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CompletedNCT01559363Updated Nov 8, 2022Results posted

A Safety, Pharmacokinetic & Dose-Escalation Study of KD019 in Subjects With Autosomal Dominant Polycystic Kidney Disease

A Phase 1/2 interventional study of Tesevatinib in Polycystic Kidney, Autosomal Dominant, sponsored by Kadmon, a Sanofi Company. Completed at 11 sites in United States. Open to participants aged 18 Years to 62 Years. Per ClinicalTrials.gov, last updated 2022-11-08.

Sponsored by Kadmon, a Sanofi Company (part of Sanofi) · Phase 1/2, Interventional, and Treatment

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Phase
Phase 1/2
Study type
Interventional
Enrollment
69
Allocation
Non-randomized
Ages
18 Years to 62 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 85 studies in Polycystic Kidney, Autosomal Dominant with a site in United States — 14 open to participants now, 25 under way, 1 of them phase 3. Polycystic Kidney, Autosomal Dominant · United States.

Enrollment
26th of 63
69 · median 48
Started
2012
with 1 other
Phase 1/2
2 of 85
none open now
Registered
19th of 85
by date
Lead sponsor
2 of 85
Kadmon, a Sanofi Company

Among the 85 studies in Polycystic Kidney, Autosomal Dominant with a site in United States, this one is the 26th largest by enrollment of the 63 interventional ones that give a count, is one of 2 that started in 2012, is one of 2 in phase 1/2, and was the 19th registered.

Polycystic Kidney, Autosomal Dominant

185 studies on the registry are indexed under Polycystic Kidney, Autosomal Dominant; 42 are open to participants now.

Browse Polycystic Kidney, Autosomal Dominant studies →

Open to participants now

14 of the 85 studies in Polycystic Kidney, Autosomal Dominant with a site in United States are open now. Recruiting first, the newest first:

9 more — sign in →

All 14 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 30 Polycystic Kidney, Autosomal Dominant studies recruiting now, 8 (27%) set no upper age limit and 19 (63%) stop at 75 or younger; 7 take children under 18; 9 take healthy volunteers.

This study: 18 Years to 62 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 85 studies in Polycystic Kidney, Autosomal Dominant with a site in United States, or all of them as a file.
02

Study summary

The primary objective of this study Phase 1b was to determine the safety, plasma pharmacokinetics, and maximum tolerated dose (MTD) of tesevatinib when administered to participants with autosomal dominant polycystic kidney disease (ADPKD).

The primary objective of this study Phase 2a was to evaluate the annualized change in glomerular filtration rate (GFR) in participants with ADPKD when treated with tesevatinib.

Read the detailed description

Phase 1b:

  • Primary objective was to determine the safety of tesevatinib.
  • Dosing was for 28 days daily. After the 28-day treatment period, participants would, at the discretion of the investigator, continue to receive study treatment for 24 months from their first dose or until the development of unacceptable toxicity, noncompliance, or withdrawal of consent by the participant, or investigator decision. Participants might continue beyond 24 months at the discretion of the investigator after consultation with the medical monitor.
  • All participants received active tesevatinib study drug.
  • Tesevatinib is an oral once daily tablet. Tablets were 50 milligrams (mg), 100 mg and 150 mg in strength. Participants were enrolled into three sequential dosing cohort levels (50 mg, 100 mg and 150 mg.). Participants in Phase 1b had their dose increased or decreased to the maximum tolerated dose (MTD).
  • Study participants had magnetic resonance imaging (MRI) of the abdomen (kidneys) at Screening and 6 months thereafter to explore effects of KD019.
  • Echocardiogram was performed at Screening, Day 28, months 3 and 6 and every 6 months thereafter.

