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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04447755
Other study ID # 7902-013
Secondary ID MK-7902-013HopSk
Status Active, not recruiting
Phase Phase 2
First received
Last updated
Start date July 30, 2020
Est. completion date February 19, 2025

Study information

Verified date April 2024
Source Merck Sharp & Dohme LLC
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The main purpose of this study is to evaluate the antitumor activity and safety of Lenvatinib (MK-7902/E7080) in children, adolescents, and young adults with relapsed or refractory solid malignancies after administration. Participants will be enrolled into initial tumor-specific cohorts which will be expanded based on observed response.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 127
Est. completion date February 19, 2025
Est. primary completion date September 16, 2022
Accepts healthy volunteers No
Gender All
Age group 2 Years to 21 Years
Eligibility Inclusion Criteria: - Has histologically or cytologically documented relapsed, or refractory pediatric solid malignancy excluding osteosarcoma - Has measurable disease as defined by Response Evaluation Criteria In Solid Tumors version 1.1 (RECIST 1.1) or Response Assessment in Neuro-Oncology (RANO) for High Grade Glioma (HGG) - Has a performance status defined as follows: 1) Lansky Play Score =50 for participants up to and including 16 years of age 2) Karnofsky performance status (KPS) =50 for participants >16 years of age 3) Neurologic deficits in participants with primary central nervous system (CNS) tumors must have been stable for at least 7 days prior to study enrollment - Demonstrate adequate organ function - No clinical evidence of nephrotic syndrome. - Has adequate blood pressure (BP) control with or without antihypertensive medications - Has adequate cardiac function - Has adequate neurologic function - Participant must have fully recovered to Common Terminology Criteria for Adverse Events, Version 5.0 (CTCAE v5.0) Grade =1 (except for alopecia, ototoxicity, and Grade =2 peripheral neuropathy) from the acute toxic effects of all prior anticancer therapy - Male participants must agree to use approved contraception during the treatment period and for at least 7 days after the last dose of study intervention and refrain from donating sperm during this period - Female participants are not pregnant and not breastfeeding, and are not a woman of childbearing potential (WOCBP) or are a WOCBP who agrees to follow contraceptive guidance during the treatment period and for at least 30 days after the last dose of study intervention Exclusion Criteria: - Has had major surgery within 3 weeks prior to Cycle 1 Day 1 (C1D1) - Has gastrointestinal (GI) bleeding or active hemoptysis (bright red blood of at least half teaspoon) within 21 days prior to enrollment - Has CNS tumors with a history of symptomatic tumor hemorrhage - Has evidence of new intracranial hemorrhage of more than punctate size on MRI assessment obtained within 28 days prior to study enrollment - Has radiographic evidence of encasement or invasion of a major blood vessel or of intratumoral cavitation - Has evidence of untreated CNS metastases (exception: participants with primary CNS tumors and leptomeningeal disease. - Has GI malabsorption, GI anastomosis, or any other condition that in the opinion of the investigator might affect the absorption of lenvatinib - Has preexisting =Grade 3 GI or non-GI fistula - Has any active infection requiring systemic therapy - Known to be Human immunodeficiency virus (HIV) positive - Known active viral hepatitis (B or C) as demonstrated by positive serology. Testing for hepatitis B or hepatitis C is required at screening only when mandated by local health authority - Is currently participating and receiving study therapy, or has participated in a study of an investigational agent and received study therapy or used an investigational device within 4 weeks of the date of allocation - Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the participant's participation for the full duration of the study, or is not in the best interest of the participant to participate, in the opinion of the treating investigator - Has known hypersensitivity to any component of the investigational product (lenvatinib or ingredients) - Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the stud - Has clinically significant cardiovascular disease within 6 months from first dose of study intervention, including New York Heart Association Class III or IV congestive heart failure, unstable angina, myocardial infarction, cerebral vascular accident, or cardiac arrhythmia associated with hemodynamic instability - Has non-healing wound, tumor ulceration, unhealed or incompletely healed fracture, or a compound (open) bone fracture at the time of enrollment

