Study of Lenvatinib in Combination With Everolimus in Recurrent and Refractory Pediatric Solid Tumors, Including Central Nervous System Tumors
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ClinicalTrials.gov Identifier: NCT03245151 |
Recruitment Status :
Completed
First Posted : August 10, 2017
Results First Posted : August 30, 2023
Last Update Posted : August 30, 2023
|
Sponsor:
Eisai Inc.
Collaborator:
Merck Sharp & Dohme LLC
Information provided by (Responsible Party):
Eisai Inc.
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Study Type | Interventional |
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Study Design | Allocation: Non-Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Recurrent and Refractory Solid Tumors |
Interventions |
Drug: Lenvatinib Drug: Everolimus |
Enrollment | 64 |
Participant Flow
Recruitment Details | Participants took part in the study at 24 investigative sites in the United States and Canada from 16 November 2017 to 30 September 2022. |
Pre-assignment Details | A total of 86 participants were screened, out of which 64 were enrolled and 9 participants completed the study. |
Arm/Group Title | Phase 1: Lenvatinib 8 mg/m^2 + Everolimus 3 mg/m^2 | Phase 1: Lenvatinib 11 mg/m^2 + Everolimus 3 mg/m^2 | Phase 2: Cohort 1, Ewing Sarcoma | Phase 2: Cohort 2, Rhabdomyosarcoma | Phase 2: Cohort 3, HGG |
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Arm/Group Description | Participants with recurrent or refractory solid tumors received lenvatinib 8 milligram per square meter (mg/m^2), capsules, orally, once daily in combination with everolimus 3 mg/m^2, tablets, orally, once daily in cycle 1 (each cycle was 28 days) until the occurrence of disease progression (PD), clinical benefit, development of unacceptable toxicity leading to withdrawal from the study, study discontinuation or for a maximum of 18 cycles (each cycle was 28 days) whichever occurred first. | Participants with recurrent or refractory solid tumors received lenvatinib 11 mg/m^2, capsules, orally, once daily in combination with everolimus 3 mg/m^2, tablets, orally, once daily in cycle 1 (each cycle was 28 days) until the occurrence of PD, clinical benefit, development of unacceptable toxicity leading to withdrawal from the study, study discontinuation or for a maximum of 18 cycles (each cycle was 28 days) whichever occurred first. | Participants with recurrent or refractory ewing sarcoma received lenvatinib 11 mg/m^2, capsules, orally, once daily in combination with everolimus 3 mg/m^2, tablets, orally, once daily for up to 7 cycles (each cycle was 28 days) unless participant discontinued early from the study. | Participants with recurrent or refractory rhabdomyosarcoma received lenvatinib 11 mg/m^2, capsules, orally, once daily in combination with everolimus 3 mg/m^2, tablets, orally, once daily for up to 7 cycles (each cycle was 28 days) unless participant discontinued early from the study. | Participants with recurrent or refractory high grade glioma (HGG) received lenvatinib 11 mg/m^2, capsules, orally, once daily in combination with everolimus 3 mg/m^2, tablets, orally, once daily for up to 7 cycles (each cycle was 28 days) unless participant discontinued early from the study. |
Period Title: Overall Study | |||||
Started | 5 | 18 | 10 | 20 | 11 |
Completed | 0 | 3 | 1 | 2 | 3 |
Not Completed | 5 | 15 | 9 | 18 | 8 |
Reason Not Completed | |||||
Withdrawal by Subject | 2 | 0 | 0 | 2 | 1 |
Death | 3 | 14 | 9 | 16 | 7 |
Sponsor's decision | 0 | 1 | 0 | 0 | 0 |
Baseline Characteristics
Arm/Group Title | Phase 1: Lenvatinib 8 mg/m^2 + Everolimus 3 mg/m^2 | Phase 1: Lenvatinib 11 mg/m^2 + Everolimus 3 mg/m^2 | Phase 2: Cohort 1, Ewing Sarcoma | Phase 2: Cohort 2, Rhabdomyosarcoma | Phase 2: Cohort 3, HGG | Total | |