Phase 2a:

  • Primary objective was to compare the annualized change in GFR in participants with ADPKD when treated with tesevatinib.
  • Two alternate dosing schedules were explored to determine if they were more tolerable than daily dosing when used chronically in participants with ADPKD.
  • Participants received study treatment for 24 months from their first dose or until the development of unacceptable toxicity, noncompliance, or withdrawal of consent by the participant, or investigator decision. Participants continued beyond 24 months at the discretion of the investigator after consultation with the sponsor.
  • All participants received active tesevatinib study drug.
  • Tablets were 50 mg, 100 mg, and 150 mg in strength.
  • Study participants had MRI of the abdomen (kidneys) at Screening and Month 6 visit and every 6 months after to explore effects of tesevatinib.
  • Echocardiogram was performed at Screening, Day 28, and Months 3 and 6 and 6 months thereafter.
03

Conditions studied

  • Polycystic Kidney, Autosomal Dominant
04

Who can participate

Ages eligible
18 Years to 62 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • The participant had a confirmed diagnosis of ADPKD.
  • The participant had a >=35 mL/min/1.73m\^2.
  • Cysts must be at least 1 centimeter in size.
  • Adequate bone marrow, kidney, and liver function.
  • Must agree to use two forms of for those of child bearing potential.
  • Normal amylase and lipase levels.
  • The participant had a htTKV >= 1000 mL (htTKV was calculated using total kidney volume obtained from magnetic resonance imaging divided by height in meters).

Exclusion criteria

Exclusion Criteria:

  • The participant has had a previous partial or total nephrectomy.
  • The participant had tuberous sclerosis, Hippel-Lindau disease, or acquired cystic disease.
  • The participant had congenital absence of one kidney and/or need for dialysis.
  • Presence of renal or hepatic calculi (stones) causing symptoms.
  • The participant had received any therapy within 30 days prior to study entry.
  • Active treatment (within 4 weeks of study entry) for urinary tract infection.
  • Participant was known to be .
  • Participant was pregnant or nursing.
  • History of pericardial effusion or presence of pericardial effusion on screening echocardiogram
  • Uncontrolled hypertension.
  • History of pancreatitis or had known risk factors for pancreatitis.
  • Participant had received EGFR inhibitor at any time.
  • The participant was aphakic due to previous cataract surgery or congenital anomaly.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
69 participants (actual)

Study arms

  • Experimental
    Phase 1b: Cohort 1: Tesevatinib 50 mg Once Daily Dosing

    Participants received tesevatinib 50 milligrams (mg) tablet orally once daily (QD) for 28 days. After initial 28 days treatment, at the investigator's discretion, participants continued to receive tesevatinib for a total of 24 months (since treatment initiation) or until the development of unacceptable toxicity, noncompliance, or withdrawal of consent by the participant, or investigator decision (maximum duration: up to 36 months).

    Drug: Tesevatinib

  • Experimental
    Phase 1b: Cohort 2: Tesevatinib 100 mg Once Daily Dosing

    Participants received tesevatinib 100 mg tablet orally QD for 28 days. After initial 28 days treatment, at the investigator's discretion, participants continued to receive tesevatinib for a total of 24 months (since treatment initiation) or until the development of unacceptable toxicity, noncompliance, or withdrawal of consent by the participant, or investigator decision (maximum exposure duration: up to 36 months).

    Drug: Tesevatinib

  • Experimental
    Phase 1b: Cohort 3: Tesevatinib 150 mg Once Daily Dosing

    Participants received tesevatinib 150 mg tablet orally QD for 28 days. After initial 28 days treatment, at the investigator's discretion, participants continued to receive tesevatinib for a total of 24 months (since treatment initiation) or until the development of unacceptable toxicity, noncompliance, or withdrawal of consent by the participant, or investigator decision (maximum exposure duration: up to 36 months).

    Drug: Tesevatinib

  • Experimental
    Phase 2a: Cohort 4: Tesevatinib: Bi-weekly Dosing

    Participants received tesevatinib 150 mg tablet orally bi-weekly in alternative dosing schedules on Monday and Thursday for initial 25 days. After initial 25 days treatment, at the investigator's discretion, participants continued to receive tesevatinib for a total of 24 months (since treatment initiation) or until the development of unacceptable toxicity, noncompliance, or withdrawal of consent by the participant, or investigator decision (maximum exposure duration: up to 28 months).

