
Laryngeal stenosisRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
DysphagiaGastrointestinal disorders
Gastric ulcerGastrointestinal disorders
Haemorrhoidal haemorrhageGastrointestinal disorders
FatigueGeneral disorders
Oedema peripheralGeneral disorders
CholecystitisHepatobiliary disorders
Hepatic failureHepatobiliary disorders
CellulitisInfections and infestations
DiverticulitisInfections and infestations
GastroenteritisInfections and infestations
Lung infectionInfections and infestations
Respiratory tract infectionInfections and infestations
SepsisInfections and infestations
Upper limb fractureInjury, poisoning and procedural complications
HypoglycaemiaMetabolism and nutrition disorders
Cancer painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant pleural effusionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Vagus nerve disorderNervous system disorders
Other adverse events (68 terms — click to expand)

ReactionSystemArm 4: Lenvatinib (DTC, MT…
HypertensionVascular disorders
Decreased appetiteMetabolism and nutrition disorders
Palmar-plantar erythrodysaesthesia syndromeSkin and subcutaneous tissue disorders
FatigueGeneral disorders
ProteinuriaRenal and urinary disorders
StomatitisGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
DysphoniaRespiratory, thoracic and mediastinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Weight decreasedInvestigations
Oedema peripheralGeneral disorders
NasopharyngitisInfections and infestations
ConstipationGastrointestinal disorders
HeadacheNervous system disorders
Abdominal pain upperGastrointestinal disorders
VomitingGastrointestinal disorders
MyalgiaMusculoskeletal and connective tissue disorders
ThrombocytopeniaBlood and lymphatic system disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
AlopeciaSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
InsomniaPsychiatric disorders
Dermatitis acneiformSkin and subcutaneous tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
HypothyroidismEndocrine disorders
MalaiseGeneral disorders
HypocalcaemiaMetabolism and nutrition disorders
Cancer painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
PyrexiaGeneral disorders
Hepatic function abnormalHepatobiliary disorders
PneumoniaInfections and infestations
Aspartate aminotransferase increasedInvestigations
DehydrationMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
AnaemiaBlood and lymphatic system disorders
ParonychiaInfections and infestations
Alanine aminotransferase increasedInvestigations
Blood bilirubin increasedInvestigations
HypertriglyceridaemiaMetabolism and nutrition disorders

Most-reported serious reactions: Decreased appetite, Malignant neoplasm progression, Pneumonia, Nausea, Laryngeal stenosis, Diarrhoea, Dysphagia, Gastric ulcer.

Data from ClinicalTrials.gov NCT01728623 adverse events section.

Sponsor's own description

This study is to evaluate the safety, efficacy, and pharmacokinetics of E7080 when orally administered once daily (QD) in subjects with advanced thyroid cancer.

Publications & conference data

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

  1. Lenvatinib for Anaplastic Thyroid Cancer.
    Tahara M, Kiyota N, Yamazaki T, Chayahara N, et al · · 2017 · cited 135× · PMID 28299283 · DOI 10.3389/fonc.2017.00025
  2. Inhibition of FGF-FGFR and VEGF-VEGFR signalling in cancer treatment.
    Liu G, Chen T, Ding Z, Wang Y, et al · · 2021 · cited 131× · PMID 33655556 · DOI 10.1111/cpr.13009
  3. A Phase II study of the safety and efficacy of lenvatinib in patients with advanced thyroid cancer.
    Takahashi S, Kiyota N, Yamazaki T, Chayahara N, et al · · 2019 · cited 108× · PMID 30638399 · DOI 10.2217/fon-2018-0557
  4. Novel treatments for anaplastic thyroid carcinoma.
    Ferrari SM, Elia G, Ragusa F, Ruffilli I, et al · · 2020 · cited 93× · PMID 32055496 · DOI 10.21037/gs.2019.10.18
  5. The Adverse Effect of Hypertension in the Treatment of Thyroid Cancer with Multi-Kinase Inhibitors.
    Ancker OV, Wehland M, Bauer J, Infanger M, et al · · 2017 · cited 48× · PMID 28335429 · DOI 10.3390/ijms18030625
  6. Metastatic medullary thyroid carcinoma: a new way forward.
    Angelousi A, Hayes AR, Chatzellis E, Kaltsas GA, et al · · 2022 · cited 30× · PMID 35521769 · DOI 10.1530/erc-21-0368
  7. Anaplastic Thyroid Cancer: Clinical Picture of the Last Two Decades at a Single Oncology Referral Centre and Novel Therapeutic Options.
    Simões-Pereira J, Capitão R, Limbert E, Leite V. · · 2019 · cited 27× · PMID 31443283 · DOI 10.3390/cancers11081188
  8. The Evolving Treatment Landscape of Medullary Thyroid Cancer.
    Laganà M, Cremaschi V, Alberti A, Vodopivec Kuri DM, et al · · 2023 · cited 6× · PMID 37979019 · DOI 10.1007/s11864-023-01145-5

Verify or expand the search:

Other recruiting trials for Thyroid Cancer

Currently open trials in the same condition.

Other Eisai Co., Ltd. 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/NCT01728623.

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