Clinical trial NCT01133977: E7080 (Lenvatinib) in Combination With Dacarbazine Versus Dacarbazine Alone as First Line Therapy in Patients With Stage IV Melanoma
Official title: An Open-Label, Multicenter, Randomized, Phase Ib/II Study of E7080 (Lenvatinib) in Combination With Dacarbazine Versus Dacarbazine Alone as First Line Therapy in Patients With Stage IV Melanoma.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
PHASE2
Conditions: Stage IV Melanoma
Lead sponsor: Eisai Inc.
Sponsor class: INDUSTRY
Collaborators: name: Quintiles, Inc.
First posted: 2010-05-31
Enrollment: 97
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Primary:

* Phase Ib: To define the safety, tolerability and maximum tolerated dose (MTD) of lenvatinib administered in combination with dacarbazine.
* Phase II: To evaluate the safety and tolerability of lenvatinib administered in combination with dacarbazine, compared with dacarbazine alone.

Secondary:

-Phase II: To make a preliminary assessment of the efficacy of lenvatinib administered in combination with dacarbazine, compared with dacarbazine alone.

Detailed description: Safety was assessed by monitoring and recording all treatment emergent adverse events (AEs) and serious adverse events (SAEs); regular monitoring of clinical laboratory parameters; periodic measurement of vital signs and electrocardiograms (ECGs); dose limiting toxicities; performance of physical examinations; concomitant medications and procedures.

Eligibility criteria: Inclusion Criteria:

1. Patients with histologically-confirmed metastatic melanoma (Stage IV, American Joint Committee on Cancer (AJCC)).
2. No prior cytokine, chemotherapy, or targeted therapy for Stage IV melanoma.
3. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
4. Life expectancy greater than or equal to 3 months.
5. At least 1 site of measurable disease by RECIST 1.1.
6. Adequate hematologic, renal, liver, and coagulation system function as defined by laboratory values performed within 21 days prior to initiation of dosing.
7. Blood pressure must be well-controlled (less than or equal to 140/90 mmHg at screening) with or without antihypertensive medication. Patients must have no history of hypertensive crisis or hypertensive encephalopathy.

Exclusion Criteria:

1. Known central nervous system (CNS) lesions, except for asymptomatic, nonprogressive, treated brain metastases. Treatment for brain metastases must have been completed at least 4 weeks prior to Day 1 and may include whole brain radiotherapy (WBRT), radiosurgery \[RS; Gamma Knife, linear accelerator (LINAC), or equivalent\] or a combination as deemed appropriate by the treating physician. Dexamethasone must be discontinued at least 3 weeks prior to Day 1. Patients with CNS metastases treated by neurosurgical resection or brain biopsy performed within 3 months prior to Day 1 will be excluded.
2. Lactate dehydrogenase greater than or equal to 2.0 x upper limit of normal (ULN).
3. Subjects with proteinuria greater than 1+ on urine dipstick testing will undergo 24-hour urine collection for quantitative assessment of proteinuria. Subjects with 24-hour urine protein greater than or equal to 1 g/24 hours will be ineligible.
4. Pregnant, breast-feeding, or refusing double barrier contraception, oral contraceptives or avoidance of pregnancy measures.
5. Other active malignancy.
6. History of or known carcinomatous meningitis.
7. History of or known ocular melanoma.
8. Are currently receiving any other treatment for the tumor (including palliative radiotherapy) aside from control of symptoms.
9. Received treatment in another clinical study within the 30 days prior to commencing study treatment or patients who have not recovered from side effects of an investigational drug to grade less than or equal to 1, except for alopecia.
10. Received radiotherapy within the 30 days prior to commencing study treatment or have not recovered from side effects of all radiation-related toxicities to grade less than or equal to 1, except for alopecia.
11. Serious non-healing wound, ulcer, bone fracture, or have undergone a major surgical procedure, open biopsy, or significant traumatic injury within the 28 days prior to commencing study treatment. Minor surgery such as Portacath placement or skin biopsy is permitted if greater than or equal to 7 days have passed.
12. History of bleeding diathesis or coagulopathy.
13. Current use of anti-coagulants such as Vitamin K antagonists, unfractionated heparin, or low molecular weight heparin.

Primary outcomes:
measure: Dose Limiting Toxicity (DLT) of Lenvatinib Administered in Combination With Dacarbazine (for Phase 1b)
timeFrame: From Day 1 through 21 days (one cycle)
measure: Number of Participants With Adverse Events/Serious Adverse Events (AEs/SAEs)
timeFrame: From signing of informed consent up to 30 days after the last dose, up to approximately 2 years
Secondary outcomes:
measure: Progression Free Survival (PFS) (for Phase 2)
timeFrame: From the date of randomization until the date of disease progression or death (whichever was earlier) or up to approximately 2 years
Other outcomes:
measure: Time to Progression (TTP) (for Phase 2)
timeFrame: From the date of randomization until disease progression or death or up to approximately 2 years
measure: Overall Survival (OS) (for Phase 2)
timeFrame: From the date of randomization until death or up to approximately 2 years
measure: Overall Response Rate (ORR) (for Phase 2)
timeFrame: From the date of randomization until disease progression or death or up to approximately 2 years
Locations:
city: Hagerstown
country: United States
state: Maryland
city: Albany
country: United States
state: New York
city: Greenville
country: United States
state: South Carolina
city: Dallas
country: United States
state: Texas
city: Norfolk
country: United States
state: Virginia
city: Berlin
country: Germany
city: Berlin
country: Germany
city: Berlin
country: Germany
city: Heidelberg
country: Germany
city: Muenchen
country: Germany
city: Bari
country: Italy
city: Milan
country: Italy
city: Milian
country: Italy
city: Napoli
country: Italy
city: Siena
country: Italy
city: Barcelona
country: Spain
city: Madrid
country: Spain
city: Madrid
country: Spain
city: Madrid
country: Spain
city: Valenica
country: Spain
city: Dorset
country: United Kingdom
city: Glasgow
country: United Kingdom
city: Manchester
country: United Kingdom
city: Middlesex
country: United Kingdom
city: Oxford
country: United Kingdom
city: Southampton
country: United Kingdom
city: Wirral
country: United Kingdom
Study officials:
affiliation: Quintiles, Inc.
name: Dave Harish
role: STUDY_DIRECTOR
References: