UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000021080
Receipt number R000024239
Scientific Title A phase I study of lenvatinib for unresectable adenoid cystic carcinoma of the salivary gland
Date of disclosure of the study information 2016/02/18
Last modified on 2020/08/25 22:08:22

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Basic information

Public title

A phase I study of lenvatinib for unresectable adenoid cystic carcinoma of the salivary gland

Acronym

A phase I study of lenvatinib for unresectable adenoid cystic carcinoma of the salivary gland

Scientific Title

A phase I study of lenvatinib for unresectable adenoid cystic carcinoma of the salivary gland

Scientific Title:Acronym

A phase I study of lenvatinib for unresectable adenoid cystic carcinoma of the salivary gland

Region

Japan


Condition

Condition

Adenoid cystic carcinoma of the salivary gland

Classification by specialty

Oto-rhino-laryngology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate safety of lenvatinib for patients with unresectable adenoid cystic carcinoma of the salivary gland.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase I


Assessment

Primary outcomes

Safety
All adverse events will be recorded according to CTCAE version 4.0. Grade 2 or more adverse event will be followed until the event improves to Grade 0 to 1 or beginning of other treatment for cancer, whichever comes first. Severe adverse event (SAE) will be followed and recorded until 90 days after the final administration of the study drug or beginning of other treatment for cancer, whichever comes first.

Key secondary outcomes

Response rate, Progression-free survival, Overall survival


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Lenvatinib is administered at a daily dose of 24 mg per day in 28-day cycles. Administration may be reduced or paused when adverse events is seen. Lenvatinib is administrated for 5 cycles maximum. However, in case that no progressive disease is observed during treatment with lenvatinib and adverse events are tolerable, lenvatinib can be administrated up to 10 cycles in the opinion of the investigator.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

Patient is eligible when he or she has:
1) Histologically or cytologically confirmed adenoid cystic carcinoma of the salivary gland which is local advanced, recurrent or metastatic. Primary sites include parotid gland, submandibular gland, sublingual gland as well as minor salivary gland of oral cavity, nasal cavity, pharynx and larynx.
2) At least one measurable lesion which is diagnosed as progressive disease (PD) according to RECIST version 1.1.
3) No history of treatment with tyrosine kinase inhibitors. Any previous surgical treatment, radiation therapy or chemotherapy is allowed.
4) ECOG Performance status (PS) of 0 or 1.
5) No central nerve system metastasis.
6) Preserved main organ function within 14 days before inclusion.
1. White blood cell count >= 3,000/mm3
2. Neutrophil count >= 1,500/mm3
3. Platelet count >= 100,000/mm3
4. AST <= 100 IU/L
5. ALT <= 100 IU/L
6. T. Bil <= 1.5 mg/dL
7. Serum Creatinine <= 1.2 mg/dL
8. Creatinine clearance >= 60 mL/min
7) Left ventricular ejection fraction (LVEF) >= 50% measured by echocardiogram within 28 days prior to inclusion.
8) No clinically significant abnormality in 12-lead electrocardiogram within 28 days prior to inclusion.
9) Blood pressure <= 150/90 mmHg.
10) Ability of oral intake.
11) Life expectancy of more than 3 months
12) Written, free-will consent with the trial.

Key exclusion criteria

Patient is excluded when he or she has:
1) Prior treatment with lenvatinib (E7080).
2) Subjects who have received any anti-cancer treatment within 21 days or any investigational agent within 30 days prior to the first dose of study drug.
3) Major surgery within 3 weeks prior to the first dose of study drug.
4) Subjects having >1+ proteinuria on urine dipstick testing will undergo 24h urine collection for quantitative assessment of proteinuria. Subjects with urine protein greater than or equal to 1g/24h will be ineligible.
5) Gastrointestinal malabsorption, or any other condition in the opinion of the investigator that might affect the absorption of lenvatinib (E7080).
6) Significant cardiovascular impairment: history of congestive heart failure greater than New York Heart Association (NYHA) Class II, unstable angina; myocardial infarction or stroke within 6 months of the first dose of study drug, or cardiac arrhythmia requiring medical treatment.
7) Prolongation of QTc interval to >480 msec.
8) Active hemoptysis (bright red blood of at least 0.5 teaspoon) within 3 weeks prior to the first dose of study drug.
9) Active infection (any infection requiring treatment).
10) Active malignancy within the past 24 months.
11) Known intolerance to any of study drugs (or any of the excipients).
12) Any medical or other condition which, in the opinion of the investigator, would preclude participation in a clinical trial.
13) Female who are pregnant or breastfeeding.

Target sample size

3


Research contact person

Name of lead principal investigator

1st name Nobuhiko
Middle name
Last name Oridate

Organization

Yokohama City University

Division name

Department of Otolaryngology-Head and Neck Surgery

Zip code

236-0004

Address

Fukuura 3-9, Kanazawa-ku, Yokohama, Japan

TEL

0457872800

Email

noridate@yokohama-cu.ac.jp


Public contact

Name of contact person

1st name Hideaki
Middle name
Last name Takahashi

Organization

Yokohama City University

Division name

Otolaryngology-Head and Neck Surgery

Zip code

236-0004

Address

Fukuura 3-9, Kanazawa-ku, Yokohama, Japan

TEL

0457872800

Homepage URL


Email

ttanabe@yokohama-cu.ac.jp


Sponsor or person

Institute

Yokohama City University

Institute

Department

Personal name



Funding Source

Organization

Yokohama City University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Yokohama City University

Address

Fukuura 3-9, Kanazawa-ku, Yokohama city, Kanagawa, Japan

Tel

+81-45-787-2800

Email

chiken@yokohama-cu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

横浜市立大学附属病院


Other administrative information

Date of disclosure of the study information

2016 Year 02 Month 18 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

3

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2015 Year 12 Month 03 Day

Date of IRB

2015 Year 12 Month 03 Day

Anticipated trial start date

2016 Year 02 Month 18 Day

Last follow-up date

2020 Year 12 Month 31 Day

Date of closure to data entry

2020 Year 12 Month 31 Day

Date trial data considered complete

2020 Year 12 Month 31 Day

Date analysis concluded

2021 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2016 Year 02 Month 17 Day

Last modified on

2020 Year 08 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024239


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name