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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02834780
Other study ID # H3B-6527-G000-101
Secondary ID 2016-001915-19
Status Completed
Phase Phase 1
First received
Last updated
Start date December 28, 2016
Est. completion date February 23, 2022

Study information

Verified date July 2021
Source Eisai Inc.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of H3B-6527, and to assess the safety, tolerability and pharmacokinetics of H3B-6527.


Recruitment information / eligibility

Status Completed
Enrollment 128
Est. completion date February 23, 2022
Est. primary completion date February 23, 2022
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion criteria: 1. Participants with hepatocellular carcinoma. 2. Must have had at least one prior standard-of-care therapy, unless contraindicated. 3. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1. 4. Must be willing to undergo a biopsy up to 8 weeks before administration of H3B-6527 on Cycle 1 Day 1 for part 2 (dose expansion). 5. Adequate bone marrow and organ function. Exclusion criteria: 1. Uncontrolled significant active infections, except hepatitis B virus (HBV) or hepatitis C virus (HCV). 2. Known human immunodeficiency virus infection. 3. Presence of gastric or esophageal varices requiring active treatment. 4. Previous treatment with a selective FGF19-FGFR4 targeted therapy. 5. Females of childbearing potential, or males who have not had a successful vasectomy, who are unable or unwilling to follow adequate contraceptive measures. 6. Hereditary problems of galactose intolerance, the Lapp lactase deficiency, or glucose-galactose malabsorption.

Study Design


Intervention

Drug:
H3B-6527
H3B-6527 by mouth once or twice daily at specified doses.

Locations

Country Name City State
Belgium Universitair Ziekenhuis Gent Gent
Belgium UCL Cliniques universitaires Saint-Luc Woluwe-Saint-Lambert Brussels
Canada Cross Cancer Institute Edmonton Alberta
Canada Jurvanski Cancer Center Hamilton Ontario
France Institut Bergonié Bordeaux
France Centre Oscar Lambret Lille
France Hôpital Haut-Lévêque - CHU de Bordeaux Pessac
France Centre Eugène Marquis Rennes
Italy IRCCS Istituto Scientifico Romagnolo per lo studio e la cura dei tumori - U.O. di Oncologia Medica Meldola
Italy IRCCS Ospedale San Raffaele S.r.l. - PPDS Milano
Italy Azienda Ospedaliero Universitaria - Policlinico di Modena Modena
Korea, Republic of Asan Medical Center Seoul
Russian Federation Altay Regional Oncology Center Barnaul Altay, Re
Russian Federation Russian Oncology Research Center n a N N Blokhin Moscow
Russian Federation Omsk Regional Oncology Center Omsk
Russian Federation City Clinical Oncology Dispensary Saint Petersburg
Russian Federation Railway Clinical Hospital JSC RZhD Saint Petersburg
Singapore National University Cancer Insitute Singapore
Spain Hospital Universitario de Badajoz Badajoz
Spain Hospital Universitario Vall d'Hebron Barcelona
Spain General Universitario Gregorio Maranon Madrid
Spain Hospital Universitario HM Sanchinarro Madrid
Spain START Madrid FJD, Hospital Universitario Fundacion Jimenez Diaz Madrid
Spain Clínica Universidad de Navarra Pamplona Navarra
Spain Hospital Universitario Marques de Valdecilla Santander Cantabria
Spain Hospital Universitario Virgen del Rocio Sevilla
Taiwan Taichung Veterans General Hospital Taichung
Taiwan National Cheng Kung University Hospital Tainan
United Kingdom Sarah Cannon Research Institute UK - SCRI - PPDS London
United States Massachusetts General Hospital Boston Massachusetts
United States Northwestern Unversity Chicago Illinois
United States University of Cincinnati Cancer Institute Cincinnati Ohio
United States Simmons Comprehensive Cancer Center Dallas Texas
United States University of Texas Southwestern Medical Center Dallas Texas
United States Barbara Ann Karmanos Cancer Institute Detroit Michigan
United States Duke University Cancer Center Durham North Carolina
United States John theurer Cancer Center at Hackensack University Medical Center Hackensack New Jersey
United States USC/Norris Comprehensive Cancer Center Los Angeles California
United States Hoag Memorial Hospital Presbyterian Newport Beach California
United States UC Irvine Medical Center Orange California
United States University of Pennsylsvania - Perelman Cancer Center for Advanced Medicine Philadelphia Pennsylvania
United States McGuire VA Medical Center Richmond Virginia
United States UCLA Medical Center Santa Monica California
United States Georgetown Unversity Lombardi Comprehensive Cancer Center Washington District of Columbia

Sponsors (2)

Lead Sponsor Collaborator
H3 Biomedicine Inc. Eisai Inc.

