Pharmacokinetic Study of E7080/Lenvatinib in Chinese Subjects With Solid Tumor

Study Overview
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Brief Summary
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Study E7080-C086-108 is an open-label, single- and multiple-dose pharmacokinetic (PK) study of lenvatinib (administered orally, once a day [QD]) in Chinese participants with solid tumor. A total of 12 participants will be enrolled to evaluate the PK of 24 milligrams (mg) QD dosing of lenvatinib.

Official Title
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Pharmacokinetic Study of E7080/Lenvatinib in Chinese Subjects With Solid Tumor

Conditions
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Solid Tumor

Intervention / Treatment
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* Drug: lenvatinib


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants with a histological and/or cytological diagnosis of solid tumor Participants with solid tumor that is resistant to standard anti-tumor therapies, or for which no appropriate treatment is available Participants whose toxicity of previous treatment has recovered to Grade 1 or lower (except for alopecia) Participants who have completed previous anti-tumor therapy (such as surgery, radiotherapy) at least 4 weeks before treatment Participants who are 18 years or older at the time of obtaining informed consent Participants with an Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 to 1 Participants who meet all of the following items: Hemoglobin ≥9.0 grams per deciliter (g/dL) Neutrophil count ≥1.5×10^3/microliters (µL) Platelet count ≥10×10^4/µL Total bilirubin ≤1.8 milligrams (mg)/dL Aspartate aminotransferase (AST) ≤100 International Units per liter (IU/L) Alanine aminotransferase (ALT) ≤100 IU/L Serum creatinine ≤1.5 mg/dL or creatinine clearance ≥50 milliliters per minute (mL/min). Creatinine clearance will be calculated based on Cockcroft-Gault method using the following formula: Male: (140-age) × weight ÷ (serum creatinine × 72); Female: 0.85 × (140-age) × weight ÷ (serum creatinine × 72). Participants expected to survive for 12 weeks or longer Males and females of childbearing potential must agree to use appropriate contraception from the giving of consent to 30 days after study drug administration. Female participants of childbearing potential must test negative for pregnancy at screening Participants who voluntarily agree to participate in this study in writing Exclusion Criteria: Participants with brain metastasis accompanied by clinical symptoms or requiring treatment Participants with the following complications or medical history Systemic severe infections requiring medical treatment The following cardiovascular diseases Ischemic cardiac disease or arrhythmia requiring medical treatment Angina pectoris or myocardial infarction within 24 weeks before enrollment Corrected QT interval (QTc) greater than 480 milliseconds (msec) (Fridericia's method) Hemoptysis (fresh blood) ≥ 1/2 teaspoon (2.5 mL) or clinically significant hemorrhagic or thrombotic events within 4 weeks before enrollment Systolic pressure ≥150 millimeters of mercury (mmHg) and diastolic pressure ≥90 mmHg If proteinuria is ≥2+ in a qualitative test for urine protein, ≥1.0 grams for 24 hours is accumulated Complications or surgery (such as malabsorption syndrome, chronic diarrhea, or total gastrectomy) that could significantly influence the absorption of the investigational drug Have undergone major surgery within 4 weeks before enrollment Co-existing effusion requiring treatment Participants unable to take oral medication Participants scheduled for surgery during the projected course of the study Participants who test positive for human immunodeficiency virus (HIV antibody), or positive for hepatitis B surface (HBs antigen) or hepatitis C virus (HCV antibody) Participants who have taken lenvatinib before Participants who in the view of the principal investigator or sub-investigator are not able to comply with this protocol because of psychiatric or physical diseases including alcoholism or drug addiction Pregnant or nursing participants Participants who are participating in another clinical trial

