Phase II Study Results – E7080 Has Objective Response Rate Of 59% In Radioiodine (RAI)-Refractory Differentiated Thyroid Cancer
Preliminary results of a Phase II study to be presented at the American Society of Clinical Oncology (ASCO) Annual Meeting showed that Eisai’s E7080 (lenvatinib [USAN]) demonstrated an Objective Response Rate (ORR) of 59% (34/58, 95% CI:45 – 71),[2] based on an updated investigator assessment, in patients with advanced radioiodine (RAI)-refractory differentiated thyroid cancer (DTC).[1] These results will be presented during an ASCO oral session on June 6, 2011.
“These findings are significant because there are very limited treatment options for this difficult-to-treat, life-threatening form of thyroid cancer,” said Steven Sherman, M.D, study investigator and Distinguished Professor of Endocrinology, Department of Endocrine Neoplasia and Hormonal Disorders at the University of Texas MD Anderson Cancer Center in Houston. “These results indicate that E7080 should be further evaluated in a definitive Phase III trial.”
Although the prognosis for thyroid cancer is generally quite good, for those patients with RAI-refractory, recurrent, or metastatic disease the outcome is poor, and death from thyroid cancer within three years under these circumstances is common.[3],[4]
Notes
About the Study
The open-label, global, single-arm study, “A Phase II Trial of the Multi-Targeted Kinase Inhibitor E7080 in Advanced Radioiodine (RAI)-refractory differentiated thyroid cancer (DTC),” involved 58 patients with advanced RAI refractory DTC (papillary, follicular or Hurthle Cell) whose disease had progressed during the prior 12 months.[1] (Disease progression was measured using Response Evaluation in Solid Tumors (RECIST) criteria.) The starting dose of E7080 was 24 mg once daily in 28 day cycles until disease progression or development of unmanageable toxicities.[1]
All enrolled patients reported at least one treatment related adverse event. The most frequently reported treatment related adverse events were: hypertension 74% (Gr: 3: 10%), proteinuria 60% (Gr: 3: 10%), decreased weight 57% (Gr: 3: 7%), diarrhoea 55% (Gr: 3: 10%) and fatigue 53% (Gr: 3: 7%).[2] Toxicities were managed with dose reduction in 35% of patients and 23% were ultimately withdrawn from therapy due to toxicity.[1]
About E7080
E7080 is an investigational small molecule vascular endothelial growth factor receptor (VEGFR) multi target tyrosine kinase inhibitor being studied by Eisai as an oral agent in a wide array of tumour types. E7080 works by targeting a number of receptors including VEGFR 1-3, fibroblast growth factor receptors 1-4 (FGFR 1-4), RET, KIT and platelet-derived growth factor receptor-beta (PDGFRbeta).
About Thyroid Cancer
Thyroid cancer refers to cancer that forms in the tissues of the thyroid gland, located at the base of the throat near the trachea.[5] It usually occurs between the ages of 25 and 65[6] and affects more women than men. In 2008, 24,695 women and 8,254 men were diagnosed with thyroid cancer in Europe.[7]
The most common types of thyroid cancer, papillary and follicular (including Hurthle cell), are classified as differentiated thyroid cancer (DTC) and account for 95 percent of all cases.[8] Although the prognosis for thyroid cancer is generally quite good, for those patients with RAI-refractory, recurrent, or metastatic disease the outcome is poor, and death from thyroid cancer within three years under these circumstances is common.[3],[4]
About Eisai and Women’s Oncology
Eisai is dedicated to discovering, developing and producing innovative oncology therapies that can help make a difference and impact the lives of women with cancer. Our unique oncology pipeline focuses heavily on breast cancer, ovarian cancer, thyroid cancer and endometrial carcinoma demonstrating our commitment to this area. This passion for people is part of Eisai’s human health care (hhc) mission, which strives for better understanding of the needs of patients and their families to increase the benefits health care provides.
References
[1] Sherman, S I. A phase II trial of the multitargeted kinase inhibitor E7080 in advanced radioiodine (RAI)-refractory differentiated thyroid cancer (DTC). Oral presentation at ASCO 2011. Monday 6 June. Abstract #5503.
[2] Eisai Data on File. Sherman, S.I et al ASCO presentation. Abstract #5503
[3] Pittas AG, Adler M, Fazzari M, et al: Bone metastases from thyroid carcinoma: Clinical characteristics and prognostic variables in one hundred forty-six patients. Thyroid 10:261-268, 2000
[4] Wang W, Larson SM, Fazzari M, et al: Prognostic value of [18F] fluorodeoxyglucose positron emission tomographic scanning in patients with thyroid cancer.J Clin Endocrinol Metab 85:1107-1113, 2000
[5] See here, paragraph 1. Accessed 5/9/11
[6] See here, paragraph 7. Accessed 5/9/11
[7] European Cancer Observatory. Country: European Union (27). Cancer Factsheet (2008):
Last accessed May 2011: see here.
[8] See here paragraph 1,2. Accessed 5/9/11
Source:
Eisai Europe Ltd /p>