Study Design


Related Conditions & MeSH terms

  • Neoplasms
  • Relapsed or Refractory Solid Tumors

Intervention

Drug:
Lenvatinib
Lenvatinib capsules administered orally at 14 mg/m^2 QD

Locations

Country Name City State
Argentina Hospital de Niños Ricardo Gutiérrez ( Site 0125) Ciudad Autonoma de Buenos Aires Caba
Argentina Hospital Universitario Austral ( Site 0126) Pilar Buenos Aires
Australia Queensland Children s Hospital ( Site 0804) Brisbane Queensland
Australia Perth Children s Hospital ( Site 0803) Nedlands Western Australia
Australia Royal Childrens Hospital Melbourne ( Site 0802) Parkville Victoria
Australia Sydney Children's Hospital ( Site 0801) Randwick New South Wales
Belgium UZ Gent ( Site 0250) Gent Oost-Vlaanderen
Croatia Klinicki bolnicki centar Rijeka ( Site 0726) Rijeka Primorsko-goranska Zupanija
Croatia Klinika za djecje bolesti Zagreb ( Site 0725) Zagreb Zagrebacka Zupanija
Czechia Fakultni Nemocnice Brno Bohunice ( Site 0651) Brno Brno-mesto
Czechia Fakultni nemocnice v Motole ( Site 0650) Praha 5
France Centre Leon-Berard ( Site 0326) Lyon Auvergne
France Hopital La Timone ( Site 0328) Marseille Bouches-du-Rhone
France Institut Curie ( Site 0325) Paris
France Gustave Roussy ( Site 0327) Villejuif Val-de-Marne
Guatemala Medi-K Cayala ( Site 0177) Guatemala
Guatemala Unidad Nacional de Oncologia Pediatrica ( Site 0176) Guatemala
Hungary Semmelweis University ( Site 0675) Budapest
Hungary Debreceni Egyetem Klinikai Kozpont ( Site 0677) Debrecen
Hungary Borsod-Abauj-Zemplen Megyei Korhaz es Egyetemi OktatoKorhaz ( Site 0678) Miskolc Borsod-Abauj-Zemplen
Israel Chaim Sheba Medical Center ( Site 0500) Ramat-Gan
Italy A.O.Universitaria Meyer-Oncology & Haematology Unit ( Site 0400) Firenze Toscana
Italy Istituto Giannina Gaslini ( Site 0411) Genova
Italy Fondazione IRCCS Istituto Nazionale dei Tumori di Milano ( Site 0401) Milano
Italy IRCCS Ospedale Pediatrico Bambino Gesu ( Site 0410) Rome Roma
Italy Ospedale Infantile Regina Margherita ( Site 0412) Torino
Korea, Republic of Seoul National University Hospital ( Site 0875) Seoul
Korea, Republic of Asan Medical Center ( Site 0876) Songpagu Seoul
New Zealand Starship Childrens Hospital ( Site 0826) Auckland
Peru Clinica Anglo Americana ( Site 0203) San Isidro Lima
Russian Federation Dmitry Rogachev National Research Center ( Site 0550) Moscow Moskva
Russian Federation St.Petersburg State Medical Univ. n.a. acad. I.P.Pavlov ( Site 0554) Saint Petersburg Sankt-Peterburg
Russian Federation Clinical Research Center of specialized types medical care-Oncology ( Site 0553) Saint-Petersburg Sankt-Peterburg
Serbia Institute for Oncology and Radiology of Serbia ( Site 0780) Belgrade Beograd
Serbia Univerzitetska decja klinika ( Site 0782) Beograd
South Africa Cancercare Rondebosch Oncology ( Site 0575) Cape Town Western Cape
South Africa Tygerberg Hospital ( Site 0578) Parow Western Cape
South Africa Wits Clinical Research ( Site 0579) Soweto Gauteng
Spain Hospital Universitario Sant Joan de Deu ( Site 0476) Esplugues de Llobregat Barcelona
Spain Hospital Nino Jesus ( Site 0477) Madrid
Sweden Skanes Universitetssjukhus Lund. ( Site 0525) Lund Skane Lan
Turkey Hacettepe Universitesi Tip Fakultesi ( Site 0603) Ankara
Turkey Istanbul Universitesi Onkoloji Enstitusu ( Site 0600) Istanbul
Turkey Dokuz Eylul Universitesi Arastirma Uygulama Hastanesi ( Site 0602) Izmir
Turkey Ege Universitesi Tip Fakultesi ( Site 0601) Izmir
United States Children's Hospital of Colorado ( Site 0110) Aurora Colorado
United States Cleveland Clinic ( Site 0119) Cleveland Ohio
United States Mary Crowley Cancer Research Center ( Site 0107) Dallas Texas
United States Monroe Carell Jr. Children's Hospital at Vanderbilt ( Site 0102) Nashville Tennessee

Sponsors (2)

Lead Sponsor Collaborator
Merck Sharp & Dohme LLC Eisai Inc.