    Drug: Tesevatinib

  • Experimental
    Phase 2a: Cohort 5: Tesevatinib: Tri-weekly Dosing

    Participants received tesevatinib 150 mg tablet orally tri-weekly in alternative dosing schedules on Monday, Wednesday and Friday for initial 26 days. After initial 26 days treatment, at the investigator's discretion, participants continued to receive tesevatinib for a total of 24 months (since treatment initiation) or until the development of unacceptable toxicity, noncompliance, or withdrawal of consent by the participant, or investigator decision (maximum exposure duration: up to 28 months).

    Drug: Tesevatinib

  • Experimental
    Phase 2a: Safety in Larger Kidneys (SILK) Cohort: Tesevatinib 50 mg Once Daily Dosing

    Participants with autosomal dominant polycystic kidney disease (and Baseline estimated glomerular filtration rate (eGFR) greater than or equal to (\>=) 35 milliliters per minute per 1.73 square meter (mL/min/1.73 m\^2) and less than or equal to (\<=) 80 mL/min/1.73 m\^2, and height-adjusted total kidney volume (htTKV) \>=1000 mL were enrolled and received tesevatinib 50 mg tablet orally QD for initial 28 days. After initial 28 days treatment, at the investigator's discretion, participants continued to receive tesevatinib for a total of 24 months (since treatment initiation) or until the development of unacceptable toxicity, noncompliance, or withdrawal of consent by the participant, or investigator decision (maximum exposure duration: up to 28 months).

    Drug: Tesevatinib

Interventions

  • Pharmaceutical form: Tablets Route of administration: Oral

    Also known as: XL647 and KD019

06

What researchers measure

Primary outcomes

  1. Phase 1b: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAE)

    An adverse event (AE) was any untoward medical occurrence in a clinical study participant administered a medicinal product and which did not necessarily had to have a causal relationship with the treatment. An SAE was any untoward medical occurrence at any dose that: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were AEs that developed or worsened or became serious from the first dose (Day 1) of the study drug until 30 days after the last dose of study drug.

    Time frame: From Baseline (Day 1) until 30 days after the last dose of study drug (maximum duration: up to 37 months)

  2. Phase 1b: Pharmacokinetics (PK): Plasma Concentrations of Tesevatinib 100 mg and 150 mg

    Plasma concentrations of tesevatinib was analyzed using non-compartmental analysis.

    Time frame: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14

  3. Phase 1b: Pharmacokinetics: Plasma Concentrations of Tesevatinib 50 mg

    Plasma concentrations of tesevatinib was analyzed using non-compartmental analysis.

    Time frame: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14

  4. Phase 1b: Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) of Tesevatinib 100 mg and 150 mg

    Cmax was defined as maximum observed plasma concentration.

    Time frame: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14

  5. Phase 1b: Pharmacokinetics: Maximum Observed Plasma Concentration of Tesevatinib 50 mg

    Cmax was defined as maximum observed plasma concentration.

    Time frame: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14

  6. Phase 1b: Pharmacokinetics: Time of the Maximum Observed Plasma Concentration (Tmax) of Tesevatinib 100 mg and 150 mg

    Tmax was defined as time to reach maximum observed plasma concentration.

    Time frame: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14

  7. Phase 1b: Pharmacokinetics: Time of the Maximum Observed Plasma Concentration of Tesevatinib 50 mg

    Tmax was defined as time to reach maximum observed plasma concentration.

    Time frame: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14

  8. Phase 1b: Pharmacokinetics: Time of the Last Quantifiable Plasma Concentration (Tlast) of Tesevatinib 100 mg and 150 mg

    Tlast was defined as time to reach last quantifiable plasma concentration.

