Nivolumab Plus Lenvatinib Against Anaplastic Thyroid Cancer (NAVIGATION)

NCT ID: NCT05696548

Last Updated: 2025-05-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-02

Study Completion Date

2026-12-31

Brief Summary

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This study is an open-label phase 2 study to evaluate the safety and efficacy of Nivolumab plus Lenvatinib in patients with unresectable anaplastic thyroid cancer.

Detailed Description

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This study is an open-label phase 2 study to evaluate the safety and efficacy of Nivolumab plus Lenvatinib in patients with unresectable anaplastic thyroid cancer according to the following steps.

Step 1 will evaluate the dose-limiting toxicities (DLT) of Nivolumab plus Lenvatinib in patients with unresectable anaplastic thyroid cancer.

Step 2 will evaluate the safety and efficacy of Nivolumab plus Lenvatinib in patients with unresectable anaplastic thyroid cancer.

Conditions

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Anaplastic Thyroid Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Lenvatinib plus Nivolumab

Step 1: 3 patients, Step 2: 48 patients

Group Type EXPERIMENTAL

Lenvatinib

Intervention Type DRUG

Lenvatinib will be administered at a dose of 24mg as oral dose, one a day

Nivolumab

Intervention Type DRUG

Nivolumab will be administered at a dose of 240mg as a 30-minutes IV infusion, every 2 weeks

Interventions

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Lenvatinib

Lenvatinib will be administered at a dose of 24mg as oral dose, one a day

Intervention Type DRUG

Nivolumab

Nivolumab will be administered at a dose of 240mg as a 30-minutes IV infusion, every 2 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed as anaplastic thyroid cancer
2. Unresectable anaplastic thyroid cancer
3. Have measurable lesions defined by the RECIST version 1.1
4. Have adequate organ function
5. Cardiac function test within 28 days before enrollment 12-lead electrocardiogram no clinically significant abnormality as shown below: heart disease, severe arrhythmia, etc.
6. Patients who are 20 years or older
7. Eastern Cooperative Oncology Group (ECOG) performance status 0-1
8. Ability to swallow oral medications
9. Women of childbearing potential
10. Life expectancy of more than 90 days
11. Have signed written informed consent to participate in this study

Exclusion Criteria

1. Active brain metastases or leptomeningeal metastases
2. Diverticulitis or Symptomatic ulcerative disease
3. Treatment required complication of systemic infectious disease
4. Medical history of active, known, or suspected autoimmune disease
5. Complication of pulmonary fibrosis or interstitial pneumonitis
6. Medical history of clinically significant cardiovascular disease within 180 days of initial dose as New York Heart Association (NYHA) class above 2 leveled congestive heart failure, unstable angina, cardiac infarction or cardiac arrhythmia with paroxysmal or required treatment
7. Regardless of usage of antihypertensive drug, systolic blood pressure \<=140 mm Hg and diastolic blood pressure \<=90 mm Hg
8. Have active double cancer
9. Currently receiving other interventional clinical study treatment
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ono Pharmaceutical Co. Ltd

INDUSTRY

Sponsor Role collaborator

National Cancer Center Hospital East

OTHER

Sponsor Role lead

Responsible Party

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Makoto Tahara

Chief, Department of Head and Neck Medical Oncology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Makoto Tahara, MD, PhD

Role: STUDY_DIRECTOR

National Cancer Center Hospital East

Iwao Sugitani, MD, PhD

Role: STUDY_CHAIR

Nippon Medical School Hospital

Naomi Kiyota, MD, PhD

Role: STUDY_CHAIR

Kobe University Hospital

Locations

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Aichi Cancer Center

Nagoya, Aichi-ken, Japan

Site Status

National Cancer Center Hospital East

Kashiwa, Chiba, Japan

Site Status

Hokkaido University Hospital

Hokkaido, Hokkaido, Japan

Site Status

Hyogo Cancer Center

Akashi, Hyōgo, Japan

Site Status

Kobe University Hospital

Kobe, Hyōgo, Japan

Site Status

Yokohama City University Hospital

Yokohama, Kanagawa, Japan

Site Status

Tohoku University Hospital

Sendai, Miyagi, Japan

Site Status

Osaka Metropolitan University Hospital

Osaka, Osaka, Japan

Site Status

National Cancer Center Hospital

Tokyo, Tokyo, Japan

Site Status

Nippon Medical School Hospital

Tokyo, Tokyo, Japan

Site Status

Countries

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Japan

Other Identifiers

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JapicCTI-194835

Identifier Type: REGISTRY

Identifier Source: secondary_id

YCU18001

Identifier Type: -

Identifier Source: org_study_id

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