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A Study to Evaluate the Safety and Tolerability of Lenvatinib in Participants With Advanced or Unresectable Hepatocellular Carcinoma

Completed
Conditions
Carcinoma, Hepatocellular
Interventions
Registration Number
NCT04763408
Lead Sponsor
Eisai Inc.
Brief Summary

The primary purpose of this study is to further characterise the hepatotoxicity in participants with advanced or unresectable hepatocellular carcinoma (HCC) treated with lenvatinib, and to further characterise the overall safety profile (serious adverse events \[SAEs\], grade 3 to 5 adverse events \[AEs\], dose modifications and discontinuations due to AEs) in participants with advanced or unresectable HCC treated with lenvatinib.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
335
Inclusion Criteria
  1. Participants with advanced or unresectable HCC for whom a decision has been made by the treating physician (at their discretion) to initiate lenvatinib or sorafenib treatment, within the prescribing conditions of the approved product label
  2. Participants must provide signed informed consent to participate in the study within 31 days of initiating treatment with lenvatinib or sorafenib
Exclusion Criteria

None

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
LenvatinibLenvatinibParticipants with advanced or unresectable HCC will initiate treatment with lenvatinib capsules based on physicians decision and will be observed until withdrawal of consent, loss to follow-up, death or until the end of the study (up to 7 years) whichever occurs first.
SorafenibSorafenibParticipants with advanced or unresectable HCC will initiate treatment with sorafenib tablets based on physicians decision and will be observed until withdrawal of consent, loss to follow-up, death or until the end of the study (up to 7 years) whichever occurs first.
Primary Outcome Measures
NameTimeMethod
Number of Participants With SAEs With LenvatinibUp to 7 years
Number of Participants With Hepatotoxicity Treatment-emergent Adverse Events (TEAEs) With LenvatinibUp to 7 years
Number of Participants With Grade 3 to 5 AEs With LenvatinibUp to 7 years

AEs are defined as undesirable events not present prior to medical treatment, or an already present event that worsens either in intensity or frequency following the treatment with lenvatinib. AEs will be graded using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE). Here Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activity of daily living, Grade 4: life-threatening consequences; urgent intervention indicated and Grade 5: death related to AEs.

Number of Participants with one or More TEAEs Leading to Dose Modifications and Treatment Discontinuations of LenvatinibUp to 7 years

Number of participants with one or more TEAEs Leading to Dose Modifications and Treatment Discontinuations of Lenvatinib will be collected at the discretion of the treating physician and in accordance with the prescribing information.

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Hepatotoxicity TEAEs With SorafenibUp to 7 years
Number of Participants With SAEs With SorafenibUp to 7 years
Number of Participants With Grade 3 to 5 AEs With SorafenibUp to 7 years

AEs are defined as undesirable events not present prior to medical treatment, or an already present event that worsens either in intensity or frequency following the treatment with sorafenib. AEs will be graded using NCI CTCAE. Here Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activity of daily living, Grade 4: life-threatening consequences; urgent intervention indicated and Grade 5: death related to AEs.

Number of Participants with one or More TEAEs Leading to Dose Modifications and Treatment Discontinuations of SorafenibUp to 7 years

Number of participants with one or more TEAEs Leading to Dose Modifications and Treatment Discontinuations of Sorafenib will be collected at the discretion of the treating physician and in accordance with the prescribing information.

Duration of Lenvatinib and Sorafenib TreatmentUp to 7 years
Number of Participants With Dose Interruption and Dose Reduction for LenvatinibUp to 7 years
Relative Dose Intensity of Lenvatinib and SorafenibUp to 7 years

Relative Dose Intensity is defined as the amount of drug administered divided by the total dose specified by the corresponding standard regimen.

Number of Participants With Dose Interruption and Dose Reduction for SorafenibUp to 7 years
Overall Survival (OS) For Lenvatinib and SorafenibUp to 7 years

OS is defined as the time from the start of lenvatinib and sorafenib treatment to date of death from any cause.

