An Open-label Study of E7386 in Combination With Other Anticancer Drug(s) in Subjects With Solid Tumors

Who is this study for? Adults with Hepatocellular Carcinoma, Neoplasms
What treatments are being studied? E7386+Lenvatinib
Status: Recruiting
Location: See all (108) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

The primary objective of this study is to assess the safety and tolerability and to determine the recommended Phase 2 dose (RP2D) of E7386 in combination with other anticancer drug(s), and to determine the optimal dose of E7386 in combination with lenvatinib in endometrial carcinoma (EC) (for EC Dose Optimization Part only).

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• HCC part only:

• Participants with confirmed diagnosis of unresectable 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 (AASLD) criteria, including cirrhosis of any etiology and/or chronic hepatitis B or C infection

• ST part only (except for HCC):

• Participants with histologically or cytologically confirmed diagnosis of solid tumor for which no alternative standard therapy or no effective therapy exists

• Life expectancy of \>=12 weeks

• Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1

• All AEs due to previous anti-cancer therapy have either returned to Grade 0 to 1 except for alopecia or up to Grade 2 peripheral neuropathy (renal/bone marrow/liver function should meet the inclusion criteria)

• Adequate washout period before study drug administration:

∙ Chemotherapy and radiotherapy: 3 weeks or 5 times the half-life, whichever is shorter

‣ Any antitumor therapy with antibody: 4 weeks or more

‣ Any investigational drug or device: 4 weeks or more

‣ Blood/platelet transfusion or granulocyte colony-stimulating factor (G-CSF): 2 weeks or more Note: Participants must have recovered from all radiation-related toxicities, not require corticosteroids, and not had radiation pneumonitis

• Adequate controlled blood pressure (BP), renal function, bone marrow function, liver function, and serum mineral level

• At least one measurable lesion based on mRECIST (for HCC Subparts in Dose Escalation Part) or on RECIST 1.1 (for Other ST Subparts in Dose Escalation Part and all subparts in Expansion and Dose Optimization Parts) meeting following criteria

‣ At least 1 lesion of \>=1.0 centimeter (cm) in the longest diameter for a non-lymph node or \>=1.5 cm in the short-axis diameter for a lymph node that is serially measurable according to RECIST 1.1 using computerized tomography (CT)/magnetic resonance imaging (MRI)

⁃ Lesions that have had external beam radiotherapy or loco-regional therapies such as radiofrequency ablation, or transarterial chemoembolisation (TACE)/ transarterial embolization (TAE) must show evidence of progressive disease based on RECIST 1.1 to be deemed a target lesion

• For HCC participants only: Child-Pugh score A. Note: If Child-Pugh score 7 or more was observed during Screening or Baseline, the participant is ineligible and re-assessment of the Child-Pugh score is not permitted

• For HCC participants only: Participants categorized to stage B (not amenable to locoregional therapy or refractory to locoregional therapy, and not amenable to a curative treatment), or stage C based on Barcelona Clinic Liver Cancer (BCLC) staging system

⁃ For HCC Subpart in Expansion Part only: prior systemic therapy for locally advanced or metastatic disease is as defined below

⁃ a. Participants who have received only one prior line of immuno oncology (IO) based regimen and have progressed on or after prior treatment with IO based regimen, or IO ineligible participants who have received no prior systemic therapy. Participants who previously received lenvatinib treatment are ineligible

⁃ For CRC Subpart in Expansion Part only: participants must have received at least 2 prior regimens (not exceeding 4 prior regimens) or could not tolerate standard treatment and must have received the following prior therapies in the metastatic setting if approved and locally available (progressed on at least 1 prior regimen in the metastatic setting or could not tolerate standard treatment):

⁃ Note: Adjuvant chemotherapy counts as prior systemic treatment if there is documented disease progression within 6 months of treatment completion Note: If a participant is determined to be intolerant to prior standard treatment, the participant must have received at least of 2 cycles of that therapy Note: Participants who have received oral tyrosine kinase inhibitor (example, regorafenib) are ineligible

∙ Fluoropyrimidine, irinotecan and oxaliplatin with or without an anti-Vascular endothelial growth factor (VEGF) monoclonal antibody (mAb) (example, bevacizumab) Note: Capecitabine is acceptable as equivalent to fluoropyrimidine in prior treatment Note: Participants who have previously received fluoropyrimidine, oxaliplatin, and irinotecan as part of the same and only chemotherapy regimen, example, FOLFOXIRI or FOLFIRINOX, may be eligible after discussion with the Sponsor

∙ Chemotherapy with anti- epidermal growth factor receptor (EGFR) mAb (cetuximab or panitumumab) for participants with rat sarcoma virus (RAS) (Kirsten rat sarcoma viral oncogene homolog \[KRAS)/ NRAS\]) wild type (WT) CRC Note: RAS (KRAS/NRAS) WT participants with right or left CRC lesions who may have not been treated with anti-EGFR mAb based on local guidelines are eligible

