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Trial ยท NCT02702388

A Trial of Lenvatinib (E7080) in Subjects With Iodine-131 Refractory Differentiated Thyroid Cancer to Evaluate Whether an Oral Starting Dose of 18 Milligram (mg) Daily Will Provide Comparable Efficacy to a 24 mg Starting Dose, But Have a Better Safety Profile

NCT02702388, Phase 2, Completed, Eisai Inc.; results first posted 2021-01-11

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Trial of Lenvatinib (E7080) in Subjects With Iodine-131 Refractory Differentiated Thyroid Cancer to Evaluate Whether an Oral Starting Dose of 18 Milligram (mg) Daily Will Provide Comparable Efficacy to a 24 mg Starting Dose, But Have a Better Safety Profile. Trials, record NCT02702388. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02702388

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Trial

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

Title
A Trial of Lenvatinib (E7080) in Subjects With Iodine-131 Refractory Differentiated Thyroid Cancer to Evaluate Whether an Oral Starting Dose of 18 Milligram (mg) Daily Will Provide Comparable Efficacy to a 24 mg Starting Dose, But Have a Better Safety Profile
NCT number
NCT02702388
Status
Completed
Phases
Phase 2
Enrollment
241 participants, actual
Lead sponsor
Eisai Inc.
Conditions
Thyroid Cancer
Interventions
Lenvatinib, Lenvatinib matching placebo
First posted
2016-03-08
Last updated
2021-11-24
Other registries' IDs
eudract:2014-005199-27
Results first posted
2021-01-11

Source ClinicalTrials.gov

Registered outcomes33

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

ListOutcomeTime frameDescription
PrimaryObjective Response Rate (ORR) as of Week 24 (ORR24wk)From the date of randomization up to Week 24
ORR as of Week 24 was defined as the percentage of participants with best overall response (BOR) of complete response (CR) or partial response (PR) as of the Week 24 time point or earlier, as measured by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1). CR: was disappearance of all target lesions. Any pathological lymph nodes (target or non-target) had to be reduced in short axis to less than (\<) 10 millimeter (mm). PR: was at least a 30 percent (%) decrease in sum of diameter (SOD) of target lesions, taking as reference the baseline SOD.
PrimaryPercentage of Participants With Grade 3 or Higher Treatment-emergent Adverse Events (TEAEs) in the First 24 WeeksBaseline up to Week 24
This outcome measure reports TEAEs in the first 24 weeks only. A TEAE was defined as any adverse event (AE) that had an onset date on or after the first dose of study drug up to 28 days following the last dose of study drug, or a worsening in severity from Baseline (pretreatment). In addition, if an AE reemerged during treatment, having been present at pretreatment (Baseline) but stopped before treatment, it was also counted as a TEAE. A severity grade was defined by the Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03. As per CTCAE, Grade 1 scales as Mild; Grade 2 scales as Moderate; Grade 3 scales as severe or medically significant but not immediately life threatening; Grade 4 scales as life-threatening consequences; and Grade 5 scales as death related to AE.
SecondaryProgression-free Survival (PFS)Time from the date of randomization to the date of first documentation of PD, or date of death, whichever occurs first up to approximately 2 years 6 months
PFS, defined as the time from the date of randomization to the date of first documentation of PD, or date of death, whichever occurs first, as measured by RECIST V1.1. PD: 20% increase in the sum of the pertinent diameters (SOD) of target lesions, taking as reference the smallest sum SOD recorded since the treatment started or the appearance of one or more new lesions. PFS was analyzed using the Kaplan-Meier method. As planned, data for this endpoint was analyzed and collected till Primary completion date.
SecondaryPFS After Next Line of Treatment (PFS2)Time from randomization to PD on next-line treatment or death from any cause, whichever occurs first up to approximately 2 years 6 months
PFS2, defined as the time from randomization to PD on next-line treatment, or death from any cause, whichever occurred first, as measured by RECIST V1.1. PD: 20% increase in the SOD of target lesions, taking as reference the smallest sum SOD recorded since the treatment started or the appearance of one or more new lesions. PFS was analyzed using the Kaplan-Meier method. As planned, data for this endpoint was analyzed and collected till Primary completion date.
SecondaryNumber of Participants With TEAE and Serious Adverse Events (SAEs)From date of first administration of study drug up to 28 days after last dose of study drug up to approximately 3 years 3 months
TEAEs were defined as those AEs that occurred (or worsened, if present at Baseline) after the first dose of study drug through 28 days after the last dose of study drug. An AE was defined as any untoward medical occurrence in a participants or clinical investigation participant administered an investigational product. An AE does not necessarily have a causal relationship with medicinal product. SAE was defined as any AE if it resulted in death or life-threatening AE or required inpatient hospitalization or prolongation of existing hospitalization or resulted in persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions or was a congenital anomaly/birth defect.
SecondaryTime to Treatment Discontinuation Due to an Adverse Event (AE)From date of first administration of study drug up to approximately 2 years 6 months
Time to Treatment Discontinuation due to an AE (such as abdominal distention, appendicitis perforated, arthralgia, anemia, etc) was analyzed using the Kaplan-Meier method. As planned, data for this endpoint was analyzed and collected till Primary completion date.
SecondaryNumber of Dose ReductionsFrom date of first administration of study drug up to approximately 2 years 6 months
Number of dose reduction was reported as number of participants who underwent one or more number of dose reductions. As planned, data for this endpoint was analyzed and collected till Primary completion date.
SecondaryTime to First Dose ReductionFrom date of first administration of study drug up to approximately 2 years 6 monthsTime to First Dose Reduction was analyzed using the Kaplan-Meier method. As planned, data for this endpoint was analyzed and collected till Primary completion date.
SecondaryModel Predicted Apparent Total Clearance (CL/F) Following Oral Dosing of Lenvatinib
Cycle 1 Day 1: 0.5-4 hours and 6-10 hours postdose; Cycle 1 Day 8: predose, Cycle 1 Day 15: predose, 0.5-4 hours and 6-10 hours postdose; Cycle 1 Day 22: optionally at predose; Cycle 2 Day 1: predose and 2-12 hours postdose (Cycle length=28 days)
Sparse pharmacokinetic (PK) samples (approximately 9 per participant) were collected and analyzed using a population PK approach to estimate PK parameters. Lenvatinib total plasma concentration data were pooled with data from studies E7080-G000-303 (NCT01321554) and E7080-G000-201 (NCT00784303), and a population PK model was applied to the pooled dataset. Individual predicted CL/F for lenvatinib was then derived from the PK model by starting dose.
SecondaryModel Predicted Area Under the Plasma Drug Concentration-time Curve (AUC) for Lenvatinib
Cycle 1 Day 1: 0.5-4 hours and 6-10 hours postdose; Cycle 1 Day 8: predose, Cycle 1 Day 15: predose, 0.5-4 hours and 6-10 hours postdose; Cycle 1 Day 22: optionally at predose; Cycle 2 Day 1: predose and 2-12 hours postdose (Cycle length=28 days)
Sparse PK samples (approximately 9 per participant) were collected and analyzed using a population PK approach to estimate PK parameters. Lenvatinib total plasma concentration data were pooled with data from studies E7080-G000-303 (NCT01321554) and E7080-G000-201 (NCT00784303), and a population PK model was applied to the pooled dataset. Individual predicted AUC for lenvatinib was then derived from the PK model by starting dose.

