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An Open-Label Phase 1b Trial of Lenvatinib Plus Pembrolizumab in Subjects With Selected Solid Tumors

Phase 1
Completed
Conditions
Solid Tumors
Registration Number
JPRN-jRCT2080223435
Lead Sponsor
Eisai Co., Ltd.
Brief Summary

The combination of lenvatinib 20 mg plus pembrolizumab 200 mg was well tolerated and safe in subjects with selected solid tumors. The efficacy results showed that the combination of lenvatinib plus pembrolizumab provided antitumor activity in subjects with selected solid tumors.

Detailed Description

Not available

Recruitment & Eligibility

Status
completed
Sex
All
Target Recruitment
6
Inclusion Criteria

(1)Histologically and/or cytologically confirmed selected solid tumor types.
The selected tumor types are: non-small cell lung cancer, predominantly clear cell renal cell carcinoma, endometrial carcinoma, urothelial carcinoma, squamous cell carcinoma of the head and neck, or melanoma (excluding uveal melanoma)
(2)At least 1 measurable target lesion
(3)Participants must have an Eastern Cooperative Oncology Group (ECOG)-Performance Status (PS) of 0 to 1.
(4)Adequately controlled blood pressure .
(5)Adequate renal function
(6)Adequate bone marrow function:
(7)Adequate blood coagulation function
(8)Adequate liver function
(9)Life expectancy of 12 weeks or more

Exclusion Criteria

(1)Prior anticancer treatment within 28 days (or 5 times the half-life time, whichever is shorter) or any investigational agent within 28 days prior to the first dose of study drugs.
(2)Biologic response modifiers within 4 weeks before study entry.
(3)Participants having >=2+ proteinuria on urinalysis will undergo 24-hour urine collection for quantitative assessment of proteinuria.
(4)Prolongation of QTc (Fridericia formula) interval to >480 milliseconds (ms)
(5)Active hemoptysis (bright red blood of at least 0.5 teaspoon) within 3 weeks prior to the first dose of study drug.
(6)Active infection (any infection requiring systemic treatment)
(7)Participant is known to be positive for Human Immunodeficiency Virus (HIV), Hepatitis B, or Hepatitis C
(8)History of organ allograft.
(9)Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study treatment.
(10)Has a history of (non-infectious) pneumonitis that required steroids or current pneumonitis, or has a history of interstitial lung disease.
(11)Has received a live-virus vaccination within 30 days of planned treatment start.
(12)Females who are breastfeeding or pregnant.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
safety<br>Safety related endpoints including dose-limiting toxicity (DLT) of lenvatinib and pembrolizumab during Cycle 1
Secondary Outcome Measures
NameTimeMethod
efficacy<br>pharmacokinetics<br>Objective response rate (ORR)<br>Duration of response (DOR)<br>Pharmacokinetic (PK) profile of lenvatinib and pembrolizumab<br>Serum antidrug antibody (ADA)
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