∙ BRAF inhibitor (in combination with cetuximab ± binimetinib) for BRAF V600E mutated tumors

∙ Immune checkpoint inhibitor for participants with microsatellite instability-high (MSI-H) CRC

⁃ For EC Subpart in Expansion Part only: Participants must have EC that has progressed after prior platinum-based chemotherapy and an anti-programmed cell death (ligand) 1 (PD-\[L\])1)-directed therapy for EC (participants ineligible for IO therapy who have progressed after prior platinum-based chemotherapy are eligible). Up to 3 prior systemic therapies, of which up to 2 for metastatic or locally advanced disease, are permitted Note: There is no restriction regarding prior hormonal therapies For Dose Optimization Part only: Participants must have EC that has progressed after prior platinum-based chemotherapy and an anti-PD-(L)1-directed therapy for EC. Up to 3 lines of prior therapy, regardless of setting, are allowed. Participants must be eligible for treatment with either single-agent paclitaxel or single-agent doxorubicin as determined by the investigator, with consideration of previous therapies received for EC. Note: Prior hormonal therapy and radiation are allowed and do not count as prior lines of therapy.

Locations
United States
Arkansas
UAMS
RECRUITING
Little Rock
California
University of California San Diego (UCSD) - Moores Cancer Center(All)
RECRUITING
La Jolla
Cedars-Sinai Medical Center
COMPLETED
Los Angeles
Pasadena Liver Center
COMPLETED
Pasadena
California Pacific Medical Center
RECRUITING
San Francisco
UCLA University of California - Los Angeles
ACTIVE_NOT_RECRUITING
Santa Monica
John Muir Clinical Research
RECRUITING
Walnut Creek
Colorado
University of Colorado Cancer Center - Anschutz Medical Campus
RECRUITING
Aurora
Florida
Uni. Of Miami- Sylvester Cancer Centre
RECRUITING
Miami
Florida Cancer Specialists - South
RECRUITING
Sarasota
Florida Cancer Specialists - East
RECRUITING
West Palm Beach
Louisiana
Women's Cancer Care - Covington, LA
RECRUITING
Covington
Missouri
Kansas City Research Institute
COMPLETED
Kansas City
Mississippi
University Of Mississippi Medical Center
RECRUITING
Jackson
New York
Memorial Sloan Kettering Cancer Center
RECRUITING
New York
Perlmutter Cancer Center- NYU Langone Health
RECRUITING
New York
Montefiore Medical Center (MMC) - Jack D. Weiler Hospital
RECRUITING
The Bronx
Ohio
MetroHealth Medical Center
RECRUITING
Cleveland
ProMedica Flower Hospital
RECRUITING
Sylvania
Oklahoma
University of Oklahoma Health Science Center
RECRUITING
Oklahoma City
South Carolina
Medical University of South Carolina
RECRUITING
Charleston
South Dakota
Sanford Cancer Centre
RECRUITING
Sioux Falls
Tennessee
Tennessee Oncology
RECRUITING
Nashville
Vanderbilt University Medical Center (VUMC) - Vanderbilt-Ingram Cancer Center (VICC) - Nashville
RECRUITING
Nashville
Texas
Mary Crowley Cancer Research
COMPLETED
Dallas
University of Texas Southwestern Medical
RECRUITING
Dallas
MD Anderson Cancer Center
RECRUITING
Houston
Washington
Fred Hutchinson/University of Washington Cancer Consortium
RECRUITING
Seattle
Other Locations
Canada
CHUM, Unit for Innovative Therapies
RECRUITING
Montreal
McGill University Health Centre
RECRUITING
Montreal
Sunnybrook Research Institute
RECRUITING
Toronto
China
Beijing Cancer Hospital
RECRUITING
Beijing
Peking Union Medical College Hospital
RECRUITING
Beijing
The First Bethune Hospital of Jilin University
RECRUITING
Changchun
Fujian Provincial Cancer Hospital
RECRUITING
Fuzhou
Sun Yan-sen University Cancer Center
RECRUITING
Guangzhou
Sun Yat-Sen Memrial Hospital, Sun Yat-Sen University
RECRUITING
Guangzhou
Cancer Hospital of Shandong First Medical University
RECRUITING
Jinan
Yunnan Cancer Hospital
RECRUITING
Kunming
Fudan University Cancer Center
RECRUITING
Shanghai
The Tenth People's Hospital; Shanghai Tongji University
RECRUITING
Shanghai
Cancer Hospital Chinese Academy of Medical Sciences, Shenzhen Center
RECRUITING
Shenzhen
Tianjin Cancer Hospital
RECRUITING
Tianjin
The First Affiliated Hospital of Wenzhou Medical University