Countries where clinical trial is conducted

United States,  Argentina,  Australia,  Belgium,  Croatia,  Czechia,  France,  Guatemala,  Hungary,  Israel,  Italy,  Korea, Republic of,  New Zealand,  Peru,  Russian Federation,  Serbia,  South Africa,  Spain,  Sweden,  Turkey, 

Outcome

Type Measure Description Time frame Safety issue
Primary Objective Response Rate (ORR) At Week 16 Per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1) or Response Assessment in Neuro-Oncology (RANO) Criteria (for High Grade Glioma [HGG] Only), by Investigator Assessment ORR at Week 16 was defined as the percentage of participants with a confirmed complete response (CR: disappearance of all target lesions) or partial response (PR: at least a 30% decrease in the sum of diameters [SOD] of target lesions, taking as reference the baseline SOD) as assessed by the investigator per RECIST 1.1 at 16 Weeks. For participants with HGG, response was assessed according to RANO criteria whereby overall response is based on both radiographic response (CR: disappearance of all target lesions, PR: sum of products of diameters [SPD] decreased by = 50% from baseline value) and clinical performance status with steroid dose information. Up to 16 weeks
Secondary ORR Per RECIST 1.1 or RANO Criteria (for HGG Only), by Investigator Assessment ORR was defined as the percentage of participants with a confirmed complete response (CR: disappearance of all target lesions) or partial response (PR: at least a 30% decrease in the SOD of target lesions, taking as reference the baseline SOD) as assessed by the investigator per RECIST 1.1. For participants with HGG, response was assessed according to RANO criteria whereby overall RANO response is based on both radiographic response (CR: disappearance of all target lesions, PR: SPD decreased by = 50% from baseline value) and clinical performance status with steroid dose information. Up to approximately 21 months
Secondary Progression Free Survival (PFS) Per RECIST 1.1 or RANO (for HGG Only), by Investigator Assessment PFS was defined as the time from the date of the first administration of study drug until the date of first documentation of progressive disease (PD) per RECIST 1.1 or RANO (for HGG) or death (whichever occurs first). Up to approximately 21 months
Secondary Best Overall Response (BOR) Per RECIST 1.1 or RANO (for HGG Only), by Investigator Assessment BOR is defined as the participant's best confirmed response (CR or PR) over the treatment period as assessed by the investigator per RECIST 1.1 or RANO. As per RECIST 1.1, CR is defined as disappearance of all target lesions and PR is defined as at least a 30% decrease in the SOD of target lesions, taking as reference the baseline SOD. For participants with HGG, response will be assessed according to RANO criteria whereby overall RANO response is based on both radiographic response (CR: disappearance of all target lesions, PR: SPD decreased by = 50% from baseline value) and clinical performance status with steroid dose information. Up to approximately 21 months
Secondary Duration of Response (DOR) Per RECIST 1.1 or RANO (for HGG Only), by Investigator Assessment DOR was defined as the time from the date of the first documented CR or PR to the date first documentation of progressive disease or death (whichever occurs first). As per RECIST 1.1, CR was defined as disappearance of all target lesions and PR was defined as at least a 30% decrease in the SOD of target lesions, taking as reference the baseline SOD. For participants with HGG, response will be assessed according to RANO criteria whereby overall RANO response is based on both radiographic response (CR: disappearance of all target lesions, PR: SPD decreased by = 50% from baseline value) and clinical performance status with steroid dose information. Up to approximately 21 months
Secondary Disease Control Rate (DCR) Per RECIST 1.1 or RANO (for HGG Only), by Investigator Assessment DCR was defined as a BOR of CR or PR, or stable disease (SD). To be assigned a BOR of SD, the time from the first administration of study drug until the date of documented SD should be =7 weeks. As per RECIST 1.1, CR was defined as disappearance of all target lesions, PR was defined as at least a 30% decrease in the SOD of target lesions, taking as reference the baseline SOD, and SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. For participants with HGG, response was assessed according to RANO criteria whereby overall response was based on both radiographic response (CR: disappearance of all target lesions, PR: SPD decreased by = 50% from baseline value and SD: SPD <50% decreased from baseline, but <25% increased from nadir) and clinical performance status with steroid dose information. Up to approximately 21 months
