A Study Comparing the Combination of the Best Supportive Care Plus E7080 Versus Best Supportive Care Alone, in Patients With Advanced Lung Cancer or Lung Cancer That Has Spread, Who Have Been Previously Treated, Unsuccessfully, With at Least 2 Different Treatments
- Conditions
- Non-Small Cell Lung Cancer
- Interventions
- Registration Number
- NCT01529112
- Lead Sponsor
- Eisai Inc.
- Brief Summary
The purpose of this study is to compare the overall survival of patients receiving E7080 + Best Supportive Care (BSC) with those receiving placebo + Best Supportive Care.
- Detailed Description
This double-blind, placebo-controlled, multicenter, randomized Phase II study will consist of a 2-arm design, comparing E7080 + BSC (Arm 1) with placebo + BSC (Arm 2). Participants will be randomized in the ratio of 2:1 to receive either E7080 or placebo in a blinded manner.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 135
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Lenvatinib BSC Participants received lenvatinib 24 mg orally, once daily continuously in each 28-day treatment cycle plus Best Supportive Care (BSC) Lenvatinib Lenvatinib Participants received lenvatinib 24 mg orally, once daily continuously in each 28-day treatment cycle plus Best Supportive Care (BSC) Lenvatinib matched placebo Lenvatinib matched placebo Participants received lenvatinib matched placebo orally, once daily continuously in each 28-day treatment cycle plus BSC Lenvatinib matched placebo BSC Participants received lenvatinib matched placebo orally, once daily continuously in each 28-day treatment cycle plus BSC
- Primary Outcome Measures
Name Time Method Overall Survival (OS) From date of randomization (Day 1) until occurrence of 90 deaths in the study (cut off date 26 November 2013), approximately 22 months OS was defined as the time from the date of randomization until the date of death from any cause.
- Secondary Outcome Measures
Name Time Method Number of Participants With Treatment Emergent Non-serious Adverse Events (AEs) and Treatment Emergent Serious Adverse Events (SAEs) For each participant, from the first dose till 30 days after the last dose or up to approximately 2 years (data cut-off date of 21 January 2014) An AE was defined as any untoward medical occurrence in a clinical investigation participant administered with an investigational product. A SAE was defined as any untoward medical occurrence that at any dose; resulted in death, was life-threatening (i.e., the subject was at a risk of death at the time of the event; this did not include an event that hypothetically might have caused death if it had been more severe), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, or was a congenital abnormality/birth defect. In this study, treatment emergent adverse events (TEAEs) (defined as an AE (serious/non-serious) that started/increased in severity on/after the first dose of study medication up to 30 days after the final dose of study medication) were assessed.
6-Month Survival Rate From date of randomization (Day 1) up to 6 months Event-free survival rate was calculated using Kaplan Meier estimations. The percentage of participants with event free survival up to 6 months and the corresponding 95% confidence interval were estimated for each treatment group. The data presented is based on the data cut-off date of 26 November 2013 while the study is still ongoing.
1-year Survival Rate From date of randomization (Day 1) up to 1 year Event-free survival rate was calculated using Kaplan Meier estimations. The percentage of participants with event free survival up to 1 year and the corresponding 95% confidence interval were estimated for each treatment group. The data presented is based on the data cut-off date of 26 November 2013 while the study is still ongoing.
Progression-Free Survival (PFS) From date of randomization (Day 1) until date of first documentation of disease progression or death from any cause (whichever occurred first) or up to approximately 2 years (data cut-off date of 21 January 2014) PFS was defined as the time from the date of the randomization until the date of first documented disease progression according to Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 or date of death from any cause (whichever occurred first), assessed based on investigator's assessment. Disease progression per RECIST v1.1 was defined as at least a 20% relative increase and 5 mm absolute increase in the sum of diameters of target lesions (taking as reference the smallest sum on study), recorded since the treatment started or the appearance of 1 or more new lesions. The data presented is based on the data cut-off date of 21 January 2014 while the study is still ongoing.
Overall Response Rate (ORR) From date of randomization (Day 1) until disease progression or death, development of unacceptable toxicity, withdrawal of consent, withdrawal by Investigator, or up to approximately 2 years (data cut-off date of 21 January 2014) ORR, defined as the percentage of participants who had best overall response (BOR) of complete response (CR) or partial response (PR) as determined by investigator using RECIST 1.1. 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. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. ORR = CR + PR. The data presented is based on the data cut-off date of 21 January 2014 while the study is still ongoing.
