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 · Source last updated 2022-04-05
Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.
Measure
MEDIAN
Unit
percent change
Interval / dispersion
Standard Deviation
Time frame
Cycle 1 Day 15, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1, Cycle 6 Day 1, Cycle 7 Day 1, Cycle 8 Day 1, Cycle 9 Day 1 and at the Off-Treatment Visit (approximately up to 3.8 years)
What was measured
The serum biomarkers analysed were angiopoietin-2 (ANG2), fibroblast growth factor 19 (FGF19), fibroblast growth factor 21 (FGF21), fibroblast growth factor 23 (FGF23) and vascular endothelial growth factor (VEGF) as blood serum biomarkers, and protein induced by vitamin K absence or antagonist-II (PIVKA-II) as a blood tumor marker in serum. As planned, data for this pre-specified endpoint was collected and analyzed up to the primary completion date.
Analysis population: The pharmacodynamics (PD) analysis set included all participants who received at least 1 dose of study drug and had evaluable PD data. Here "n" was participants who were evaluable for the outcome measure at given time points.
Groups in this outcome
Lenvatinib
Subjects received lenvatinib capsules 12 milligram (mg) based on the participant's body weight greater than or equal to (\>=) 60 kilogram (kg) or 8 mg based on the subject's body weight less than (\<) 60 kg at baseline, orally, once daily (QD) in continuous 28-day treatment cycles up to documented disease progression, development of unacceptable toxicity, participant request, or withdrawal of consent.
Sorafenib
Participants received sorafenib 400 mg tablets, orally, twice daily (BID) in continuous 28-day treatment cycles up to documented disease progression, development of unacceptable toxicity, participant request, or withdrawal of consent.
Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.
Analysis denominator · Participants
Group
Source count
Lenvatinib
66
Sorafenib
48
Reported measurements
ANG 2: Cycle 1 Day 15
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
-28.1
15.94
15.94
Not reported
Not reported
Sorafenib
8.9
23.96
23.96
Not reported
Not reported
ANG 2: Cycle 2 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
-28.8
16.53
16.53
Not reported
Not reported
Sorafenib
-0.9
24.06
24.06
Not reported
Not reported
ANG 2: Cycle 3 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
-32.2
23.23
23.23
Not reported
Not reported
Sorafenib
0.5
26.62
26.62
Not reported
Not reported
ANG 2: Cycle 4 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
-35.6
22.91
22.91
Not reported
Not reported
Sorafenib
-4.5
20.05
20.05
Not reported
Not reported
ANG 2: Cycle 5 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
-38.9
19.83
19.83
Not reported
Not reported
Sorafenib
7.0
23.25
23.25
Not reported
Not reported
ANG 2: Cycle 6 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
-36.7
23.59
23.59
Not reported
Not reported
Sorafenib
-3.6
24.82
24.82
Not reported
Not reported
ANG 2: Cycle 7 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
-41.4
21.20
21.20
Not reported
Not reported
Sorafenib
1.0
32.83
32.83
Not reported
Not reported
ANG 2: Cycle 8 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
-40.2
25.33
25.33
Not reported
Not reported
Sorafenib
-6.7
31.26
31.26
Not reported
Not reported
ANG 2: Cycle 9 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
-39.6
14.04
14.04
Not reported
Not reported
Sorafenib
-1.1
29.68
29.68
Not reported
Not reported
ANG 2: Off-Treatment
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
11.7
99.13
99.13
Not reported
Not reported
Sorafenib
16.8
27.88
27.88
Not reported
Not reported
FGF19: Cycle 1 Day 15
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
75.0
155.01
155.01
Not reported
Not reported
Sorafenib
1.3
83.65
83.65
Not reported
Not reported
FGF19: Cycle 2 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
66.5
134.26
134.26
Not reported
Not reported
Sorafenib
36.6
119.65
119.65
Not reported
Not reported
