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Tyrosine Kinase Inhibitor

Lenvatinib for Recurrent Liver Cancer Post-Transplant

Phase 2
Recruiting
Led By Mehmet Akce
Research Sponsored by Emory University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Absolute neutrophil count (ANC) >= 1,500/mcL (within 28 days of cycle 1 day 1; after at least 7 days without growth factor support or transfusion)
Child Pugh class A
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 2 years
Awards & highlights

Study Summary

This trial is testing lenvatinib to see if it can help people with HCC that has come back after a liver transplant.

Who is the study for?
Adults with recurrent hepatocellular carcinoma after liver transplant, who are in good physical condition (ECOG <=1), have measurable disease, and a life expectancy over 12 weeks. They must not be planning surgery, have brain metastases or uncontrolled illnesses like heart failure. Participants need normal organ function tests and agree to use contraception.Check my eligibility
What is being tested?
The trial is testing Lenvatinib's effectiveness for patients whose liver cancer has returned post-transplant. It aims to block enzymes that tumor cells need to grow since there's no established treatment for this recurrence.See study design
What are the potential side effects?
Lenvatinib may cause high blood pressure, fatigue, loss of appetite, weight loss, nausea, vomiting, stomach pain or upset stomach; it can also affect how your thyroid gland works.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My white blood cell count is healthy without recent medical help.
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My liver function is mildly affected.
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I had a liver transplant to try to cure my condition.
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I agree to use effective birth control during and for 60 days after the study.
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I am 18 years old or older.
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My kidney function, measured by creatinine or its clearance, is within the required range.
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I am mostly self-sufficient and can carry out daily activities.
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My liver cancer has returned after a liver transplant and cannot be removed with surgery.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 2 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 2 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Overall response rate (ORR)
Secondary outcome measures
Duration of response (DR)
Overall survival (OS)
Progression-free survival (PFS)

Side effects data

From 2019 Phase 3 trial • 392 Patients • NCT01321554
70%
Hypertension
70%
Diarrhoea
60%
Weight decreased
43%
Fatigue
43%
Stomatitis
40%
Arthralgia
40%
Proteinuria
40%
Nausea
37%
Decreased appetite
33%
Headache
33%
Asthenia
33%
Dysphonia
30%
Myalgia
30%
Palmar-plantar erythrodysaesthesia syndrome
30%
Abdominal pain upper
30%
Vomiting
27%
Cough
27%
Abdominal pain
27%
Dizziness
23%
Pain in extremity
20%
Alopecia
20%
Back pain
20%
Rash
20%
Dysgeusia
20%
Nasopharyngitis
17%
Constipation
17%
Muscle spasms
17%
Dyspnoea
17%
Epistaxis
17%
Platelet count decreased
17%
Pyrexia
13%
Hypotension
13%
Oropharyngeal pain
13%
Musculoskeletal pain
10%
Anaemia
10%
Paraesthesia
10%
Flank pain
10%
Dyspepsia
10%
Dysphagia
10%
Sinusitis
10%
Oedema peripheral
10%
Pelvic pain
10%
Urinary tract infection
10%
Hypocalcaemia
10%
Musculoskeletal chest pain
10%
Haemoptysis
10%
Depression
10%
Upper respiratory tract infection
10%
Insomnia
7%
Skin fissures
7%
Vitamin D deficiency
7%
Ejection fraction decreased
7%
Pneumonia
7%
Hypomagnesaemia
7%
Joint swelling
7%
Bronchitis
7%
Blood cholesterol increased
7%
Dyspnoea exertional
7%
Hyperhidrosis
7%
Toothache
7%
Hyperaesthesia
7%
Sciatica
7%
Gastrooesophageal reflux disease
7%
Lung infection
7%
Dermatitis acneiform
7%
Hypothyroidism
7%
Alanine aminotransferase increased
7%
Dry skin
7%
Flatulence
7%
Productive cough
7%
Non-cardiac chest pain
7%
Abdominal distension
7%
Gingival pain
7%
Gastrointestinal infection
7%
Pain
7%
Lipase increased
3%
Electrocardiogram T wave inversion
3%
Blood calcium increased
3%
Hypoalbuminaemia
3%
Dementia
3%
Varicose vein
3%
Thermal burn
3%
Blood creatinine increased
3%
Electrocardiogram QT prolonged
3%
Post procedural haemorrhage
3%
Pathological fracture
3%
Syncope
3%
Cerebrovascular accident
3%
Phlebitis infective
3%
Haemorrhoids
3%
Cholecystitis acute
3%
Gastroenteritis
3%
Delirium
3%
General physical health deterioration
3%
Dry mouth
3%
Hyponatraemia
3%
Dehydration
3%
Coronary artery occlusion
3%
Lymph gland infection
3%
Metastatic pain
3%
Transient ischaemic attack
3%
Hydrocholecystis
3%
Vasculitis
3%
Hyperglycaemia
3%
Neck pain
3%
Thrombocytopenia
3%
Malaise
100%
80%
60%
40%
20%
0%
Study treatment Arm
OOL, Treatment Period: Lenvatinib 20 mg
Randomization Phase: Lenvatinib 24 mg
Randomization Phase: Placebo
OOL, Treatment Period: Lenvatinib 24 mg

