An Open-Label, 2-Cohort, Multicenter, Study of Lenvatinib in Previously Treated Subjects With Unresectable Stage III or Stage IV Melanoma

NCT ID: NCT01136967

Last Updated: 2019-11-13

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

182 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-08-31

Study Completion Date

2014-11-30

Brief Summary

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The purpose of this study is to assess the objective response rate of lenvatinib in previously treated participants with American Joint Committee on Cancer (AJCC) unresectable Stage III or Stage IV melanoma and disease progression.

Detailed Description

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This was a Phase 2, multicenter, open-label, 2-cohort, 2-stage study that assessed the ORR of lenvatinib in previously treated participants with AJCC unresectable Stage III or Stage IV melanoma and disease progression. Cohort 1 enrolled participants not harboring the V600E BRAF mutation with disease progression following up to 2 prior systemic anticancer regimens (excluding anti-VEGF) for unresectable Stage III or Stage IV melanoma, and is referred to as Cohort 1 or V600E BRAF negative. Other less common BRAF activating mutations were allowed as long as the participant did not receive a BRAF-targeted therapy. Cohort 2 enrolled participants harboring the activating BRAF mutations (mainly the V600E mutation) with disease progression following BRAF V600E-targeted therapy, and is referred to as Cohort 2 or V600E BRAF positive. Eligible participants had measurable disease according to RECIST 1.1.

Conditions

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Unresectable Stage III Stage IV Melanoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1 (V600E BRAF negative)

Cohort 1 (V600E BRAF negative) enrolled participants not harboring the V600E BRAF mutation with disease progression following up to 2 prior systemic anticancer regimens (excluding anti-VEGF) for unresectable Stage III or Stage IV melanoma.

Group Type EXPERIMENTAL

Lenvatinib

Intervention Type DRUG

Participants received lenvatinib 24 mg orally, once daily continuously in 28-day cycles until disease progression, development of unacceptable toxicity or withdrawal of consent.

Cohort 2 (V600E BRAF positive)

Cohort 2 (V600E BRAF positive) enrolled participants harboring the activating BRAF mutations (mainly the V600E mutation) with disease progression following BRAF V600E-targeted therapy.

Group Type EXPERIMENTAL

Lenvatinib

Intervention Type DRUG

Participants received lenvatinib 24 mg orally, once daily continuously in 28-day cycles until disease progression, development of unacceptable toxicity or withdrawal of consent.

Interventions

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Lenvatinib

Participants received lenvatinib 24 mg orally, once daily continuously in 28-day cycles until disease progression, development of unacceptable toxicity or withdrawal of consent.

Intervention Type DRUG

Other Intervention Names

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E7080

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed diagnosis of melanoma.
2. Unresectable Stage III or Stage IV melanoma.
3. Evidence of disease progression according to RECIST 1.1 on prior regimen.
4. Participants with brain metastases will be eligible if they have undergone complete surgical excision and are more then 1 month post surgery with no radiographic evidence of disease recurrence in the brain or have undergone stereotactic radio surgery (gamma knife procedure) and are more then 1 month post procedure and with no radiographic evidence of disease progression in the brain; and are asymptomatic, and discontinued corticosteroid treatment at least 30 days prior starting treatment.
5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
6. Adequately controlled blood pressure.
7. Adequate renal function, bone marrow function, blood coagulation function, and liver function, as defined in the study protocol.

Exclusion Criteria

1. Melanoma of intraocular origin.
2. Leptomeningeal metastases or brain metastases except as for participants with brain metastases will be eligible if they have undergone complete surgical excision and are more then 1 month post surgery with no radiographic evidence of disease recurrence in the brain or have undergone stereotactic radio surgery (gamma knife procedure) and are more then 1 month post procedure and with no radiographic evidence of disease progression in the brain; and are asymptomatic, and discontinued corticosteroid treatment at least 30 days prior starting treatment.
3. More than 2 prior systemic anticancer regimen treatments including immunotherapies for unresectable Stage III or Stage IV disease (if BRAF V600E mutation negative) or not previously treated with BRAF V600E-targeted therapy or received in the past more than 2 prior systemic anticancer regimen treatments, including immunotherapies, in addition to a BRAF-V600E-targeted therapy (if BRAF V600E mutation positive).
4. Significant cardiovascular impairment.
5. Bleeding disorder or a thrombotic disorder requiring anticoagulant therapy.
6. Females who are pregnant or breastfeeding.
7. Prolongation of QTc interval to greater than 480 msec.
8. 24 hour urine protein greater than or equal to 1 gm.
9. Active hemoptysis within 3 wks prior to the first dose of study drug.
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eisai Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eisai US Medical Services