FGF19: Cycle 3 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
86.9
123.85
123.85
Not reported
Not reported
Sorafenib
22.8
70.58
70.58
Not reported
Not reported
FGF19: Cycle 4 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
208.1
602.11
602.11
Not reported
Not reported
Sorafenib
46.8
214.14
214.14
Not reported
Not reported
FGF19: Cycle 5 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
152.8
228.37
228.37
Not reported
Not reported
Sorafenib
-1.0
40.36
40.36
Not reported
Not reported
FGF19: Cycle 6 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
119.8
203.81
203.81
Not reported
Not reported
Sorafenib
26.9
67.13
67.13
Not reported
Not reported
FGF19: Cycle 7 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
64.4
101.97
101.97
Not reported
Not reported
Sorafenib
-5.9
57.39
57.39
Not reported
Not reported
FGF19: Cycle 8 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
95.8
135.31
135.31
Not reported
Not reported
Sorafenib
53.9
113.79
113.79
Not reported
Not reported
FGF19: Cycle 9 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
159.3
202.00
202.00
Not reported
Not reported
Sorafenib
56.6
109.46
109.46
Not reported
Not reported
FGF19: Off-Treatment
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
140.1
270.73
270.73
Not reported
Not reported
Sorafenib
9.0
64.17
64.17
Not reported
Not reported
FGF 21: Cycle 1 Day 15
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
22.0
75.22
75.22
Not reported
Not reported
Sorafenib
4.0
43.14
43.14
Not reported
Not reported
FGF 21: Cycle 2 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
15.7
77.44
77.44
Not reported
Not reported
Sorafenib
18.6
57.18
57.18
Not reported
Not reported
FGF 21: Cycle 3 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
38.3
38.3
38.3
Not reported
Not reported
Sorafenib
49.4
76.43
76.43
Not reported
Not reported
FGF 21: Cycle 4 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
42.9
145.43
145.43
Not reported
Not reported
Sorafenib
32.8
70.63
70.63
Not reported
Not reported
FGF 21: Cycle 5 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
41.0
95.97
95.97
Not reported
Not reported
Sorafenib
31.1
43.15
43.15
Not reported
Not reported
FGF 21: Cycle 6 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
52.6
168.22
168.22
Not reported
Not reported
Sorafenib
23.2
40.90
40.90
Not reported
Not reported
FGF 21: Cycle 7 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
63.4
128.34
128.34
Not reported
Not reported
Sorafenib
23.7
53.84
53.84
Not reported
Not reported
FGF 21 : Cycle 8 Day1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
38.3
115.53
115.53
Not reported
Not reported
Sorafenib
17.0
68.51
68.51
Not reported
Not reported
FGF 21: Cycle 9 Day1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
59.1
108.39
108.39
Not reported
Not reported
Sorafenib
68.9
103.55
103.55
Not reported
Not reported
FGF 21: Off-Treatment
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
141.4
340.51
340.51
Not reported
Not reported
Sorafenib
104.9
183.28
183.28
Not reported
Not reported
FGF 23: Cycle 1 Day15
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
23.9
49.01
49.01
Not reported
Not reported
Sorafenib
-16.3
36.14
36.14
Not reported
Not reported
FGF 23: Cycle 2 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
20.9
56.91
56.91
Not reported
Not reported
Sorafenib
-6.2
48.18
48.18
Not reported
Not reported
FGF 23: Cycle 3 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
25.5
45.27
45.27
Not reported
Not reported
Sorafenib
17.3
75.25
75.25
Not reported
Not reported
FGF 23: Cycle 4 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
29.5
48.38
48.38
Not reported
Not reported
Sorafenib
14.2
49.29
49.29
Not reported
Not reported
FGF 23: Cycle 5 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
29.6
63.69
63.69
Not reported
Not reported
Sorafenib
1.0
47.28
47.28
Not reported
Not reported
FGF 23: Cycle 6 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
26.3
54.57
54.57
Not reported
Not reported
Sorafenib
-10.6
46.15
46.15
Not reported
