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Trial ยท NCT01761266

A Multicenter, Open-Label, Phase 3 Trial to Compare the Efficacy and Safety of Lenvatinib (E7080) Versus Sorafenib in First-line Treatment of Participants With Unresectable Hepatocellular Carcinoma

NCT01761266, Phase 3, Completed, Eisai Limited; results first posted 2018-09-25

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Multicenter, Open-Label, Phase 3 Trial to Compare the Efficacy and Safety of Lenvatinib (E7080) Versus Sorafenib in First-line Treatment of Participants With Unresectable Hepatocellular Carcinoma. Trials, record NCT01761266. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01761266

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Multicenter, Open-Label, Phase 3 Trial to Compare the Efficacy and Safety of Lenvatinib (E7080) Versus Sorafenib in First-line Treatment of Participants With Unresectable Hepatocellular Carcinoma
NCT number
NCT01761266
Status
Completed
Phases
Phase 3
Enrollment
954 participants, actual
Lead sponsor
Eisai Limited
Conditions
Hepatocellular Carcinoma (HCC)
Interventions
Lenvatinib, Sorafenib
First posted
2013-01-04
Last updated
2022-04-05
Other registries' IDs
eudract:2012-002992-33
Results first posted
2018-09-25

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOverall Survival (OS)From date of randomization until date of death from any cause (approximately up to 3.8 years)
OS was defined as the duration from the date of randomization until the date of death from any cause. Participants who were lost to follow-up were censored at the last date the participant was known to be alive, and participants who remained alive were censored at the time of data cutoff.
SecondaryProgression Free Survival (PFS)From the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (approximately up to 3.8 years)
PFS was defined as the time from the date of randomization to the date of first documentation of disease progression based on modified Response Evaluation Criteria in Solid Tumors (mRECIST), or date of death, whichever occurred first. Disease progression was defined as at least a 20 percent (%) increase in the sum of diameters of target lesions, taking as reference the baseline sum of diameters of target lesions. As planned, data for this secondary endpoint was collected and analyzed up to the primary completion date.
SecondaryTime to Progression (TTP)The time from the date of randomization to the date of first documentation of disease progression (approximately up to 3.8 years)
TTP was defined as the time from the date of randomization to the date of first documentation of disease progression based on mRECIST. Disease progression was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the baseline sum of diameters of target lesions. As planned, data for this secondary endpoint was collected and analyzed up to the primary completion date.
SecondaryObjective Response Rate (ORR)From the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (approximately up to 3.8 years)
ORR was defined as the percentage of participants with a best overall response of complete response (CR) or partial response (PR) based on mRECIST. CR was defined as disappearance of any intratumoral arterial enhancement in all target lesions. PR was defined as at least a 30% decrease in the sum of diameters of viable (enhancement of arterial phase) target lesions taking as reference to the baseline sum of the diameters of target lesions. As planned, data for this secondary endpoint was collected and analyzed up to the primary completion date.
Secondary
Time to Clinically Meaningful Worsening of Health Related Quality of Life (HRQoL) Assessed Using European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)
Baseline up to Off-Treatment Visit (approximately up to 3.8 years)
The EORTC QLQ-C30 included 30 questions comprising 9 multi-item scales: 5 functional scales (physical, role, cognitive, emotional, and social) and 9 symptom scales (fatigue, pain, nausea/vomiting, dyspnoea, appetite loss, insomnia, constipation, diarrhea and financial difficulties) and a single global health and QOL status score. Most questions used a 4-point scale (1=Not at all to 4=Very much); 2 questions used a 7-point scale (1= Very poor to 7=Excellent). All domain scores were calculated as an average of item scores and transformed to 0 to 100 score range. A high score for a functional scale represents a high/healthy level of functioning, a high score for the global health status/quality of life (QoL) represents a high QoL, but a high score for a symptom scale/item represents a high level of symptomatology/problem. As planned, data for this secondary endpoint was collected and analyzed up to the primary completion date.