RECRUITING
Wenzhou
Denmark
Odense University Hospital
RECRUITING
Odense
France
CHU Amiens-Picardie (Hopital Sud)
COMPLETED
Amiens
CHU Bordeaux
RECRUITING
Bordeaux
CHU Cavale Blanche
RECRUITING
Brest
Centre Fran ois Baclesse
RECRUITING
Caen
Centre Jean Perrin
RECRUITING
Clermont-ferrand
H pital Beaujon
ACTIVE_NOT_RECRUITING
Clichy
Centre Georges-Fran ois Leclerc
RECRUITING
Dijon
Grenoble University Hospital (Centre Hospitalier Universitaire Grenoble Alpes)
RECRUITING
La Tronche
CHU de LILLE - H pital HURIEZ
ACTIVE_NOT_RECRUITING
Lille
Centre L on B rard
RECRUITING
Lyon
Hepatology, Hopital de la Croix-Rousse - 103 grande rue de la Croix-Rousse
ACTIVE_NOT_RECRUITING
Lyon
Institut Paoli-Calmettes
WITHDRAWN
Marseille
Centre Antoine Lacassagne
RECRUITING
Nice
AP-HP Universit de Paris, Port Royal
RECRUITING
Paris
APHP Hospital Saint-Antoine
ACTIVE_NOT_RECRUITING
Paris
Hopital de la Croix Saint-Simon
RECRUITING
Paris
Hopital Europeen Georges-Pompidou (HEGP)
RECRUITING
Paris
Institut Curie - Centre de Recherche
RECRUITING
Paris
Centre Hospitalier Universitaire de Bordeaux (CHU Bordeaux)(Hopitaux de Bordeaux) - Groupe hospitalier Sud - Hopital Haut-Levequ
ACTIVE_NOT_RECRUITING
Pessac
Centre Hospitalier Universitaire (CHU) de Poitiers
RECRUITING
Poitiers
Insitute de Canc rologie de l'Ouest - Centre Ren Gauducheau
RECRUITING
Saint-herblain
ICANs
RECRUITING
Strasbourg
Gustave Roussy Institute (IGR)
RECRUITING
Villejuif
Italy
Clinica Oncologica AOU (Azienda Ospedaliero Universitaria) delle Marche
RECRUITING
Ancona
Istituto Clinico Humanitas, Rozzano
RECRUITING
Milan
Fondazione Policlinico Gemelli IRCCS
RECRUITING
Rome
Japan
Eisai#1013
RECRUITING
Akashi
Eisai#1004
COMPLETED
Chiba
Eisai#1001
RECRUITING
Chuo-ku
Eisai#1009
RECRUITING
Hidaka
Eisai#1012
COMPLETED
Kamigyō-ku
Eisai#1002
RECRUITING
Kashiwa
Eisai#1010
ACTIVE_NOT_RECRUITING
Kawasaki
Eisai#1006
RECRUITING
Koto-ku
Eisai#1007
RECRUITING
Kurume
Eisai#1008
COMPLETED
Matsuyama
Eisai#1015
RECRUITING
Minato-ku
Eisai#1005
RECRUITING
Nagoya
Eisai#1014
RECRUITING
Niigata
Eisai#1003
COMPLETED
Sayama
Eisai#1011
RECRUITING
Toyoake
Republic of Korea
Korea University Guro Hospital
RECRUITING
Guro-gu
National Cancer Center
RECRUITING
Ilsandong-gu
Seoul National University Hospital
COMPLETED
Jongno-gu
Seoul National University Hospital
RECRUITING
Jongno-gu
Seoul St. Mary's Hospital
RECRUITING
Seocho-gu
Severance Hospital (Yonsei University Medical Center)
RECRUITING
Seodaemun
Seoul National University Bundang Hospital
ACTIVE_NOT_RECRUITING
Seongnamsi Bundang
Samsung Medical Center
RECRUITING
Seoul
Asan Medical Center
RECRUITING
Songpa-gu
University of Ulsan College of Medicine - Asan Medical Center (AMC)
ACTIVE_NOT_RECRUITING
Songpa-gu
Spain
University Hospital A Coru a
RECRUITING
A Coruña
Fundaci Privada Institut d Investigaci Oncol gica de Vall-Hebron (VHIO)
RECRUITING
Barcelona
Hospital Universitario de Ja n
RECRUITING
Jaén
Cl nica Universidad de Navarra
RECRUITING
Madrid
H. Clinico San Carlos
RECRUITING
Madrid
Hospital Universitario 12 de Octubre
RECRUITING
Madrid
Taiwan
Chang Gung Medical Foundation - Kaohsiung Branch
ACTIVE_NOT_RECRUITING
Kaohsiung City
Taichung Veterans General Hospital
RECRUITING
Taichung
National Cheng Kung University Hospital
COMPLETED
Tainan
National Taiwan University Hospital
ACTIVE_NOT_RECRUITING
Taipei
Taipei Veterans General Hospital
COMPLETED
Taipei
Chang Gung Medical Foundation - Linkou Branch
COMPLETED
Taoyuan District
Contact Information
Primary
Eisai Inquiry Service
eisai-chiken_hotline@hhc.eisai.co.jp
Time Frame
Start Date: 2019-07-11
Estimated Completion Date: 2027-08-31
Participants
Target number of participants: 301
Treatments
Experimental: Dose Escalation Part: HCC: E7386 QD Subpart + Lenvatinib
Participants with hepatocellular carcinoma (HCC) will receive E7386, once daily (QD) for 5 or 6 consecutive days followed by a period of time without treatment in Cycle 0 (6 or 7 days). Participants with HCC will receive E7386, QD in combination with lenvatinib 8 milligram (mg) (participants with body weight of less than \[\<\] 60 kilograms \[kg\]) or 12 mg (participants with body weight \>=60 kg), capsules, orally, QD in 28-day treatment cycles until PD, development of unacceptable toxicity, participant request to discontinue, withdrawal of consent, or termination of the study program.
