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Cabozantinib

Phase 2

Advanced Hepatocellular Carcinoma | Small molecule | Oncology |Takeda Pharmaceutical Company Limited|Last Updated: Apr 18, 2023

Success Probability

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment34

FDA Designations

No designations recorded

Clinical trial landscape

Cabozantinib · 2 trials · 2 indications

Phase 2 2
NCT03586973A Phase 2 Study of Cabozantinib in Japanese Participants With Advanced Hepatocellular CarcinomaAdvanced Hepatocellular Carcinoma
COMPLETED34 Analytics
NCT03339219A Phase 2 Study of Cabozantinib in Japanese Participants With Advanced Renal Cell CarcinomaAdvanced Renal Cell Carcinoma
COMPLETED35 Analytics
PHASE2COMPLETED
A Phase 2 Study of Cabozantinib in Japanese Participants With Advanced Hepatocellular Carcinoma
Advanced Hepatocellular CarcinomaUnlock trial analytics
PHASE2COMPLETED
A Phase 2 Study of Cabozantinib in Japanese Participants With Advanced Renal Cell Carcinoma
Advanced Renal Cell CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

24-Week Progression-Free Survival Rate (PFSR)
Week 25 Day 1 plus 7 days

24-week PFSR=percentage of participants with progression-free survival (PFS) of at least 24 weeks at Week 25 Day 1 plus 7 days. PFS=time from first day of study drug administration to earlier of progressive disease (PD) or death due to any cause per Response Evaluation Criteria in Solid Tumors Version 1.1(RECIST 1.1). PD=at least a 20% increase in sum of target lesion diameters (SoD) with reference to smallest(nadir) SoD. In addition to relative increase of 20%, SoD must also demonstrate an absolute increase of at least 5 mm. For nontarget lesion time Point Response, unequivocal progression of nontarget lesions. Modest 'increase' in size of one or more nontarget lesions is usually not sufficient to quality for unequivocal progression status, it must not be representative of single lesion increase. Lesion in an anatomical location and not scanned at baseline is considered new lesion. Lesion qualifies as PD if finding is unequivocally not due to change in imaging technique or modality.

Objective Response Rate (ORR)
From first dose of study drug up to first documentation of CR or PR (up to 2.5 years)

ORR was defined as the percentage of participants whose best overall response was complete response (CR) or partial response (PR) evaluated by the independent review committee (IRC) per response evaluation criteria in solid tumors version 1.1 (RECIST V1.1) which was confirmed by a subsequent evaluation conducted ≥28 days later. Per RECIST V1.1, CR was defined as the disappearance of all lesions, and all pathological lymph nodes (whether target or nontarget) must have a reduction in short axis to \<10 millimeter (mm). PR was defined as at least a 30% decrease in the sum of diameter (SoD) of target lesions, taking as a reference the Baseline SoD.

Secondary Endpoints

Progression-Free Survival (PFS)
Until disease progression, or death or end of study (Up to approximately 2.8 years)
Objective Response Rate (ORR)
Up to approximately 2 years
Disease Control Rate (DCR)
Up to approximately 2 years
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort A: Cabozantinib 60 mgEXPERIMENTALParticipants who have received first/second line anticancer therapy with sorafenib were assigned to Cohort A and received cabozantinib 60 milligrams (mg), tablet, orally, once daily in the fasted state, up to approximately 2 years.
Cohort B: Cabozantinib 60 mgEXPERIMENTALParticipants who did not receive first/second line anticancer therapy with sorafenib were assigned to Cohort B and received cabozantinib 60 mg, tablet orally, once daily in the fasted state, up to approximately 2 years.
Cabozantinib 60 mgEXPERIMENTALCabozantinib 60 mg, tablet, orally, once daily (QD) in the fasted state until unacceptable toxicity or need for subsequent systemic anticancer treatment up to 2.5 years.

Interventions

NameTypeDescription
CabozantinibDRUGCabozantinib tablet
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Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: 1. Male or female Japanese participants 20 years of age or older on the day of consent. 2. Histological or cytological diagnosis of HCC (results of a previous biopsy will be accepted). 3. Measurable disease per response evaluation criteria in solid tumors (RECIST) 1.1 as determi...

Countries:Japan
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Frequently asked questions about Cabozantinib

What is Cabozantinib used for?

Cabozantinib is being studied for the treatment of advanced hepatocellular carcinoma and advanced renal cell carcinoma. It is an investigational small molecule oncology drug currently in Phase 2 clinical development. Cabozantinib is not approved and remains under investigation for these indications.

Who makes Cabozantinib?

Cabozantinib is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The company is conducting clinical trials to evaluate the drug in patients with advanced hepatocellular carcinoma and advanced renal cell carcinoma.

What phase is Cabozantinib in?

Cabozantinib is in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Clinical trials have been completed to evaluate its safety and efficacy in patients with advanced hepatocellular carcinoma and advanced renal cell carcinoma.

What clinical trials is Cabozantinib in?

Cabozantinib has been studied in two completed Phase 2 trials. NCT03339219 evaluated the drug in Japanese participants with advanced renal cell carcinoma, enrolling 35 patients. NCT03586973 evaluated the drug in Japanese participants with advanced hepatocellular carcinoma, enrolling 34 patients. Both trials are completed.

Is Cabozantinib the same as any other drug?

Cabozantinib is the drug name used in clinical trials for advanced hepatocellular carcinoma and advanced renal cell carcinoma. No alternative names have been established for this drug in the available clinical trial information.