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临床试验/NCT03418922
NCT03418922已完成1 期

A Phase 1b Trial of Lenvatinib Plus Nivolumab in Subjects With Hepatocellular Carcinoma

Eisai Co., Ltd.6 个研究点 分布在 1 个国家目标入组 30 人开始时间: 2018年1月16日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
入组人数
30
试验地点
6
主要终点
Part 1: Number of Participants With Dose-Limiting Toxicities (DLTs)

研究概览

简要总结

The primary objective of this study is to evaluate the tolerability and safety of a combination of lenvatinib plus nivolumab in participants with hepatocellular carcinoma (HCC).

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Sequential
主要目的
Treatment
盲法
None

入排标准

年龄范围
20 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Participants must have confirmed diagnosis of hepatocellular carcinoma (HCC) with any of the following criteria:
  • Histologically or cytologically confirmed diagnosis of HCC, excluding fibrolamellar, sarcomatoid or mixed cholangio-HCC tumors
  • Clinically confirmed diagnosis of HCC according to American Association for the Study of Liver Diseases criteria, including cirrhosis of any etiology and/or chronic hepatitis B or C infection
  • Part 1: HCC for which no other appropriate therapy is available; Part 2: No prior systemic therapy for advanced/unresectable HCC
  • Participants categorized to stage B (not applicable for transarterial chemoembolization), or stage C based on Barcelona Clinic Liver Cancer staging system
  • Child-Pugh score A
  • Participants must have an Eastern Cooperative Oncology Group Performance Status of 0 to 1
  • Age greater than or equal to (>=) 20 years at the time of informed consent

排除标准

  • Active co-infection with hepatitis B and hepatitis C
  • Participants with any active, known, or suspected autoimmune disease
  • Participants being treated with drugs that strongly inhibit or induce CYP3A4 and that may be possibly used during this study
  • Females who are breastfeeding or pregnant

研究组 & 干预措施

Part 1: Lenvatinib Plus Nivolumab

Experimental

Participants will receive specified doses of lenvatinib (oral) and nivolumab (intravenous) on specified days.

干预措施: Lenvatinib (Drug)

Part 1: Lenvatinib Plus Nivolumab

Experimental

Participants will receive specified doses of lenvatinib (oral) and nivolumab (intravenous) on specified days.

干预措施: Nivolumab (Drug)

Part 2: Lenvatinib Plus Nivolumab

Experimental

If tolerable in Part 1, participants will receive specified doses of lenvatinib and nivolumab on specified days until criteria for discontinuation are met.

干预措施: Lenvatinib (Drug)

Part 2: Lenvatinib Plus Nivolumab

Experimental

If tolerable in Part 1, participants will receive specified doses of lenvatinib and nivolumab on specified days until criteria for discontinuation are met.

干预措施: Nivolumab (Drug)

结局指标

主要结局

Part 1: Number of Participants With Dose-Limiting Toxicities (DLTs)

时间窗: Cycle 1 (Cycle length = 28 days)

DLT was graded according to Common Terminology Criteria for Adverse Events version 4.03 (CTCAE v4.03). DLT was defined as any of the following hematological or non-hematological toxicities considered to be at least possibly related to lenvatinib and/or nivolumab occurring during Cycle 1: 1) Febrile neutropenia or Grade 4 neutropenia for \>7 days; 2) Grade 4 thrombocytopenia and Grade 3 thrombocytopenia with bleeding; 3) Grade 4 anemia; 4) Clinical deterioration manifested by drug-related hepatic decompensation; 5) \>=Grade 3 non-hematological laboratory abnormalities with clinical symptoms that persisted; 6) Other Grade 3 toxicity lasting \>3 days or Grade 4 non-hematological toxicity of any duration; 7) Grade 2 uveitis, eye pain, or blurred vision that did not respond to topical therapy; 8) Failure to administer 8 or more dose of the planned administration number of study drug in Cycle 1 as a result of treatment-related toxicity.

Mean Change From Baseline in Vital Sign: Weight

时间窗: Baseline, up to Month 53

Mean change from baseline in weight were evaluated.

Mean Change From Baseline in Vital Sign: Body Mass Index

时间窗: Baseline, up to Month 53

Mean change from baseline in body mass index were evaluated.

Part 1 and Part 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

时间窗: From the first dose of study drug until 30 days after the last dose (up to 53 months)

A TEAE was defined as an adverse event (AE) that emerged during treatment and until the 30 days after the last dose or until the participants initiated new anticancer therapy, whichever was earlier, was absent at pretreatment (Baseline) or reemerged during treatment, was present at pretreatment (Baseline) but stopped before treatment, or worsened in severity during treatment relative to the pretreatment state, when the AE was continuous. An SAE was any untoward medical occurrence that at any dose: resulted in death, was life-threatening (that is, participant was at immediate risk of death from AE as it occurred; this did not include an event that, had it occurred in a more severe form or was allowed to continue, might have caused death), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect (in the child of a participant who was exposed to the study drug).