Countries where clinical trial is conducted

United States,  Belgium,  Canada,  France,  Italy,  Korea, Republic of,  Russian Federation,  Singapore,  Spain,  Taiwan,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Part 1, Dose Escalation Phase: Number of Participants With Dose-limiting Toxicities (DLTs) Based on National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03 DLTs were defined as any of the following toxicities: Hematology, gastrointestinal, renal, hepatic or nonhematologic toxicities occurring during Cycle 1 in Dose Escalation Phase only and judged by the investigator as related to study drug. This included any Grade 4: neutropenia that does not resolve to Grade less than or equal to (<=) 2 within 7 days, thrombocytopenia, anemia of any duration, diarrhea and/or vomiting irrespective of prophylaxis or appropriate treatment; Grade 3: thrombocytopenia requiring transfusion, thrombocytopenia and clinically significant bleeding, anemia if transfused or if lasting for more than 7 days, nausea, vomiting and/or diarrhea lasting more than 72 hours despite the use of optimal anti-emetic/antidiarrheal treatment, bilirubin, fatigue lasting less than 1 week, elevations in biochemistry laboratory values without associated clinical symptoms that last for <=7 days; Grade greater than or equal to (>=) 3 serum creatinine. Cycle 1 (Cycle length = 21 days)
Primary Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) A TEAE was defined as an adverse event (AE) that emerges during treatment, having been absent at pretreatment (Baseline) or reemerges during treatment, having been present at pretreatment (Baseline) but stopped before treatment, or worsens 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, the participant was at immediate risk of death from the AE as it occurred; this does 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). From the first dose of study drug up to approximately 36.7 months
Primary Number of Participants With Clinically Significant Change From Baseline in Laboratory Parameters Laboratory assessment included hematology, coagulation, clinical chemistry, and urinalysis parameters. From baseline up to approximately 36.7 months
Primary Number of Participants With Clinically Significant Change From Baseline in Electrocardiogram (ECG) Parameters From baseline up to approximately 36.7 months
Primary Number of Participants With Clinically Significant Change From Baseline in Vital Sign Parameters From baseline up to approximately 36.7 months
Secondary Area Under the Plasma Concentration-time Curve From Time 0 Through the Last Measurable Point (AUC0-t) of H3B-6527 Part 1, Cycle 1 Day 1 and Day 8: 0-24 hours post-dose (for QD dosing) and 0-10 hours post-dose (for BID dosing); Part 2, Cycle 1 Day 8: 0-24 hours post-dose (for QD dosing) and 0-10 hours post-dose (for BID dosing) (Cycle 1 length = 21 days)
Secondary Maximum Observed Plasma Concentration (Cmax) of H3B-6527 Part 1, Cycle 1 Day 1 and Day 8: 0-24 hours post-dose (for QD dosing) and 0-10 hours post-dose (for BID dosing); Part 2, Cycle 1 Day 8: 0-24 hours post-dose (for QD dosing) and 0-10 hours post-dose (for BID dosing) (Cycle 1 length = 21 days)
Secondary Time of Maximum Observed Plasma Concentration (Tmax) of H3B-6527 Part 1, Cycle 1 Day 1 and Day 8: 0-24 hours post-dose (for QD dosing) and 0-10 hours post-dose (for BID dosing); Part 2, Cycle 1 Day 8: 0-24 hours post-dose (for QD dosing) and 0-10 hours post-dose (for BID dosing) (Cycle 1 length = 21 days)
Secondary Part 2, Dose Expansion Phase: Objective Response Rate (ORR) Based on Modified Response Evaluation Criteria in Solid Tumors (mRECIST) v1.1 ORR was defined as the percentage of participants achieving a best overall confirmed response of partial response (PR) or complete response (CR) (PR + CR), from the first dose date until disease progression/recurrence. Responses (PR or CR) were confirmed no less than 4 weeks after the initial response. CR was defined as the disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (target or non-target) had to be reduced in the short axis to less than 10 millimeter (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. The tumor assessment was done using number of lesions based on modified RECIST v1.1 for assessing tumor burden up to 10 target lesions with up to 5 target lesions per organ. From the first dose date until disease progression/recurrence or up to approximately 36.7 months
Secondary Part 2, Dose Expansion Phase: Duration of Response (DOR) Based on Modified Response Evaluation Criteria in Solid Tumors (mRECIST) v1.1 DOR was defined as the time from the date of first documented CR or PR based on modified RECIST v1.1 until the first documentation of disease progression (PD) as determined by the investigator or death, whichever comes first. CR was defined as the disappearance of all target lesions and non-target lesions. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters. PD was defined as at least a 20% increase in the sum of long diameter (LD) of target and non-target lesions as compared with the smallest sum of LD and the increase of LD was at least 5 mm (including new lesions). From the date of first documented CR or PR up to approximately 36.7 months
Secondary Part 2, Dose Expansion Phase: Progression-free Survival (PFS) Based on Modified Response Evaluation Criteria in Solid Tumors (mRECIST) v1.1 PFS was defined as the time from the first dose date to the date of the first documentation of PD as determined by the investigator or death (whichever occurs first). PD was defined as at least a 20% increase in the sum of LD of target and non-target lesions as compared with the smallest sum of LD and the increase of LD was at least 5 mm (including new lesions). From the first dose date to the date of the first documentation of PD as determined by the investigator or death (whichever occurs first) up to approximately 36.7 months
Secondary Part 2, Dose Expansion Phase: Overall Survival (OS) OS was defined as the time from the first dose date to the date of death. OS was assessed using Kaplan-Meier method. The time of death was censored for participants who were without death information at the time of OS analysis. From the date of first dose of study drug until date of death from any cause (up to approximately 36.7 months)
Secondary Part 2, Dose Expansion Phase: Time to Response (TTR) Based on Modified Response Evaluation Criteria in Solid Tumors (mRECIST) v1.1 TTR was defined as the time from the first dose date to the date of first documented CR/PR. CR was defined as the disappearance of all target lesions and non-target lesions. Any pathological lymph nodes (target or non-target) had to be reduced in the 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 of diameters. From date of first dose of study drug until CR or PR (up to approximately 36.7 months)
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