Outcomes33

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYObjective Response Rate (ORR) as of Week 24 (ORR24wk)From the date of randomization up to Week 24FAS included all participants randomly assigned to treatment.percentage of participantsNUMBER
PRIMARYPercentage of Participants With Grade 3 or Higher Treatment-emergent Adverse Events (TEAEs) in the First 24 WeeksBaseline up to Week 24Safety analysis set included all participants randomly assigned to treatment and who received at least 1 dose of study drug.percentage of participantsNUMBER
SECONDARYProgression-free Survival (PFS)Time from the date of randomization to the date of first documentation of PD, or date of death, whichever occurs first up to approximately 2 years 6 monthsFAS included all participants randomly assigned to treatment.monthsMEDIAN
SECONDARYPFS After Next Line of Treatment (PFS2)Time from randomization to PD on next-line treatment or death from any cause, whichever occurs first up to approximately 2 years 6 monthsFAS included all participants randomly assigned to treatment.monthsMEDIAN
SECONDARYNumber of Participants With TEAE and Serious Adverse Events (SAEs)From date of first administration of study drug up to 28 days after last dose of study drug up to approximately 3 years 3 monthsSafety analysis set included all participants randomly assigned to treatment and who received at least 1 dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to Treatment Discontinuation Due to an Adverse Event (AE)From date of first administration of study drug up to approximately 2 years 6 monthsSafety analysis set included all participants randomly assigned to treatment and who received at least 1 dose of study drug.weeksMEDIAN
SECONDARYNumber of Dose ReductionsFrom date of first administration of study drug up to approximately 2 years 6 months
Safety analysis set included all participants randomly assigned to treatment and who received at least 1 dose of study drug. Here overall number of participants analyzed signifies participants who were evaluable for this outcome measure.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to First Dose ReductionFrom date of first administration of study drug up to approximately 2 years 6 monthsSafety analysis set included all participants randomly assigned to treatment and who received at least 1 dose of study drug.weeksMEDIAN
SECONDARYModel Predicted Apparent Total Clearance (CL/F) Following Oral Dosing of Lenvatinib
Cycle 1 Day 1: 0.5-4 hours and 6-10 hours postdose; Cycle 1 Day 8: predose, Cycle 1 Day 15: predose, 0.5-4 hours and 6-10 hours postdose; Cycle 1 Day 22: optionally at predose; Cycle 2 Day 1: predose and 2-12 hours postdose (Cycle length=28 days)
PK Analysis Set included all participants who received at least one dose of study drug and who had evaluable lenvatinib plasma concentration data. Population for Lenvatinib 24 mg arm for this outcome measure included participants from study E7080-G000-303 (NCT01321554), E7080-G000-201 (NCT00784303) and from this current study E7080-G000-211. Here overall number of participants analyzed signifies participants who were evaluable for this outcome measure.
liter per hour (L/h)MEAN
SECONDARYModel Predicted Area Under the Plasma Drug Concentration-time Curve (AUC) for Lenvatinib
Cycle 1 Day 1: 0.5-4 hours and 6-10 hours postdose; Cycle 1 Day 8: predose, Cycle 1 Day 15: predose, 0.5-4 hours and 6-10 hours postdose; Cycle 1 Day 22: optionally at predose; Cycle 2 Day 1: predose and 2-12 hours postdose (Cycle length=28 days)
PK Analysis Set included all participants who received at least one dose of study drug and who had evaluable lenvatinib plasma concentration data. Population for Lenvatinib 24 mg arm for this outcome measure included participants from study E7080-G000-303 (NCT01321554), E7080-G000-201 (NCT00784303) and from this current study E7080-G000-211. Here overall number of participants analyzed signifies participants who were evaluable for this outcome measure.
nanogram*hour per milliliter (ng*h/mL)MEAN