    Time frame: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14

  9. Phase 1b: Pharmacokinetics: Time of the Last Quantifiable Plasma Concentration of Tesevatinib 50 mg

    Tlast was defined as time to reach last quantifiable plasma concentration.

    Time frame: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14

  10. Phase 1b: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of Last Quantifiable Concentration (AUC0-t) of Tesevatinib 100 mg and 150 mg

    AUC0-last was defined as area under the concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (tlast).

    Time frame: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14

  11. Phase 1b: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of Last Quantifiable Concentration of Tesevatinib 50 mg

    AUC0-last was defined as area under the concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (tlast).

    Time frame: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14

  12. Phase 1b: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time Zero to 24 Hours Post-dose (AUC0-24) of Tesevatinib 100 mg and 150 mg

    AUC0-24 was defined as area under the plasma concentration versus time curve of study drug from time 0 to 24 hours post-dose.

    Time frame: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14

  13. Phase 1b: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours Post-dose of Tesevatinib 50 mg

    AUC0-24 was defined as area under the plasma concentration versus time curve of study drug from time 0 to 24 hours post-dose.

    Time frame: Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14

  14. Phase 1b: Pharmacokinetics: Trough Plasma Concentrations (Ctrough) of Tesevatinib 100 mg and 500 mg

    Ctrough was the plasma concentration observed at the time immediately before (pre-dose) study drug administration.

    Time frame: Pre-dose on Days 7, 14, 21, 28 and Months 2, 3, 4, 5 and 6

  15. Phase 1b: Pharmacokinetics: Trough Plasma Concentrations of Tesevatinib 50 mg

    Ctrough was the plasma concentration observed at the time immediately before study drug administration.

    Time frame: Pre-dose on Days 7, 14, 21, 28 and Months 2, 3, 4, 5 and 6

  16. Phase 1b: Maximum Tolerated Dose (MTD) of Tesevatinib

    The MTD was determined based on dose-limiting toxicities (DLTs) occurring in the first 28 days of study treatment. Any toxicity that the Investigator and the Sponsor deemed to be dose-limiting, regardless of the grade, was considered as DLT.

    Time frame: Cycle 1 (Up to 28 days)

  17. Phase 2a: Annualized Percent Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)

    eGFR: measures kidney function based on serum creatinine (Scr) and cystatin C (Scys). Annualized change in eGFR was calculated as: percent change from Baseline divided by total duration in days\*365.25. eGFR was estimated using 3 formulas and is reported separately for each formula: 1) 4-variable modification of diet in renal disease (MDRD-4) : Black/African-American males:175\*(Creatinine \[Cr\]\^-1.154)\*(Age\^-0.203)\*1.212, other males:175\*(Cr\^-1.154)\*(Age\^-0.203), females: male equation\*0.742.; 2) cystatin C-based chronic kidney disease (CKD) epidemiology (EPI) (CKD-EPI2012cys) equation: based on Scyc levels, for males if \<=0.8: 133\*(Scys/0.8)\^0.499\*0.996\^age, if \>0.8: 133\*(Scys/0.8)\^-1.238\*0.996\^age; for female: male equation\*0.932., 3) Scr- and Scys-based CKD-EPI (CKD EPI2012Scr-cys) equation: 135\*(Scr/0.9)\^XX\*(Scys/0.8)\^XXX\*0.995\^age\*(× 1.08, if black)- XX and XXX had variable values based on different values of Scr and Scys.

    Time frame: Baseline (Day 1), Months 6, 12, 18, 24 and at end of study (i.e., anytime up to 37 months)

Secondary outcomes

  1. Phase 2a: Annualized Percent Change From Baseline in Height Adjusted Total Kidney Volume (htTKV) at Month 6, 12, 18, 24 and End of Study

    htTKV was calculated using total kidney volume obtained from magnetic resonance imaging (MRI) divided by height in meters. The annualized percent change from Baseline was calculated as the percent change from Baseline divided by total duration in days\*365.25.

