Trial Outcomes & Findings for Phase I/II Study of OPB-31121 in Patients With Progressive Hepatocellular Carcinoma (NCT NCT01406574)

NCT ID: NCT01406574

Last Updated: 2015-06-08

Results Overview

Treatment emergent adverse events observed during outcome measure time frame.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

23 participants

Primary outcome timeframe

From first study medication to on Day 32 (after repeated 28 days medication from Day 4 to 32)

Results posted on

2015-06-08

Participant Flow

Participant milestones

Participant milestones
Measure
OPB-31121: 50mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
OPB-31121: 100mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
OPB-31121: 200mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
OPB-31121: 400mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
Overall Study
STARTED
7
4
7
5
Overall Study
COMPLETED
6
3
6
1
Overall Study
NOT COMPLETED
1
1
1
4

Reasons for withdrawal

Reasons for withdrawal
Measure
OPB-31121: 50mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
OPB-31121: 100mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
OPB-31121: 200mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
OPB-31121: 400mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
Overall Study
Adverse Event
0
0
1
3
Overall Study
Physician Decision
0
0
0
1
Overall Study
Withdrawal by Subject
0
1
0
0
Overall Study
Definite progression of primary disease
1
0
0
0

Baseline Characteristics

Phase I/II Study of OPB-31121 in Patients With Progressive Hepatocellular Carcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
OPB-31121
n=23 Participants
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
11 Participants
n=5 Participants
Age, Categorical
>=65 years
12 Participants
n=5 Participants
Age, Continuous
64.0 years
STANDARD_DEVIATION 7.3 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
Region of Enrollment
Japan
23 participants
n=5 Participants

PRIMARY outcome

Timeframe: From first study medication to on Day 32 (after repeated 28 days medication from Day 4 to 32)

Population: Safety population No statistical analysis provided for Subjects With Treatment Emergent Adverse Events.

Treatment emergent adverse events observed during outcome measure time frame.

Outcome measures

Outcome measures
Measure
OPB-31121
n=23 Participants
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
OPB-31121: 100 mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
OPB-31121: 200 mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
OPB-31121: 400 mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
Subjects With Treatment Emergent Adverse Events
23 participants

PRIMARY outcome

Timeframe: From first study medication to on Day 32 (after repeated 28 days medication from Day 4 to 32)

Population: DLT evaluated subjects who had achieved ≧75% study drug compliance during a 4-week (28-day) treatment period starting from Day 4. No statistical analysis provided for Subjects With DLTs.

Recommended Dose (RD) of OPB-31121 was defined as the highest dose at which Dose Limited Toxicity (DLT) occurred at an incidence of \< 30%. DLT was defined as adverse events related to OPB-31121 occurring until Day 32, and 1) Grade 4 neutrophil count decreased persisting for ≧ 8 days, or Grade 3 or 4 febrile neutropenia, or infection with neutrophil count decreased 2) Grade 4 Plt decreased, or Grade 3 Plt decreased persisting for ≧ 8 days 3) Grade 3 or 4 nausea, vomiting, or diarrhoea that occurred despite the use of an anti-emetic or anti-diarrheal agents 4) Grade 3 or more severe AEsa excluding the AEs presented above 1) to 3) 5) AEs requiring interruption of IMP administration for a period of ≧ 8 consecutive days 6) Same AEs causing interruption of IMP administration twice

Outcome measures

Outcome measures
Measure
OPB-31121
n=7 Participants
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
OPB-31121: 100 mg/Day
n=4 Participants
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
OPB-31121: 200 mg/Day
n=7 Participants
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
OPB-31121: 400 mg/Day
n=5 Participants
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs)
0 participants
0 participants
1 participants
4 participants

SECONDARY outcome

Timeframe: From first dose of study medication up to 28 weeks

Population: Efficacy population included all treated subjects who had received at least 1 dose of study drug. No statistical analysis provided for Best Overall Responders.

Overall response was evaluated based on the Response Evaluation Criteria in Solid Tumors (RECIST guideline) - mRECIST 1.0.

Outcome measures

Outcome measures
Measure
OPB-31121
n=23 Participants
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
OPB-31121: 100 mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
OPB-31121: 200 mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
OPB-31121: 400 mg/Day
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle
Best Overall Response
CR or PR
0 participants
Best Overall Response
SD ≧ 8w
6 participants
Best Overall Response
PD
9 participants
Best Overall Response
NE
8 participants