Secondary Clinical Benefit Rate (CBR) Per RECIST 1.1 or RANO (for HGG Only), by Investigator Assessment CBR was defined as a BOR of CR or PR, or durable SD (Duration of SD should be =23 weeks since the first dose of the study treatment. As per RECIST 1.1, CR was defined as disappearance of all target lesions, PR was defined as at least a 30% decrease in the SOD of target lesions, taking as reference the baseline SOD and SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. For participants with HGG, response is assessed according to RANO criteria whereby overall response was based on both radiographic response (CR: disappearance of all target lesions, PR: SPD decreased by = 50% from baseline value and SD: SPD <50% decreased from baseline, but <25% increased from nadir) and clinical performance status with steroid dose information. Up to approximately 21 months
Secondary Number of Participants Who Experienced an Adverse Event (AE) An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants who experienced at least one AE is reported. Up to approximately 21 months
Secondary Number of Participants Who Discontinued Study Treatment Due to an AE An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants who discontinued study treatment due to an AE is reported. Up to approximately 20 months
Secondary Palatability Questionnaire For Lenvatinib Suspension Formulation: Participant Responses by Taste Category A hedonic Visual Analog Scale (VAS) was used to assess taste likability or "palatability" of a lenvatinib suspension formulated with water or apple juice. Participants scored each category on a scale from 1-7 ranging from super bad (score = 1) to super good (score = 7). As pre-specified by the supplemental Statistical Analysis Plan (sSAP), all participants who received suspension formulation were evaluated for palatability and acceptability of the suspension formulation, and data were summarized in an overall safety analysis set irrespective of tumor type. The palatability score based on the taste category is presented. Cycle 1 Day 1 (cycle = 28 days)
Secondary Palatability Questionnaire For Lenvatinib Suspension Formulation: Participant Responses by Appearance Category A hedonic VAS was used to assess taste likability or "palatability" of a lenvatinib suspension formulated with water or apple juice. Participants scored each category on a scale from 1-7 ranging from super bad (score = 1) to super good (score = 7). As pre-specified by the sSAP, all participants who received suspension formulation were evaluated for palatability and acceptability of the suspension formulation, and data were summarized in an overall safety analysis set irrespective of tumor type. The palatability score based on the appearance category is presented. Cycle 1 Day 1 (cycle = 28 days)
Secondary Palatability Questionnaire For Lenvatinib Suspension Formulation: Participant Responses by Smell Category A hedonic VAS was used to assess taste likability or "palatability" of a lenvatinib suspension formulated with water or apple juice. Participants scored each category on a scale from 1-7 ranging from super bad (score = 1) to super good (score = 7). As pre-specified by the sSAP, all participants who received suspension formulation were evaluated for palatability and acceptability of the suspension formulation, and data were summarized in an overall safety analysis set irrespective of tumor type. The palatability score based on the smell category is presented. Cycle 1 Day 1 (cycle = 28 days)
Secondary Palatability Questionnaire For Lenvatinib Suspension Formulation: Participant Responses by Mouth Feel Category A hedonic VAS was used to assess taste likability or "palatability" of a lenvatinib suspension formulated with water or apple juice. Participants scored each category on a scale from 1-7 ranging from super bad (score = 1) to super good (score = 7). As pre-specified by the sSAP, all participants who received suspension formulation were evaluated for palatability and acceptability of the suspension formulation, and data were summarized in an overall safety analysis set irrespective of tumor type. The palatability score based on the mouth feel category is presented. Cycle 1 Day 1 (cycle = 28 days)
Secondary Palatability Questionnaire For Lenvatinib Suspension Formulation: Participant Responses by Overall Acceptability Category A hedonic VAS was used to assess taste likability or "palatability" of a lenvatinib suspension formulated with water or apple juice. Participants scored each category on a scale from 1-7 ranging from super bad (score = 1) to super good (score = 7). As pre-specified by the sSAP, all participants who received suspension formulation were evaluated for palatability and acceptability of the suspension formulation, and data were summarized in an overall safety analysis set irrespective of tumor type. The palatability score based on the overall acceptability category is presented. Cycle 1 Day 1 (cycle = 28 days)
Secondary Area Under the Concentration-Time Curve of Lenvatinib at Steady State (AUCss) Blood samples were taken predose and at specified times postdose on Days 1-28 to determine the AUCss of Lenvatinib. Cycle 1 Day 1 (0.5-4 and 6-10 hours post-dose), Cycle 1 Day 15 (pre-dose, 0.5-4, and 6-10 hours post-dose), and Cycle 2 Day 1 (pre-dose and 2-12 hours post-dose). A cycle is 28 days.
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