A Study of Lenvatinib (MK-7902) in Pediatric Participants With Relapsed or Refractory Solid Malignancies (MK-7902-013/E7080)

Completed · Phase 2

Conditions studied: Relapsed or Refractory Solid Tumors

In brief

The main purpose of this study is to evaluate the antitumor activity and safety of lenvatinib (MK-7902/E7080) in children, adolescents, and young adults with relapsed or refractory solid malignancies after administration. Participants were enrolled into Ewing sarcoma (EWS), rhabdomyosarcoma (RMS), high-grade glioma (HGG), diffuse midline glioma, medulloblastoma, ependymoma, and Other Solid Tumors Excluding Osteosarcoma, diffuse midline glioma, medulloblastoma, and ependymoma cohorts.

Key facts

Study ID

NCT04447755

Run by

Merck Sharp & Dohme LLC

People needed

127

Starts

2020-07-30

Expected to finish

2025-02-13

Last updated by the study team

2025-10-03

Who can join

Age: 2 and older, up to 21. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Has histologically or cytologically documented relapsed, or refractory pediatric solid malignancy excluding osteosarcoma
• Has measurable disease as defined by Response Evaluation Criteria In Solid Tumors version 1.1 (RECIST 1.1) or Response Assessment in Neuro-Oncology (RANO) for High Grade Glioma (HGG)
• Has a performance status defined as follows: 1) Lansky Play Score ≥50 for participants up to and including 16 years of age 2) Karnofsky performance status (KPS) ≥50 for participants >16 years of age 3) Neurologic deficits in participants with primary central nervous system (CNS) tumors must have been stable for at least 7 days prior to study enrollment
• Demonstrate adequate organ function
• No clinical evidence of nephrotic syndrome.
• Has adequate blood pressure (BP) control with or without antihypertensive medications
• Has adequate cardiac function
• Has adequate neurologic function
• Participant must have fully recovered to Common Terminology Criteria for Adverse Events, Version 5.0 (CTCAE v5.0) Grade ≤1 (except for alopecia, ototoxicity, and Grade ≤2 peripheral neuropathy) from the acute toxic effects of all prior anticancer therapy
• Male participants must agree to use approved contraception during the treatment period and for at least 7 days after the last dose of study intervention and refrain from donating sperm during this period
• Female participants are not pregnant and not breastfeeding, and are not a woman of childbearing potential (WOCBP) or are a WOCBP who agrees to follow contraceptive guidance during the treatment period and for at least 30 days after the last dose of study intervention

You may not qualify if…

• Has had major surgery within 3 weeks prior to Cycle 1 Day 1 (C1D1)
• Has gastrointestinal (GI) bleeding or active hemoptysis (bright red blood of at least half teaspoon) within 21 days prior to enrollment
• Has CNS tumors with a history of symptomatic tumor hemorrhage
• Has evidence of new intracranial hemorrhage of more than punctate size on MRI assessment obtained within 28 days prior to study enrollment
• Has radiographic evidence of encasement or invasion of a major blood vessel or of intratumoral cavitation
• Has evidence of untreated CNS metastases (exception: participants with primary CNS tumors and leptomeningeal disease.
• Has GI malabsorption, GI anastomosis, or any other condition that in the opinion of the investigator might affect the absorption of lenvatinib
• Has preexisting ≥Grade 3 GI or non-GI fistula
• Has any active infection requiring systemic therapy
• Known to be Human immunodeficiency virus (HIV) positive
• Known active viral hepatitis (B or C) as demonstrated by positive serology. Testing for hepatitis B or hepatitis C is required at screening only when mandated by local health authority
• Is currently participating and receiving study therapy, or has participated in a study of an investigational agent and received study therapy or used an investigational device within 4 weeks of the date of allocation
• Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the participant's participation for the full duration of the study, or is not in the best interest of the participant to participate, in the opinion of the treating investigator
• Has known hypersensitivity to any component of the investigational product (lenvatinib or ingredients)
• Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the stud
• Has clinically significant cardiovascular disease within 6 months from first dose of study intervention, including New York Heart Association Class III or IV congestive heart failure, unstable angina, myocardial infarction, cerebral vascular accident, or cardiac arrhythmia associated with hemodynamic instability
• Has non-healing wound, tumor ulceration, unhealed or incompletely healed fracture, or a compound (open) bone fracture at the time of enrollment

Where it is running

• Children's Hospital of Colorado ( Site 0110) — Aurora, Colorado, United States
• Cleveland Clinic ( Site 0119) — Cleveland, Ohio, United States
• Monroe Carell Jr. Children's Hospital at Vanderbilt ( Site 0102) — Nashville, Tennessee, United States
• Mary Crowley Cancer Research Center ( Site 0107) — Dallas, Texas, United States
• Hospital Universitario Austral ( Site 0126) — Pilar, Buenos Aires, Argentina
• Hospital de Niños Ricardo Gutiérrez ( Site 0125) — Buenos Aires, Buenos Aires F.D., Argentina
• Sydney Children's Hospital ( Site 0801) — Randwick, New South Wales, Australia
• Queensland Children s Hospital ( Site 0804) — Brisbane, Queensland, Australia
• Royal Childrens Hospital Melbourne ( Site 0802) — Parkville, Victoria, Australia
• Perth Children s Hospital ( Site 0803) — Nedlands, Western Australia, Australia
• UZ Gent ( Site 0250) — Ghent, Oost-Vlaanderen, Belgium
• Klinicki bolnicki centar Rijeka ( Site 0726) — Rijeka, Primorje-Gorski Kotar County, Croatia
• Klinika za djecje bolesti Zagreb ( Site 0725) — Zagreb, Zagreb County, Croatia
• Fakultni Nemocnice Brno Bohunice ( Site 0651) — Brno, Brno-mesto, Czechia
• Fakultni nemocnice v Motole ( Site 0650) — Prague, Czechia
• Centre Leon-Berard ( Site 0326) — Lyon, Auvergne, France
• Hopital La Timone ( Site 0328) — Marseille, Bouches-du-Rhone, France
• Gustave Roussy ( Site 0327) — Villejuif, Val-de-Marne, France
• Institut Curie ( Site 0325) — Paris, France
• Unidad Nacional de Oncologia Pediatrica ( Site 0176) — Guatemala City, Guatemala
• Medi-K Cayala ( Site 0177) — Guatemala City, Guatemala
• Borsod-Abauj-Zemplen Megyei Korhaz es Egyetemi OktatoKorhaz ( Site 0678) — Miskolc, Borsod-Abauj Zemplen county, Hungary
• Semmelweis University ( Site 0675) — Budapest, Hungary
• Debreceni Egyetem Klinikai Kozpont ( Site 0677) — Debrecen, Hungary
• Chaim Sheba Medical Center ( Site 0500) — Ramat Gan, Israel

Full record on ClinicalTrials.gov

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