Results by group196

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

OutcomeGroupCategoryValueSpreadUnits
Objective Response Rate (ORR) as of Week 24 (ORR24wk)Lenvatinib 24 mg57.395% Confidence Interval 46.1 to 68.5percentage of participants
Objective Response Rate (ORR) as of Week 24 (ORR24wk)Lenvatinib 18 mg40.395% Confidence Interval 29.3 to 51.2percentage of participants
Percentage of Participants With Grade 3 or Higher Treatment-emergent Adverse Events (TEAEs) in the First 24 WeeksLenvatinib 24 mg61.3percentage of participants
Percentage of Participants With Grade 3 or Higher Treatment-emergent Adverse Events (TEAEs) in the First 24 WeeksLenvatinib 18 mg57.1percentage of participants
Progression-free Survival (PFS)Lenvatinib 24 mgNA95% Confidence Interval 22.1 to NAmonths
Progression-free Survival (PFS)Lenvatinib 18 mg24.495% Confidence Interval 14.7 to NAmonths
PFS After Next Line of Treatment (PFS2)Lenvatinib 24 mgNA95% Confidence Interval NA to NAmonths
PFS After Next Line of Treatment (PFS2)Lenvatinib 18 mgNA95% Confidence Interval 22.1 to NAmonths
Number of Participants With TEAE and Serious Adverse Events (SAEs)Lenvatinib 24 mgTEAE75Participants
Number of Participants With TEAE and Serious Adverse Events (SAEs)Lenvatinib 18 mgTEAE76Participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDLenvatinib 24 mg75
Overall StudySTARTEDLenvatinib 18 mg77
Overall StudyCOMPLETEDLenvatinib 24 mg35
Overall StudyCOMPLETEDLenvatinib 18 mg26
Overall StudyNOT COMPLETEDLenvatinib 24 mg40
Overall StudyNOT COMPLETEDLenvatinib 18 mg51

Adverse events1,082

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersLenvatinib 24 mg5755
otherAnaemiaBlood and lymphatic system disordersLenvatinib 18 mg87713
otherIncreased tendency to bruiseBlood and lymphatic system disordersLenvatinib 24 mg1751
otherIncreased tendency to bruiseBlood and lymphatic system disordersLenvatinib 18 mg1771
otherLeukocytosisBlood and lymphatic system disordersLenvatinib 24 mg1752
otherLeukocytosisBlood and lymphatic system disordersLenvatinib 18 mg0770
otherLeukopeniaBlood and lymphatic system disordersLenvatinib 24 mg2753
otherLeukopeniaBlood and lymphatic system disordersLenvatinib 18 mg3778
otherLymphopeniaBlood and lymphatic system disordersLenvatinib 24 mg0750
otherLymphopeniaBlood and lymphatic system disordersLenvatinib 18 mg47712

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityLenvatinib 24 mg1175
Total, all-cause mortalityLenvatinib 18 mg1977
Total, other adverse eventsLenvatinib 24 mg7575
Total, other adverse eventsLenvatinib 18 mg7677
Total, serious adverse eventsLenvatinib 24 mg2675
Total, serious adverse eventsLenvatinib 18 mg3577

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
34664662DERIVEDPubMed
36464853DERIVEDPubMed

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 24 mg vs Lenvatinib 18 mg: deaths from any causeTrial comparisons
Lenvatinib 24 mg vs Lenvatinib 18 mg: 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.

For software

Read this trial from software.

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

GET https://conductscience.org/api/trials/v1/NCT02702388

GET https://conductscience.org/api/trials/v1/NCT02702388/registered?page=2