Response Duration (RD) From date of randomization (Day 1) until disease progression or death, development of unacceptable toxicity, withdrawal of consent, withdrawal by Investigator, or up to approximately 2 years (data cut-off date of 21 January 2014) Response duration, defined as the time from the date of the first assessment demonstrating a CR or PR to the date of the first assessment demonstrating progressive disease or death, whichever occurred first. This is an investigator assessed outcome, measured using RECIST 1.1. 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. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Response duration was summarized by including only subjects with events. The data presented is based on the data cut-off date of 21 January 2014 while the study is still ongoing.
Disease Control Rate (DCR) From date of randomization (Day 1) until disease progression or death, development of unacceptable toxicity, withdrawal of consent, withdrawal by Investigator, or up to approximately 2 years (data cut-off date of 21 January 2014) The percentage of participants with CR, PR, or stable disease (SD) for greater than or equal to 12 weeks. 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. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Stable disease was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on the study. The data presented is based on the data cut-off date of 21 January 2014 while the study is still ongoing.
The Percentage of Participants With The European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 Symptom Scores Achieving Clinically Significant Deterioration on Quality of Life (QOL) Baseline (Day 1 of Cycle 1 (prior to treatment in Cycle 1)), every 4 weeks during treatment, and 4 weeks after completing treatment or up to approximately 2 years (data cut-off date of 21 January 2014) The EORTC QLQ-C30 symptom score, a cancer specific self-reporting questionnaire was composed of 9-symptom scales assessing fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea and financial difficulties. All of the multi-item scales and single-item measures ranged in score from 0 to 100. For each domain and item, a linear transformation was applied to standardize the raw score to a range from 0 to 100, with a higher scale score representing a higher response level/ high level of symptomatology / problems. The data is presented as percentage of participants with EORTC QLQ-C30 symptom score achieving clinically significant deterioration on QOL. Participants were considered as deteriorated for a given symptom if the change in score from Baseline was 10 points or higher at any time point after Baseline. The data presented is based on the data cut-off date of 21 January 2014 while the study is still ongoing.
The Percentage of Participants With The European Organization for Research and Treatment of Cancer (EORTC) Module QLQ-LC13 (Lung Cancer 13) Symptom Scores Achieving Clinically Significant Deterioration on QOL Baseline (Day 1 of Cycle 1 (prior to treatment in Cycle 1)), every 4 weeks during treatment, and 4 weeks after completing treatment or up to approximately 2 years (data cut-off date of 21 January 2014) The EORTC module QLQ-LC13 symptom score was a self-reporting cancer-specific questionnaire composed of 13 questions incorporated into 1 multi-item scale designed to evaluate dyspnea and a series of single items assessing different types of pain, as well as, cough, hemoptysis, dysphagia, sore mouth, alopecia, and peripheral neuropathy. For each domain and item, a linear transformation was applied to standardize the raw score to a range from 0 to 100, with 100 representing the best possible function/QOL, and highest burden of symptoms for symptom domains and single items. The data is presented as percentage of participants with EORTC module QLQ-C13 symptom score achieving clinically significant deterioration on QOL. Participants were considered as deteriorated for a given symptom if the change in score from Baseline was 10 points or higher at any time point after Baseline. The data presented is based on the data cut-off date of 21 January 2014 while the study is still ongoing.
Pharmacokinetic (PK) Profile of Lenvatinib in Subjects With Non Small Cell Lung Cancer (NSCLC) Cycle 1/Day 1 (between 0.5 and 4 hours postdose and 6 and 10 hours postdose), Cycle 1/Day 15 (predose, between 0.5 and 4 hours postdose, and 6 and 10 hours postdose), and Day 1 of Cycles 2 though 4 (predose and between 2 and 12 hours postdose) Blood samples were collected for lenvatinib PK analysis. Lenvatinib concentrations from sparse PK sampling were measured. The data is presented as mean nanograms per milliliter +/- Standard deviation of lenvatinib serum concentration.