    Time frame: Baseline (Day 1), Months 6, 12, 18, 24 and at end of study (i.e., anytime up to 37 months)

  2. Phase 2a: Annualized Percent Change From Baseline in the Reciprocal of Serum Creatinine at End of Study

    Reciprocal Creatinine was an indication for monitoring renal disease progression over time. The annualized percent change from Baseline was calculated as the percent change from Baseline divided by total duration in days\*365.25.

    Time frame: Baseline (Day 1), at end of study (i.e., anytime up to 37 months)

  3. Phase 2a: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (TESAE)

    An AE was any untoward medical occurrence in a clinical study participant administered a medicinal product and which did not necessarily had to have a causal relationship with the treatment. An SAE was any untoward medical occurrence at any dose that: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were AEs that developed or worsened or became serious from the first dose (Day 1) of the study drug until 30 days after the last dose of study drug.

    Time frame: From Baseline (Day 1) until 30 days after the last dose of study drug (i.e., up to 29 months)

  4. Phase 2a: Change From Baseline in Serum Creatinine Levels

    Serum creatinine levels indicated the renal function (normal or abnormal) over time.

    Time frame: Baseline, Day 1, 3, 7, 11, 12, 14, 21, 25, 26, 28, Month 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 16, 18, 20, 22, 24, and at end of study (i.e., anytime up to 37 months)

  5. Phase 2a: Pharmacokinetics: Plasma Concentrations of Tesevatinib 150 mg

    Plasma concentrations of tesevatinib was analyzed using non-compartmental analysis.

    Time frame: Bi-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and Day 25; Tri-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1; pre-dose, 1, 2, 4, and 24 hours post-dose on Day 12

  6. Phase 2a: Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) of Tesevatinib 150 mg

    Cmax was defined as maximum observed plasma concentration.

    Time frame: Bi-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and Day 25; Tri-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1; pre-dose, 1, 2, 4, and 24 hours post-dose on Day 12

  7. Phase 2a: Pharmacokinetics: Time of the Maximum Observed Plasma Concentration (Tmax) of Tesevatinib 150 mg

    Tmax was defined as time to reach maximum observed plasma concentration.

    Time frame: Bi-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and Day 25; Tri-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1; pre-dose, 1, 2, 4, and 24 hours post-dose on Day 12

  8. Phase 2a: Pharmacokinetics: Time of the Last Quantifiable Plasma Concentration (Tlast) of Tesevatinib 150 mg

    Tlast was defined as time to reach last quantifiable plasma concentration.

    Time frame: Bi-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and Day 25; Tri-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1; pre-dose, 1, 2, 4, and 24 hours post-dose on Day 12

  9. Phase 2a: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to the Last Quantifiable Concentration (AUC0-t) of Tesevatinib 150 mg

    AUC0-last was defined as area under the concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (tlast).

    Time frame: Bi-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and Day 25; Tri-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1; pre-dose, 1, 2, 4, and 24 hours post-dose on Day 12

  10. Phase 2a: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours Post-dose (AUC0-24) of Tesevatinib 150 mg

    AUC0-24 was defined as area under the plasma concentration versus time curve of study drug from time 0 to 24 hours post-dose.

    Time frame: Bi-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and Day 25; Tri-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1; pre-dose, 1, 2, 4, and 24 hours post-dose on Day 12

  11. Phase 2a: Pharmacokinetics: Concentration Immediately Before Dosing (Ctrough) of Tesevatinib 150 mg

    Ctrough was the plasma concentration observed at the time immediately before study drug administration.

    Time frame: Bi-weekly: Pre-dose on Days 8, 11, 18 and 25; pre-dose on Months 2, 3, 4, 5 and 6; Tri-weekly: pre-dose on Days 3, 5, 8 and 12

07

Results

Posted Nov 8, 2022

Participant flow

The study was conducted at 11 active sites in the United States. A total of 126 participants were screened between 11 October 2012 and 07 March 2017, of which 69 participants were enrolled and treated.