SecondaryTime to Clinically Meaningful Worsening of HRQoL Assessed Using - EORTC QLQ- Hepatocellular Carcinoma Domain (HCC 18)Baseline up to Off-Treatment Visit (approximately up to 3.8 years)
The EORTC QLQ-HCC-18 was an 18-item questionnaire design used along with the 30-item EORTC QLQ-C30. EORTC QLQ-HCC 18 questionnaire included 8 symptom scales such as fatigue, jaundice, body image, nutrition, pain, fever, sex life and abdominal swelling. Each individual item ranges from 1 to 4, where 1 = "not at all" and 4 = "very much." All domain scores were calculated as an average of item scores and transformed to 0 to 100 score range. A high score for a functional scale represented a high/healthy level of functioning, a high score for the global health status/quality of life (QoL) represented a high QoL, but a high score for a symptom scale/item represented a high level of symptomatology/problem. As planned, data for this secondary endpoint was collected and analyzed up to the primary completion date.
SecondaryTime to Clinically Meaningful Worsening of HRQoL Assessed Using EuroQol Five Dimension Health Questionnaire (EQ-5D-3L)Baseline up to Off-Treatment Visit (approximately up to 3.8 years)
The EuroQol five dimension health questionnaire (EQ-5D-3L) assesses quality of life along 5 dimensions. Participants rate 5 aspects of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) by choosing from 3 answering options (1=no problems; 2=some problems; 3=extreme problems). The summed score ranges from 3-15 with "3" corresponding to no problems and "15" corresponding to severe problems in the 5 dimensions. EQ-5D-3L also included an EQ visual analogue scale (VAS) that ranges between 100 (best imaginable health) and 0 (worst imaginable health). Decrease from baseline in EQ-5D-3L signifies improvement. Total index EQ-5D-3L summary score was weighted with a range of -0.594 (worst) to 1.0 (best). EQ-5D-3L also included an EQ health utilities index (HUI) where 1.00 indicated perfect health while a score of 0.00 indicated death. As planned, data for this secondary endpoint was collected and analyzed up to the primary completion date.
SecondaryArea Under the Plasma Drug Concentration-time Curve (AUC) for LenvatinibCycle 1 Day 1, Cycle 2 Day 1: pre-dose, 0.5-4 and 6-10 hours post-dose; Cycle 1 Day 15: pre-dose, 2-12 hours post-dose (cycle length= 28 days)
AUC was assessed on Cycle 1 Day 1, Cycle 2 Day 1 and Cycle 1 Day 15. Summarized data for all time points was reported. As planned, data for this secondary endpoint was collected and analyzed up to the primary completion date.
OtherDisease Control Rate (DCR)From the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (approximately up to 3.8 years)
DCR was defined as the percentage of participants with a best overall response of CR or PR, or stable disease (SD). Best overall response of SD must have been \>=7 weeks after randomization. CR was defined as disappearance of any intratumoral arterial enhancement in all target lesions. PR was defined as at least a 30% decrease in the sum of diameters of viable (enhancement of arterial phase) target lesions taking as reference the baseline sum of the diameters of target lesions. SD was when a case does not qualify for either PR or PD and was new non-target lesions. PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the baseline sum of diameters of target lesions. As planned, data for this pre-specified endpoint was collected and analyzed up to the primary completion date.
OtherClinical Benefit Rate (CBR)From the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (approximately up to 3.8 years)
CBR was defined as the percentage of participants with a best overall response of CR or PR or durable SD (duration of SD \>=23 weeks after randomization). For participants whose best overall response (BOR) was SD, the duration of SD was defined as the time from the date of randomization to the first documented PD or death, whichever occurred first. CR was defined as disappearance of any intratumoral arterial enhancement in all target lesions. PR was defined as at least a 30% decrease in the sum of diameters of viable (enhancement of arterial phase) target lesions taking as reference the baseline sum of the diameters of target lesions. SD was when a case does not qualify for either PR or PD. PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the baseline sum of diameters of target lesions. As planned, data for this pre-specified endpoint was collected and analyzed up to the primary completion date.