Role: STUDY_DIRECTOR

Eisai Limited

Locations

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Birmingham, Alabama, United States

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Tucson, Arizona, United States

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Los Angeles, California, United States

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San Francisco, California, United States

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Aurora, Colorado, United States

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Boulder, Colorado, United States

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Colorado Springs, Colorado, United States

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Denver, Colorado, United States

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Lakewood, Colorado, United States

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Littleton, Colorado, United States

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Lone Tree, Colorado, United States

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Longmont, Colorado, United States

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Parker, Colorado, United States

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Thornton, Colorado, United States

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Bonita Springs, Florida, United States

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Bradenton, Florida, United States

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Cape Coral, Florida, United States

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Clearwater, Florida, United States

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Englewood, Florida, United States

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Fort Myers, Florida, United States

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Gainesville, Florida, United States

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Naples, Florida, United States

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North Port, Florida, United States

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Orlando, Florida, United States

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Palm Harbor, Florida, United States

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Port Charlotte, Florida, United States

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Sarasota, Florida, United States

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Sebring, Florida, United States

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Tampa, Florida, United States

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Venice, Florida, United States

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Louisville, Kentucky, United States

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Boston, Massachusetts, United States

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Detroit, Michigan, United States

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Burnsville, Minnesota, United States

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Coon Rapids, Minnesota, United States

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Edina, Minnesota, United States

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Fridley, Minnesota, United States

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Maplewood, Minnesota, United States

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Minneapolis, Minnesota, United States

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Saint Paul, Minnesota, United States

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Woodbury, Minnesota, United States

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Southaven, Mississippi, United States

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St Louis, Missouri, United States

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Henderson, Nevada, United States

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Las Vegas, Nevada, United States

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Lebanon, New Hampshire, United States

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Morristown, New Jersey, United States

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New York, New York, United States

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Cincinnati, Ohio, United States

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Cleveland, Ohio, United States

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Columbus, Ohio, United States

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Eugene, Oregon, United States

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Portland, Oregon, United States

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Springfield, Oregon, United States

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Tualatin, Oregon, United States

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Bethlehem, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Bartlett, Tennessee, United States

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Franklin, Tennessee, United States

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Gallatin, Tennessee, United States

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Germantown, Tennessee, United States

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Hermitage, Tennessee, United States

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Lebanon, Tennessee, United States

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Memphis, Tennessee, United States

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Murfreesboro, Tennessee, United States

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Nashville, Tennessee, United States

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Smyrna, Tennessee, United States

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Bedford, Texas, United States

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Dallas, Texas, United States

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Grapevine, Texas, United States

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Houston, Texas, United States

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Arlington, Virginia, United States

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Fairfax, Virginia, United States

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Gainesville, Virginia, United States

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Leesburg, Virginia, United States

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Winchester, Virginia, United States

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Woodbridge, Virginia, United States

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Vancouver, Washington, United States

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Madison, Wisconsin, United States

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Adelaide, , Australia

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Malvern, , Australia

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Newcastle, , Australia

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North Sydney, , Australia

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Perth, , Australia

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Westmead, , Australia

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Essen, , Germany

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Hanover, , Germany

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Heidelberg, , Germany

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Kiel, , Germany

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Mainz, , Germany

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Tübingen, , Germany

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Glasgow, , United Kingdom

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London, , United Kingdom

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Nottingham, , United Kingdom

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Surrey, , United Kingdom

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Countries

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United States Australia Germany United Kingdom

Other Identifiers

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E7080-G000-206

Identifier Type: -

Identifier Source: org_study_id

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