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 24 mg lenvatinib<br>Participants will receive once daily oral dosing of lenvatinib 24 milligrams (mg) | Drug: lenvatinib<br>* once daily continuous dosing<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Area under the concentration-time curve over the dosing interval on multiple dosing (AUC[0-τ]) | Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. AUC(0-τ) is defined as the area under the concentration-time profile from time zero to the end of the dosing interval at steady state. AUC represents the total drug exposure over a defined period of time. | Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15) | 
| Time at which the highest drug concentration occurs at steady-state (tss,max) | Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. tss,max is the time at which the maximum concentration of lenvatinib is observed in the plasma at steady state, which occurs when the rates of drug administration and drug elimination are equal. | Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15) | 
| Average steady-state concentration (Css,av) | Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. Css,av is the average concentration of lenvatinib in plasma at the time that a steady state has been achieved, which occurs when the rates of drug administration and drug elimination are equal. | Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15) | 
| Minimum observed concentration at steady-state (Css,min) | Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. Css,min is the lowest concentration of lenvatinib in plasma at the time that a steady state has been achieved, which occurs when the rates of drug administration and drug elimination are equal. | Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15 | 
| Maximum observed concentration at steady-state (Css,max) | Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. Css,max is the highest concentration of lenvatinib in plasma at the time that a steady state has been achieved, which occurs when rates of drug administration and drug elimination are equal. | Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15) | 
| Area under the concentration-time curve from zero time to time of last quantifiable concentration (AUC[0-t]) | Blood samples will be collected to determine the plasma lenvatinib concentration at various time points. AUC(0-t) is defined as the AUC from time 0 to the time of the last measurable concentration. AUC represents the total drug exposure over a defined period of time. | Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15) | 
| Time at which the highest drug concentration occurs (tmax) | Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. Tmax is the time at which the maximum concentration of lenvatinib is observed in plasma after a single dose of lenvatinib. | Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15) | 
| Maximum observed concentration (Cmax) | Blood samples will be collected to determine the plasma lenvatinib concentration at the specified time points. Cmax is the highest concentration of lenvatinib observed in plasma after a single dose of lenvatinib. | Day 1: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 2: pre-dose (24 hours after first administration). Day 8: pre-dose. Day 15: pre-dose; 1, 2, 4, and 8 hours post-dose. Day 16: pre-dose (24 hours after administration on Day 15) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mean blood urea nitrogen (BUN) values | Blood samples will be collected to determine the amount of nitrogen in the blood. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean creatinine values | Blood chemistry tests will be performed to determine serum creatinine levels. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean albumin values | Blood chemistry tests will be performed to determine serum albumin values. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean cholesterol values | Blood chemistry tests will be performed to determine cholesterol levels. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean lactate dehydrogenase values | Blood chemistry tests will be performed to determine serum lactate dehydrogenase levels. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean total protein values | Blood chemistry tests will be performed to determine total protein levels. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean C-reactive protein (CRP) values | Blood chemistry tests will be performed to determine CRP levels. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean gamma-glutamyl transpeptidase (γ-GTP) values | Blood chemistry tests will be performed to determine γ-GTP levels. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean total bilirubin values | Blood chemistry tests will be performed to determine total bilirubin levels. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean alanine transaminase (ALT) values | ALT is a transaminase enzyme and is commonly measured clinically as a biomarker for liver health. ALT will be summarized as the mean and standard deviation for all participants. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean aspartate transaminase (AST) values | AST is a pyridoxal phosphate-dependent transaminase enzyme and is commonly measured clinically as a biomarker for liver health. AST will be summarized as the mean and standard deviation for all participants. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean alkaline phosphatase (ALP) values | ALP is a hydrolase enzyme responsible for the dephosphorylation of molecules, including nucleotides, proteins, and alkaloids, and is commonly measured clinically as a biomarker for liver health. ALP will be summarized as the mean and standard deviation for all participants. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean body temperature | Body temperature in degrees Celsius will be analyzed from the armpit of the participants. Body temperature will be summarized as the mean and standard deviation for all participants | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean body weight | Body weight of the participants will be measured in kilograms (kg). It will be summarized as the mean and standard deviation for all participants. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean heart rate | Heart rate of the participants will be measured in beats per minute (bpm). It will be summarized as the mean and standard deviation for all participants. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean QT values | The QT interval is a measure of the time between the start of the Q wave and the end of the T wave in the heart's electrical cycle. QT values will be measured in milliseconds (msec) and will be summarized as the mean and standard deviation for all participants. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean QT corrected (QTc) values | The QT interval is a measure of the time between the start of the Q wave and the end of the T wave in the heart's electrical cycle. QTc values will be measured in milliseconds (msec) and it will be summarized as the mean and standard deviation for all participants. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean QTc corrected using Fridericia's method (QTcF) values | The QT interval is a measure of the time between the start of the Q wave and the end of the T wave in the heart's electrical cycle. QTcF values will be measured in msec and will be summarized as the mean and standard deviation for all participants. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Number of participants with abnormal, clinically significant physical examination findings | Physical examinations will be performed to determine abnormal findings that meet the definition of an AE. Clinical significance will be determined by the Investigator. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean calcium values | Blood chemistry tests will be performed to determine calcium levels. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean chloride values | Blood chemistry tests will be performed to determine chloride levels. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean potassium values | Blood chemistry tests will be performed to determine potassium levels. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean sodium values | Blood chemistry tests will be performed to determine sodium levels. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean lymphocyte count | Hematology tests will be performed to determine the lymphocyte count in blood. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean neutrophil count | Hematology tests will be performed to determine the neutrophil count in blood. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean white blood cell (WBC) count | Hematology tests will be performed to determine the WBC count in blood. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean platelet count | Hematology tests will be performed to determine the platelet count in blood. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean hemoglobin values | Hematology tests will be performed to determine the hemoglobin levels in blood. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean red blood cell (RBC) count | Hematology tests will be performed to determine the RBC count in blood. Participants should be in a seated or supine position during blood collection. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Number of participants with any serious adverse event and any non-serious adverse event | An Adverse Event (AE) is any untoward medical occurrence in a clinical investigation participant administered with an investigational product. A serious adverse event (SAE) is any untoward medical occurrence that at any dose: results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions; or is a congenital abnormality/birth defect. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean protein in urine values | Urine samples will be collected to determine the amount of protein in the urine. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean glucose in urine values | Urine samples will be collected to determine the amount of glucose in the urine. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean occult blood in urine values | Urine samples will be collected to determine the amount of microscopic blood in the urine. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean systolic blood pressure and diastolic blood pressure values | Blood pressure will be measured after the participant has been sitting. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 
| Mean pulse | Pulse will be measured after the participant has been sitting. | until disease progression, development of unacceptable toxicity, participant requests to discontinue, or withdrawal of consent (up to Day 28) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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solid tumor, Lenvatinib, pharmacokinetics