Mean Change From Baseline in Vital Sign: SpO2 (Oxygen Saturation)

时间窗: Baseline, up to Month 53

Mean change from baseline in SpO2 were evaluated.

Number of Participants With Treatment-Emergent Markedly Abnormal Laboratory Values (TEMAVs)

时间窗: From the first dose of study drug until 30 days after the last dose (up to 53 months)

Treatment-emergent markedly abnormal laboratory value was defined as a postbaseline laboratory value with grade 3 or higher, and with a grade increase from baseline, (that is \[i.e.\] increasing grade 0 to 3 or higher, grade 1 to 3 or higher, grade 2 to 3 or higher, grade 3 to 4 or 5, grade 4 to 5). Test abnormalities were graded by Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 as Grade 1 =mild; Grade 2 =moderate; Grade 3/Grade 4 =severe/life-threatening, Grade 5 =death.

Number of Participants With Highest Post-Baseline Values for Eastern Cooperative Oncology Group Performance Status (ECOG-PS) Scale

时间窗: Baseline, up to Month 53

Performance status assessments were based on 5-grade ECOG scale (from 0 to 4), where 0=fully active, able to carry on all pre-disease performance without restriction; 1=restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature (e.g., light house work, office work); 2=ambulatory and capable of all self-care but unable to carry out any work activities, up and about more than 50% of waking hours; 3=capable of only limited self-care, confined to bed or chair more than 50% of waking hours; 4=completely disabled, cannot carry on any self-care, totally confined to bed or chair; 5=dead.

Change From Baseline in Left Ventricular Ejection Fraction (LVEF)

时间窗: Baseline, up to Month 53

Change from baseline in left ventricular ejection fraction (LVEF) were evaluated by multigated acquisition scan (MUGA) or echocardiogram.

次要结局

  • Part 1, AUC(0-Inf): Area Under the Plasma Concentration-time Curve From Zero to Infinity for Lenvatinib(Cycle 1 Day 1: 0-24 hours post-dose (Cycle length=28 days))
  • Part 1 and Part 2: Objective Response Rate (ORR) Based on Modified Response Evaluation Criteria in Solid Tumors (mRECIST) Assessed by Investigator Review(From the first dose of study drug to the first date of documentation of PD or death, whichever occurred first (up to 52 months))
  • Part 1, Tmax: Time to Reach the Cmax for Lenvatinib(Cycle 1 Day 1: 0-24 hours post-dose (Cycle length=28 days))
  • Part 1, Cmax: Maximum Observed Plasma Concentration for Lenvatinib(Cycle 1 Day 1: 0-24 hours post-dose (Cycle length=28 days))
  • Part 1, AUC(0-t): Area Under the Plasma Concentration-time Curve From Zero Time to the Last Measurable Point for Lenvatinib(Cycle 1 Day 1 and Day 15: 0-24 hours post-dose (Cycle length=28 days))
  • Part 1, Css,Max: Maximum Observed Plasma Concentration at Steady State for Lenvatinib(Cycle 1 Day 15: 0-24 hours post-dose (Cycle length=28 days))
  • Part 1, Css,Min: Minimum Observed Plasma Concentration at Steady State for Lenvatinib(Cycle 1 Day 15: 0-24 hours post-dose (Cycle length=28 days))
  • Part 1, Rac (Cmax): Accumulation Ratio of Cmax for Lenvatinib(Cycle 1 Day 1 and Day 15: 0-24 hours post-dose (Cycle length=28 days))
  • Part 1, Rac (AUC0-t): Accumulation Ratio of AUC(0-t) for Lenvatinib(Cycle 1 Day 1 and Day 15: 0-24 hours post-dose (Cycle length=28 days))
  • Part 1, t1/2: Terminal Elimination Phase Half-Life for Lenvatinib(Cycle 1 Day 1: 0-24 hours post-dose (Cycle length=28 days))
  • Part 1, CL/F: Apparent Total Clearance for Lenvatinib(Cycle 1 Day 1: 0-24 hours post-dose (Cycle length=28 days))
  • Part 1, Vz/F: Apparent Terminal Volume of Distribution for Lenvatinib(Cycle 1 Day 1: 0-24 hours post-dose (Cycle length=28 days))
  • Part 1, Tss,Max: Time to Maximum Observed Concentration at Steady State For Lenvatinib(Cycle 1 Day 15: 0-24 hours post-dose (Cycle length=28 days))
  • Part 1, MRT: Mean Residence Time for Lenvatinib(Cycle 1 Day 1: 0-24 hours post-dose (Cycle length=28 days))

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (6)

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