Not reported
FGF 23: Cycle 7 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
31.5
57.44
57.44
Not reported
Not reported
Sorafenib
0.7
46.95
46.95
Not reported
Not reported
FGF 23: Cycle 8 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
38.1
67.35
67.35
Not reported
Not reported
Sorafenib
2.8
43.84
43.84
Not reported
Not reported
FGF 23: Cycle 9 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
23.2
62.58
62.58
Not reported
Not reported
Sorafenib
0.5
38.74
38.74
Not reported
Not reported
FGF 23: Off-Treatment
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
17.8
73.59
73.59
Not reported
Not reported
Sorafenib
14.2
47.11
47.11
Not reported
Not reported
PIVKA-II: Cycle 1 Day 15
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
80.0
171.41
171.41
Not reported
Not reported
Sorafenib
166.9
256.04
256.04
Not reported
Not reported
PIVKA-II: Cycle 2 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
169.7
329.33
329.33
Not reported
Not reported
Sorafenib
243.8
416.82
416.82
Not reported
Not reported
PIVKA-II: Cycle 3 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
252.4
611.40
611.40
Not reported
Not reported
Sorafenib
218.7
281.45
281.45
Not reported
Not reported
PIVKA-II: Cycle 4 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
371.7
812.45
812.45
Not reported
Not reported
Sorafenib
196.2
348.80
348.80
Not reported
Not reported
PIVKA-II: Cycle 5 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
628.2
1752.64
1752.64
Not reported
Not reported
Sorafenib
369.5
766.59
766.59
Not reported
Not reported
PIVKA-II: Cycle 6 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
648.7
2746.41
2746.41
Not reported
Not reported
Sorafenib
415.7
554.27
554.27
Not reported
Not reported
PIVKA-II: Cycle 7 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
184.8
352.75
352.75
Not reported
Not reported
Sorafenib
703.6
1226.58
1226.58
Not reported
Not reported
PIVKA-II: Cycle 8 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
277.8
481.53
481.53
Not reported
Not reported
Sorafenib
724.0
1257.87
1257.87
Not reported
Not reported
PIVKA-II: Cycle 9 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
318.8
577.21
577.21
Not reported
Not reported
Sorafenib
859.1
1492.93
1492.93
Not reported
Not reported
PIVKA-II: Off-Treatment
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
809.3
1827.42
1827.42
Not reported
Not reported
Sorafenib
272.5
489.60
489.60
Not reported
Not reported
VEGF: Cycle 1 Day 15
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
157.5
300.21
300.21
Not reported
Not reported
Sorafenib
97.4
118.43
118.43
Not reported
Not reported
VEGF: Cycle 2 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
128.9
333.85
333.85
Not reported
Not reported
Sorafenib
94.0
180.80
180.80
Not reported
Not reported
VEGF: Cycle 3 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
97.7
162.39
162.39
Not reported
Not reported
Sorafenib
66.0
124.58
124.58
Not reported
Not reported
VEGF: Cycle 4 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
113.4
231.19
231.19
Not reported
Not reported
Sorafenib
76.1
111.20
111.20
Not reported
Not reported
VEGF: Cycle 5 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
132.4
249.59
249.59
Not reported
Not reported
Sorafenib
116.2
215.57
215.57
Not reported
Not reported
VEGF: Cycle 6 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
113.1
219.36
219.36
Not reported
Not reported
Sorafenib
130.9
341.12
341.12
Not reported
Not reported
VEGF: Cycle 7 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
133.1
383.43
383.43
Not reported
Not reported
Sorafenib
96.9
173.77
173.77
Not reported
Not reported
VEGF: Cycle 8 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
148.7
349.58
349.58
Not reported
Not reported
Sorafenib
181.1
399.67
399.67
Not reported
Not reported
VEGF: Cycle 9 Day 1
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
129.6
215.05
215.05
Not reported
Not reported
Sorafenib
135.6
267.61
267.61
Not reported
Not reported
VEGF: Off-Treatment