Trial Locations

Locations (44)

California Liver Research Institute

🇺🇸

Pasadena, California, United States

Eisai Trial Site #2

🇩🇪

Berlin, Germany

Eisai Trial Site #6

🇩🇪

Munich, Germany

Azienda Ospedaliero Universitaria Di Cagliari

🇮🇹

Monserrato Cagliari, Sardegna, Italy

Budgetary Institution of the Chuvash Republic-The Republican Clinical Oncologic Dispensary-Cheboksar

🇷🇺

Cheboksary, Chuvashskaya Respublika, Russian Federation

Hospital Universitario Virgen de La Arrixaca

🇪🇸

El Palmar, Murcia, Spain

Hospital General Universitario de Alicante

🇪🇸

Alicante, Spain

Hospital Regional Universitario de Malaga - Hospital General

🇪🇸

Málaga, Spain

Hospital Universitario de Getafe

🇪🇸

Getafe, Spain

Hospital Universitario Virgen del Rocio - PPDS

🇪🇸

Sevilla, Spain

Hospital Universitari i Politecnic La Fe de Valencia

🇪🇸

Valencia, Spain

Hospital Universitario Miguel Servet

🇪🇸

Zaragoza, Spain

Barts Health NHS Trust - Charterhouse Square

🇬🇧

London, United Kingdom

Nottingham University Hospitals NHS Trust

🇬🇧

Nottingham, United Kingdom

Karolinska Universitetssjukhuset Huddinge

🇸🇪

Stockholm, Sweden

Monash Health, Monash Medical Centre

🇦🇺

Clayton, Victoria, Australia

Universitätsklinikum Innsbruck

🇦🇹

Innsbruck, Tirol, Austria

Medizinische Universitat Wien (Medical University of Vienna)

🇦🇹

Vienna, Austria

Eisai Trial Site #3

🇩🇪

Köln, Nordrhein-Westfalen, Germany

Klinikum Klagenfurt Am Woerthersee

🇦🇹

Klagenfurt Am Woerthersee, Austria

Eisai Trial Site #5

🇩🇪

Mainz, Rheinland-Pfalz, Germany

Eisai Trial Site #1

🇩🇪

Ulm, Germany

Fondazione PTV Policlinico Tor Vergata

🇮🇹

Roma, Lazio, Italy

Azienda Ospedaliera San Camillo Forlanini

🇮🇹

Roma, Lazio, Italy

Hospital Garcia de Orta

🇵🇹

Almada, Setúbal, Portugal

Azienda Ospedaliero Universitaria Di Bologna - Policlinico S Orsola Malpighi

🇮🇹

Bologna, Italy

Centro Hospitalar Lisboa Norte, E.P.E. - Hospital de Santa Maria

🇵🇹

Lisboa, Portugal

Corporacio Sanitaria Parc Tauli

🇪🇸

Sabadell, Barcelona, Spain

Hospital Universitario Marques de Valdecilla

🇪🇸

Santander, Cantabria, Spain

C.H. Regional Reina Sofia - PPDS

🇪🇸

Córdoba, Spain

Hospital Universitario Ramon y Cajal

🇪🇸

Madrid, Spain

CHUS - H. Clinico U. de Santiago

🇪🇸

Santiago de Compostela, Spain

Hospital Clinico Universitario Lozano Blesa

🇪🇸

Zaragoza, Spain

University Hospitals Birmingham NHS Foundation Trust

🇬🇧

Birmingham, United Kingdom

Universitätsklinikum St. Pölten

🇦🇹

St. Pölten, Austria

Fondazione Policlinico Universitario A Gemelli

🇮🇹

Roma, Lazio, Italy

Centro Hospitalar Trás Os Montes E Alto Douro EPE

🇵🇹

Vila Real, Portugal

Instituto Português de Oncologia Francisco Gentil Centro Regional de Oncologia de Coimbra EPE

🇵🇹

Coimbra, Portugal

University of Texas Southwestern Medical Center

🇺🇸

Dallas, Texas, United States

Royal Prince Alfred Hospital

🇦🇺

Camperdown, New South Wales, Australia

Liverpool Hospital

🇦🇺

Liverpool, New South Wales, Australia

Ospedale del Mare

🇮🇹

Napoli, Campania, Italy

Royal Free London NHS Foundation Trust

🇬🇧

London, United Kingdom

Montefiore Medical Center

🇺🇸

Bronx, New York, United States

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