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall Survival (OS)From date of randomization until date of death from any cause (approximately up to 3.8 years)The FAS included all participants who were randomized.monthsMEDIAN
SECONDARYProgression Free Survival (PFS)From the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (approximately up to 3.8 years)The FAS included all participants who were randomized.monthsMEDIAN
SECONDARYTime to Progression (TTP)The time from the date of randomization to the date of first documentation of disease progression (approximately up to 3.8 years)The FAS included all participants who were randomized.monthsMEDIAN
SECONDARYObjective Response Rate (ORR)From the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (approximately up to 3.8 years)The FAS included all participants who were randomized.percentage of participantsNUMBER
SECONDARY
Time to Clinically Meaningful Worsening of Health Related Quality of Life (HRQoL) Assessed Using European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)
Baseline up to Off-Treatment Visit (approximately up to 3.8 years)The FAS included all participants who were randomized.monthsMEDIAN
SECONDARYTime to Clinically Meaningful Worsening of HRQoL Assessed Using - EORTC QLQ- Hepatocellular Carcinoma Domain (HCC 18)Baseline up to Off-Treatment Visit (approximately up to 3.8 years)The FAS included all participants who were randomized.monthsMEDIAN
SECONDARYTime to Clinically Meaningful Worsening of HRQoL Assessed Using EuroQol Five Dimension Health Questionnaire (EQ-5D-3L)Baseline up to Off-Treatment Visit (approximately up to 3.8 years)The FAS included all participants who were randomized.monthsMEDIAN
SECONDARYArea Under the Plasma Drug Concentration-time Curve (AUC) for LenvatinibCycle 1 Day 1, Cycle 2 Day 1: pre-dose, 0.5-4 and 6-10 hours post-dose; Cycle 1 Day 15: pre-dose, 2-12 hours post-dose (cycle length= 28 days)The pharmacokinetic (PK) analysis set included all participants who had received at least 1 dose of lenvatinib and had at least 1 quantifiable lenvatinib concentration.nanogram*hour per milliliter (ng*h/mL)MEAN
OTHER_PRE_SPECIFIEDDisease Control Rate (DCR)From the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (approximately up to 3.8 years)The FAS included all participants who were randomized.percentage of participantsNUMBER
OTHER_PRE_SPECIFIEDClinical Benefit Rate (CBR)From the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (approximately up to 3.8 years)The FAS included all participants who were randomized.percentage of participantsNUMBER

Results by group156

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Overall Survival (OS)Lenvatinib13.695% Confidence Interval 12.1months
Overall Survival (OS)Sorafenib12.395% Confidence Interval 10.4months
Progression Free Survival (PFS)Lenvatinib7.495% Confidence Interval 6.9months
Progression Free Survival (PFS)Sorafenib3.795% Confidence Interval 3.6months
Time to Progression (TTP)Lenvatinib8.995% Confidence Interval 7.4months
Time to Progression (TTP)Sorafenib3.795% Confidence Interval 3.6months
Objective Response Rate (ORR)Lenvatinib24.195% Confidence Interval 20.2percentage of participants
Objective Response Rate (ORR)Sorafenib9.295% Confidence Interval 6.6percentage of participants
Time to Clinically Meaningful Worsening of Health Related Quality of Life (HRQoL) Assessed Using European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)
Lenvatinib1.795% Confidence Interval 1.05months
Time to Clinically Meaningful Worsening of Health Related Quality of Life (HRQoL) Assessed Using European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)
Sorafenib1.895% Confidence Interval 1.05months

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDLenvatinib478
Overall StudySTARTEDSorafenib476
Overall StudyTreatedLenvatinib476
Overall StudyTreatedSorafenib475
Overall StudyCOMPLETEDLenvatinib0
Overall StudyCOMPLETEDSorafenib0
Overall StudyNOT COMPLETEDLenvatinib478
Overall StudyNOT COMPLETEDSorafenib476

Adverse events586

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAscitesGastrointestinal disordersLenvatinib6347682
otherAscitesGastrointestinal disordersSorafenib3947554
otherConstipationGastrointestinal disordersLenvatinib7647695
otherConstipationGastrointestinal disordersSorafenib5247562
otherDiarrhoeaGastrointestinal disordersLenvatinib186476406
otherDiarrhoeaGastrointestinal disordersSorafenib223475448
otherDyspepsiaGastrointestinal disordersLenvatinib3147640
otherDyspepsiaGastrointestinal disordersSorafenib1847520
otherNauseaGastrointestinal disordersLenvatinib90476131
otherNauseaGastrointestinal disordersSorafenib7147594

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityLenvatinib415478
Total, all-cause mortalitySorafenib402476
Total, other adverse eventsLenvatinib469476
Total, other adverse eventsSorafenib469475
Total, serious adverse eventsLenvatinib209476
Total, serious adverse eventsSorafenib149475

Papers9

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
29433850DERIVEDPubMed
31249394DERIVEDPubMed
31720835DERIVEDPubMed
32265508DERIVEDPubMed
33948712DERIVEDPubMed
34087115DERIVEDPubMed
36051472DERIVEDPubMed
36341767DERIVEDPubMed
38261521DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Lenvatinib vs Sorafenib: deaths from any causeTrial comparisons
Lenvatinib vs Sorafenib: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

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