Values in percent change · Interval/dispersion: Standard Deviation
Group
Value
Spread
Lower
Upper
Comment
Lenvatinib
127.1
266.64
266.64
Not reported
Not reported
Sorafenib
147.8
304.31
304.31
Not reported
Not reported
Complete source fields
classes
categories
measurements
group Id
OG000
lower Limit
15.94
spread
15.94
value
-28.1
group Id
OG001
lower Limit
23.96
spread
23.96
value
8.9
title
ANG 2: Cycle 1 Day 15
categories
measurements
group Id
OG000
lower Limit
16.53
spread
16.53
value
-28.8
group Id
OG001
lower Limit
24.06
spread
24.06
value
-0.9
title
ANG 2: Cycle 2 Day 1
categories
measurements
group Id
OG000
lower Limit
23.23
spread
23.23
value
-32.2
group Id
OG001
lower Limit
26.62
spread
26.62
value
0.5
title
ANG 2: Cycle 3 Day 1
categories
measurements
group Id
OG000
lower Limit
22.91
spread
22.91
value
-35.6
group Id
OG001
lower Limit
20.05
spread
20.05
value
-4.5
title
ANG 2: Cycle 4 Day 1
categories
measurements
group Id
OG000
lower Limit
19.83
spread
19.83
value
-38.9
group Id
OG001
lower Limit
23.25
spread
23.25
value
7.0
title
ANG 2: Cycle 5 Day 1
categories
measurements
group Id
OG000
lower Limit
23.59
spread
23.59
value
-36.7
group Id
OG001
lower Limit
24.82
spread
24.82
value
-3.6
title
ANG 2: Cycle 6 Day 1
categories
measurements
group Id
OG000
lower Limit
21.20
spread
21.20
value
-41.4
group Id
OG001
lower Limit
32.83
spread
32.83
value
1.0
title
ANG 2: Cycle 7 Day 1
categories
measurements
group Id
OG000
lower Limit
25.33
spread
25.33
value
-40.2
group Id
OG001
lower Limit
31.26
spread
31.26
value
-6.7
title
ANG 2: Cycle 8 Day 1
categories
measurements
group Id
OG000
lower Limit
14.04
spread
14.04
value
-39.6
group Id
OG001
lower Limit
29.68
spread
29.68
value
-1.1
title
ANG 2: Cycle 9 Day 1
categories
measurements
group Id
OG000
lower Limit
99.13
spread
99.13
value
11.7
group Id
OG001
lower Limit
27.88
spread
27.88
value
16.8
title
ANG 2: Off-Treatment
categories
measurements
group Id
OG000
lower Limit
155.01
spread
155.01
value
75.0
group Id
OG001
lower Limit
83.65
spread
83.65
value
1.3
title
FGF19: Cycle 1 Day 15
categories
measurements
group Id
OG000
lower Limit
134.26
spread
134.26
value
66.5
group Id
OG001
lower Limit
119.65
spread
119.65
value
36.6
title
FGF19: Cycle 2 Day 1
denoms
counts
group Id
OG000
value
66
group Id
OG001
value
48
units
Participants
description
The serum biomarkers analysed were angiopoietin-2 (ANG2), fibroblast growth factor 19 (FGF19), fibroblast growth factor 21 (FGF21), fibroblast growth factor 23 (FGF23) and vascular endothelial growth factor (VEGF) as blood serum biomarkers, and protein induced by vitamin K absence or antagonist-II (PIVKA-II) as a blood tumor marker in serum. As planned, data for this pre-specified endpoint was collected and analyzed up to the primary completion date.
dispersion Type
Standard Deviation
groups
description
Subjects received lenvatinib capsules 12 milligram (mg) based on the participant's body weight greater than or equal to (\>=) 60 kilogram (kg) or 8 mg based on the subject's body weight less than (\<) 60 kg at baseline, orally, once daily (QD) in continuous 28-day treatment cycles up to documented disease progression, development of unacceptable toxicity, participant request, or withdrawal of consent.
id
OG000
title
Lenvatinib
description
Participants received sorafenib 400 mg tablets, orally, twice daily (BID) in continuous 28-day treatment cycles up to documented disease progression, development of unacceptable toxicity, participant request, or withdrawal of consent.
id
OG001
title
Sorafenib
param Type
MEDIAN
population Description
The pharmacodynamics (PD) analysis set included all participants who received at least 1 dose of study drug and had evaluable PD data. Here "n" was participants who were evaluable for the outcome measure at given time points.
reporting Status
POSTED
time Frame
Cycle 1 Day 15, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1, Cycle 6 Day 1, Cycle 7 Day 1, Cycle 8 Day 1, Cycle 9 Day 1 and at the Off-Treatment Visit (approximately up to 3.8 years)