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Arm/Group Description | Participants with recurrent or refractory solid tumors received lenvatinib 8 mg/m^2, capsules, orally, once daily in combination with everolimus 3 mg/m^2, tablets, orally, once daily in cycle 1 (each cycle was 28 days) until the occurrence of PD, clinical benefit, development of unacceptable toxicity leading to withdrawal from the study, study discontinuation or for a maximum of 18 cycles (each cycle was 28 days) whichever occurred first. | Participants with recurrent or refractory solid tumors received lenvatinib 11 mg/m^2, capsules, orally, once daily in combination with everolimus 3 mg/m^2, tablets, orally, once daily in cycle 1 (each cycle was 28 days) until the occurrence of PD, clinical benefit, development of unacceptable toxicity leading to withdrawal from the study, study discontinuation or for a maximum of 18 cycles (each cycle was 28 days) whichever occurred first. | Participants with recurrent or refractory ewing sarcoma received lenvatinib 11 mg/m^2, capsules, orally, once daily in combination with everolimus 3 mg/m^2, tablets, orally, once daily for up to 7 cycles (each cycle was 28 days) unless participant discontinued early from the study. | Participants with recurrent or refractory rhabdomyosarcoma received lenvatinib 11 mg/m^2, capsules, orally, once daily in combination with everolimus 3 mg/m^2, tablets, orally, once daily for up to 7 cycles (each cycle was 28 days) unless participant discontinued early from the study. | Participants with recurrent or refractory HGG received lenvatinib 11 mg/m^2, capsules, orally, once daily in combination with everolimus 3 mg/m^2, tablets, orally, once daily for up to 7 cycles (each cycle was 28 days) unless participant discontinued early from the study. | Total of all reporting groups | |
Overall Number of Baseline Participants | 5 | 18 | 10 | 20 | 11 | 64 | |
Baseline Analysis Population Description |
Safety Analysis Set (SAS) included all participants who received at least 1 dose of study drug (lenvatinib or everolimus).
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Age, Customized
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 5 participants | 18 participants | 10 participants | 20 participants | 11 participants | 64 participants |
2-11 years |
0 0.0%
|
16 88.9%
|
3 30.0%
|
9 45.0%
|
3 27.3%
|
31 48.4%
|
|
12-17 years |
4 80.0%
|
1 5.6%
|
3 30.0%
|
6 30.0%
|
7 63.6%
|
21 32.8%
|
|
18-64 years |
1 20.0%
|
1 5.6%
|
4 40.0%
|
5 25.0%
|
1 9.1%
|
12 18.8%
|
|
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
|||||||
Number Analyzed | 5 participants | 18 participants | 10 participants | 20 participants | 11 participants | 64 participants | |
Female |
2 40.0%
|
10 55.6%
|
3 30.0%
|
8 40.0%
|
8 72.7%
|
31 48.4%
|
|
Male |
3 60.0%
|
8 44.4%
|
7 70.0%
|
12 60.0%
|
3 27.3%
|
33 51.6%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
|||||||
Number Analyzed | 5 participants | 18 participants | 10 participants | 20 participants | 11 participants | 64 participants | |
Hispanic or Latino |
1 20.0%
|
7 38.9%
|
2 20.0%
|
2 10.0%
|
0 0.0%
|
12 18.8%
|
|
Not Hispanic or Latino |
4 80.0%
|
11 61.1%
|
8 80.0%
|
18 90.0%
|
11 100.0%
|
52 81.3%
|
|
Unknown or Not Reported |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
|||||||
Number Analyzed | 5 participants | 18 participants | 10 participants | 20 participants | 11 participants | 64 participants | |
American Indian or Alaska Native |
0 0.0%
|
1 5.6%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 1.6%
|
|
Asian |
0 0.0%
|
1 5.6%
|
1 10.0%
|
0 0.0%
|
0 0.0%
|
2 3.1%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Black or African American |
1 20.0%
|
1 5.6%
|
0 0.0%
|
1 5.0%
|
3 27.3%
|
6 9.4%
|
|
White |
3 60.0%
|
11 61.1%
|
9 90.0%
|
16 80.0%
|
6 54.5%
|
45 70.3%
|
|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Unknown or Not Reported |
1 20.0%
|
4 22.2%
|
0 0.0%
|
3 15.0%
|
2 18.2%
|
10 15.6%
|
Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Results Point of Contact
Name/Title: | Eisai Medical Information |
Organization: | Eisai Inc. |
Phone: | 1-888-274-2378 |
EMail: | esi_oncmedinfo@eisai.com |
Responsible Party: | Eisai Inc. |
ClinicalTrials.gov Identifier: | NCT03245151 |
Other Study ID Numbers: |
E7080-A001-216 |
First Submitted: | August 3, 2017 |
First Posted: | August 10, 2017 |
Results First Submitted: | August 7, 2023 |
Results First Posted: | August 30, 2023 |
Last Update Posted: | August 30, 2023 |