Experimental: Dose Escalation Part: HCC: E7386 BID Subpart + Lenvatinib
Participants with HCC will receive E7386, twice daily (BID) for 5 or 6 consecutive days in Cycle 0 (6 or 7 days). Participants with HCC will receive E7386, BID in combination with lenvatinib 8 mg (participants with body weight of \< 60 kg) or 12 mg (participants with body weight \>=60 kg) capsules, orally, QD in 28-day treatment cycles until PD, development of unacceptable toxicity, participant request to discontinue, withdrawal of consent, or termination of the study program.
Experimental: Dose Escalation Part: Other ST: E7386 QD Subpart + Lenvatinib
Participants with solid tumor (ST) (except for HCC) will receive E7386, QD for 5 or 6 consecutive days followed by a period of time without treatment in Cycle 0 (6 or 7 days). Participants with ST (except for HCC) will receive E7386, QD in combination with lenvatinib 20 mg, capsules, orally, QD in 28-day treatment cycles until PD, development of unacceptable toxicity, participant request to discontinue, withdrawal of consent, or termination of the study program.
Experimental: Dose Escalation Part: Other ST: E7386 BID Subpart + Lenvatinib
Participants with ST (except for HCC) will receive E7386, BID for 5 or 6 consecutive days in Cycle 0 (6 or 7 days). Participants with ST (except for HCC) will receive E7386, BID in combination with lenvatinib 20 mg, capsules, orally, QD in 28-day treatment cycles until PD, development of unacceptable toxicity, participant request to discontinue, withdrawal of consent, or termination of the study program.
Experimental: Dose Expansion Part: HCC Subpart: Lenvatinib Only
Participants with HCC will receive lenvatinib 8 mg (participants with body weight of \<60 kg) or 12 mg (participants with body weight \>=60 kg), capsules, orally, QD in 28-day treatment cycles until PD, development of unacceptable toxicity, participant request to discontinue, withdrawal of consent, or termination of the study program
Experimental: Dose Expansion Part: HCC Subpart: E7386 + Lenvatinib
Participants with HCC will receive lenvatinib 8 mg (participants with body weight of \<60 kg) or 12 mg (participants with body weight \>=60 kg), capsule, orally QD in combination with E7386 y, BID in 28-day treatment cycles until PD, development of unacceptable toxicity, participant request to discontinue, withdrawal of consent, or termination of the study program.
Experimental: Dose Expansion Part: CRC Subpart: E7386 + Lenvatinib
Participants with colorectal cancer (CRC) will receive E7386, BID in combination with lenvatinib 20 mg, capsules, orally, QD in 28-day treatment cycles until PD, development of unacceptable toxicity, participant request to discontinue, withdrawal of consent, or termination of the study program.
Experimental: Dose Expansion Part: EC Subpart: E7386 + Lenvatinib
Participants with endometrial cancer (EC) will receive E7386, BID in combination with lenvatinib 14 mg, capsules, orally, QD in 28-day treatment cycles until PD, development of unacceptable toxicity, participant request to discontinue, withdrawal of consent, or termination of the study program.
Experimental: Dose Optimization Part: EC Participants
Participants with EC will be randomized to receive 2 different doses of E7386 in combination with lenvatinib capsule or lenvatinib capsule monotherapy in 28-days cycles, or treatment of physician's choice (TPC; doxorubicin in 21-day cycles or paclitaxel in 28-day cycles \[3 weeks on/1 week off\]), until PD, development of unacceptable toxicity, participant request to discontinue, withdrawal of consent, or termination of the study program.
Sponsors
Leads: Eisai Inc.

This content was sourced from clinicaltrials.gov

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