Trial Locations
- Locations (50)
C. H. R. de la Citadelle
🇧🇪Liege, Belgium
Tudogyogyintezet Torokbalint
🇭🇺Torokbalint, Hungary
Fejer Megyei Szent Gyorgy Korhaz
🇭🇺Szekesfehervar, Hungary
Komarom-Esztergom Megyei Onkorm. Szent Borbala Korhaza
🇭🇺Tatabanya, Hungary
Ronald Yanagihara, MD 9360 North Name Uno Suite 130 Gilroy California 95020
🇺🇸Gilroy, California, United States
Texas Oncology, P.A. - Plano
🇺🇸Plano, Texas, United States
Washington University 660 South Euclid Avenue Campus Box 8124 St Louis Missouri 63110
🇺🇸Saint Louis, Missouri, United States
Grand Hopital de Charleroi
🇧🇪Charleroi, Belgium
Oblastni nemocnice Pribram, a.s.
🇨🇿Pribram, Czechia
Beatson West of Scotland Cancer Centre
🇬🇧Glasgow, Strathclyde, United Kingdom
Azienda Ospedaliera G. Rummo
🇮🇹Benevento, Italy
Azienda Ospedaliero Universitaria San Martino
🇮🇹Genova, Italy
Azienda Ospedaliera San Gerardo
🇮🇹Milano, Italy
Fondazione Salvatore Maugeri IRCCS
🇮🇹Pavia, Italy
Azienda Ospedaliera di Perugia Ospedale S. Maria della Misericordia
🇮🇹Perugia, Italy
Severance Hospital, Yonsei University Health System
🇰🇷Seoul, Korea, Republic of
The Catholic University of Korea Yeouido St. Mary's Hospital
🇰🇷Seoul, Korea, Republic of
Ulsan University Hospital
🇰🇷Ulsan, Korea, Republic of
Ocala Oncology Center, P.L.
🇺🇸Ocala, Florida, United States
Donald W. Hill, M.D., F.A.C.P.
🇺🇸Casa Grande, Arizona, United States
UZ Antwerpen
🇧🇪Edegem, Belgium
Arizona Oncology Associates , PC - HOPE
🇺🇸Tucson, Arizona, United States
Cancer Treatment and Research Centre Bismarck North Dakota 58501
🇺🇸Bismarck, North Dakota, United States
Montefiore Medical Park 1695 Easchester Road Floor 1 Bronx, NY 10461
🇺🇸New York, New York, United States
Texas Oncology, P.A. - Waco
🇺🇸Waco, Texas, United States
UZ Leuven
🇧🇪Leuven, Belgium
Texas Oncology, P.A. - Paris
🇺🇸Paris, Texas, United States
New York Oncology Heamatology - Latham
🇺🇸Clifton Park, New York, United States
Avicennus, s.r.o.
🇨🇿Nymburk, Czechia
OLV Ziekenhuis
🇧🇪Aalst, Belgium
AZ Sint-Maarten
🇧🇪Duffel, Belgium
Domaine Universitaire du Sart-Tilman
🇧🇪Liege, Belgium
Matrai Gyogyintezet
🇭🇺Matrahaza, Hungary
Zala Megyei Korhaz
🇭🇺Zalaegerszeg, Hungary
Istituto Clinico Humanitas
🇮🇹Milano, Italy
Azienda Ospedaliera Universitaria di Parma
🇮🇹Parma, Italy
Institut onkologie a rehabilitace Na Plesi
🇨🇿Nova Ves pod Plesi, Czechia
Fakultni nemocnice Na Bulovce
🇨🇿Praha 8, Czechia
Semmelweis Egyetem AOK
🇭🇺Budapest, Hungary
Orszagos Koranyi TBC es Pulmonologiai Intezet
🇭🇺Budapest, Hungary
Azienda Ospedaliera San Camillo Forlanini
🇮🇹Roma, Italy
Ospedale Mater Salutis
🇮🇹Verona, Italy
Southampton General Hospital
🇬🇧Southampton, Hampshire, United Kingdom
North Staffs Royal Infirmary
🇬🇧Stoke-on-Trent, Staffordshire, United Kingdom
The Christie NHS Foundation Trust
🇬🇧Manchester, Greater Manchester, United Kingdom
Chungbuk National University Hospital
🇰🇷Chungcheongbuk-do, Korea, Republic of
Chonnam National University Hwasun Hospital
🇰🇷Hwasun-gun, Korea, Republic of
Seoul National University Bundang Hospital
🇰🇷Seongnam-si, Korea, Republic of
New Cross Hospital
🇬🇧Wolverhampton, West Midlands, United Kingdom
Korea University Guro Hospital
🇰🇷Seoul, Korea, Republic of