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (Lenvatinib)Experimental Treatment2 Interventions
Patients receive lenvatinib PO QD. Treatment repeats every 28 days in the absence of disease progression, unacceptable toxicity, or patient withdrawal from the protocol therapy
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Lenvatinib
2005
Completed Phase 4
~2690

Find a Location

Who is running the clinical trial?

Emory UniversityLead Sponsor
1,642 Previous Clinical Trials
2,563,883 Total Patients Enrolled
4 Trials studying Liver Cancer
468 Patients Enrolled for Liver Cancer
National Cancer Institute (NCI)NIH
13,692 Previous Clinical Trials
40,929,857 Total Patients Enrolled
105 Trials studying Liver Cancer
26,811 Patients Enrolled for Liver Cancer
Eisai Co., Ltd.Industry Sponsor
178 Previous Clinical Trials
660,306 Total Patients Enrolled

Media Library

Lenvatinib (Tyrosine Kinase Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT05103904 — Phase 2
Liver Cancer Research Study Groups: Treatment (Lenvatinib)
Liver Cancer Clinical Trial 2023: Lenvatinib Highlights & Side Effects. Trial Name: NCT05103904 — Phase 2
Lenvatinib (Tyrosine Kinase Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05103904 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Could you please summarize any prior research projects involving Lenvatinib?

"The first clinical trial studying lenvatinib took place in 2016 at Call for Information (Investigational Site 0002). Subsequently, there have been 624 completed studies. Currently, 148 active trials are underway with a considerable amount of these located near Atlanta, Georgia."

Answered by AI

Are there any opportunities for participation in this research endeavor?

"The clinical trial is actively accepting participants, as indicated on the official webpage. This research was initially published in April 19th 2022 and its information has been recently updated in June 16th of the same year."

Answered by AI

What possible risks are associated with Lenvatinib usage?

"Lenvatinib's safety has been assessed, with a score of 2. This is due to the drug being in Phase 2 trials, where there are data regarding its safeguard but no reports verifying its efficacy yet."

Answered by AI

Is this trial the inaugural endeavor of its type?

"Since its first clinical trial in 2016 sponsored by Merck Sharp & Dohme Corp., Lenvatinib has seen massive development. After Phase 1 approval, the drug is now a part of 148 live trials spanning 1017 cities and 53 countries worldwide."

Answered by AI

How many participants have signed up for this investigation?

"Affirmative. According to information hosted on clinicaltrials.gov, this study is recruiting as of now. It was first posted on April 19th 2022 and last modified on June 16th 2022; researchers are searching for 19 volunteers distributed between 2 medical sites."

Answered by AI
~3 spots leftby Nov 2024