Adverse Events

OPB-31121: 50 mg/Day

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

OPB-31121: 100 mg/Day

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

OPB-31121: 200 mg/Day

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

OPB-31121: 400 mg/Day

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
OPB-31121: 50 mg/Day
n=7 participants at risk
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
OPB-31121: 100 mg/Day
n=4 participants at risk
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
OPB-31121: 200 mg/Day
n=7 participants at risk
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
OPB-31121: 400 mg/Day
n=5 participants at risk
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
General disorders
Gait disturbance
0.00%
0/7 • From first study medication to end-of-trial examination
0.00%
0/4 • From first study medication to end-of-trial examination
0.00%
0/7 • From first study medication to end-of-trial examination
20.0%
1/5 • Number of events 1 • From first study medication to end-of-trial examination
Hepatobiliary disorders
Jaundice
0.00%
0/7 • From first study medication to end-of-trial examination
0.00%
0/4 • From first study medication to end-of-trial examination
0.00%
0/7 • From first study medication to end-of-trial examination
20.0%
1/5 • Number of events 1 • From first study medication to end-of-trial examination
Nervous system disorders
Peripheral sensory neuropathy
0.00%
0/7 • From first study medication to end-of-trial examination
0.00%
0/4 • From first study medication to end-of-trial examination
0.00%
0/7 • From first study medication to end-of-trial examination
20.0%
1/5 • Number of events 1 • From first study medication to end-of-trial examination

Other adverse events

Other adverse events
Measure
OPB-31121: 50 mg/Day
n=7 participants at risk
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
OPB-31121: 100 mg/Day
n=4 participants at risk
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
OPB-31121: 200 mg/Day
n=7 participants at risk
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
OPB-31121: 400 mg/Day
n=5 participants at risk
OPB-31121: 50, 100, 200 and 400 mg/day oral once daily (QD) in a 4 week cycle.
Blood and lymphatic system disorders
Leukopenia
0.00%
0/7 • From first study medication to end-of-trial examination
0.00%
0/4 • From first study medication to end-of-trial examination
0.00%
0/7 • From first study medication to end-of-trial examination
60.0%
3/5 • Number of events 3 • From first study medication to end-of-trial examination
Gastrointestinal disorders
Nausea
57.1%
4/7 • Number of events 4 • From first study medication to end-of-trial examination
100.0%
4/4 • Number of events 4 • From first study medication to end-of-trial examination
100.0%
7/7 • Number of events 7 • From first study medication to end-of-trial examination
100.0%
5/5 • Number of events 5 • From first study medication to end-of-trial examination
Gastrointestinal disorders
Vomiting
57.1%
4/7 • Number of events 4 • From first study medication to end-of-trial examination
75.0%
3/4 • Number of events 3 • From first study medication to end-of-trial examination
100.0%
7/7 • Number of events 7 • From first study medication to end-of-trial examination
100.0%
5/5 • Number of events 5 • From first study medication to end-of-trial examination
Gastrointestinal disorders
Diarrhea
28.6%
2/7 • Number of events 2 • From first study medication to end-of-trial examination
100.0%
4/4 • Number of events 4 • From first study medication to end-of-trial examination
85.7%
6/7 • Number of events 6 • From first study medication to end-of-trial examination
80.0%
4/5 • Number of events 4 • From first study medication to end-of-trial examination
Gastrointestinal disorders
Fatigue/malaise
71.4%
5/7 • Number of events 5 • From first study medication to end-of-trial examination
25.0%
1/4 • Number of events 1 • From first study medication to end-of-trial examination
57.1%
4/7 • Number of events 4 • From first study medication to end-of-trial examination
40.0%
2/5 • Number of events 2 • From first study medication to end-of-trial examination
Investigations
Neutrophil count decreased
14.3%
1/7 • Number of events 1 • From first study medication to end-of-trial examination
25.0%
1/4 • Number of events 1 • From first study medication to end-of-trial examination
14.3%
1/7 • Number of events 1 • From first study medication to end-of-trial examination
0.00%
0/5 • From first study medication to end-of-trial examination
Investigations
Platelet count decreased
14.3%
1/7 • Number of events 1 • From first study medication to end-of-trial examination
25.0%
1/4 • Number of events 1 • From first study medication to end-of-trial examination
14.3%
1/7 • Number of events 1 • From first study medication to end-of-trial examination
0.00%
0/5 • From first study medication to end-of-trial examination
Metabolism and nutrition disorders
Anorexia
14.3%
1/7 • Number of events 1 • From first study medication to end-of-trial examination
50.0%
2/4 • Number of events 2 • From first study medication to end-of-trial examination
42.9%
3/7 • Number of events 3 • From first study medication to end-of-trial examination
100.0%
5/5 • Number of events 5 • From first study medication to end-of-trial examination
Nervous system disorders
Peripheral sensory neuropathy
0.00%
0/7 • From first study medication to end-of-trial examination
0.00%
0/4 • From first study medication to end-of-trial examination
57.1%
4/7 • Number of events 4 • From first study medication to end-of-trial examination
40.0%
2/5 • Number of events 2 • From first study medication to end-of-trial examination

Additional Information

Leader of Department of "Small Global" Clinical Development

Otsuka Pharmaceutical Co., Ltd

Phone: +81-3-6361-7366

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place