Phase 1b: Up to 36 Months
Participant flow — Phase 1b: Up to 36 Months
MilestonePhase 1b: Cohort 1: Tesevatinib 50 mg Once Daily DosingPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily DosingPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly DosingPhase 2a: SILK Cohort: Tesevatinib 50 mg Once Daily Dosing
Started2485000
Completed1853000
Not completed632000
Withdrew: Withdrawal by subject211000
Withdrew: Investigator decision100000
Withdrew: Lost to follow-up110000
Withdrew: Adverse event or serious adverse event201000
Withdrew: Unspecified reason010000
Phase 2a: Up to 28 Months
Participant flow — Phase 2a: Up to 28 Months
MilestonePhase 1b: Cohort 1: Tesevatinib 50 mg Once Daily DosingPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily DosingPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly DosingPhase 2a: SILK Cohort: Tesevatinib 50 mg Once Daily Dosing
Started00010148
Completed0008138
Not completed000210
Withdrew: Adverse event or serious adverse event000110
Withdrew: Unspecified reason000100

Outcome measures

PrimaryPhase 1b: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAE)

An adverse event (AE) was any untoward medical occurrence in a clinical study participant administered a medicinal product and which did not necessarily had to have a causal relationship with the treatment. An SAE was any untoward medical occurrence at any dose that: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were AEs that developed or worsened or became serious from the first dose (Day 1) of the study drug until 30 days after the last dose of study drug.

Time frame:
From Baseline (Day 1) until 30 days after the last dose of study drug (maximum duration: up to 37 months)
Reported as:
Count of participants · Participants
Phase 1b: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAE)
ParticipantsPhase 1b: Cohort 1: Tesevatinib 50 mg Once Daily DosingPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily Dosing
TEAEs2485
SAE100
PrimaryPhase 1b: Pharmacokinetics (PK): Plasma Concentrations of Tesevatinib 100 mg and 150 mg

Plasma concentrations of tesevatinib was analyzed using non-compartmental analysis.

Time frame:
Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14
Reported as:
Mean · nanograms per milliliter (ng/mL)
Phase 1b: Pharmacokinetics (PK): Plasma Concentrations of Tesevatinib 100 mg and 150 mg
nanograms per milliliter (ng/mL)Phase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily Dosing
Day 1: Pre-dose0 ± 00 ± 0
Day 1: 1 hour post-dose4.39 ± 2.788.41 ± 5.84
Day 1: 2 hours post-dose10.1 ± 10.218.6 ± 12.0
Day 1: 4 hours post-dose21.1 ± 14.833.1 ± 8.24
Day 1: 8 hours post-dose25.4 ± 12.144.3 ± 7.50
Day 1: 24 hours post-dose21.9 ± 9.6935.5 ± 7.10
Day 14: Pre-dose90.3 ± 29.1164 ± 45.4
Day 14: 1 hour post-dose94.0 ± 26.9160 ± 37.2
Day 14: 2 hours post-dose103 ± 29.4180 ± 47.3
Day 14: 4 hours post-dose111 ± 39.7204 ± 66.8
Day 14: 24 hours post-dose91.1 ± 28.9150 ± 37.0
PrimaryPhase 1b: Pharmacokinetics: Plasma Concentrations of Tesevatinib 50 mg

Plasma concentrations of tesevatinib was analyzed using non-compartmental analysis.

Time frame:
Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14
Reported as:
Mean · ng/mL
Phase 1b: Pharmacokinetics: Plasma Concentrations of Tesevatinib 50 mg
ng/mLPhase 1b: Cohort 1: Tesevatinib 50 mg Once Daily Dosing
Day 1: Pre-dose0 ± 0
Day 1: 1 hour post-dose2.20 ± 2.06
Day 1: 2 hours post-dose5.22 ± 3.58
Day 1: 4 hours post-dose10.4 ± 4.77
Day 1: 8 hours post-dose12.1 ± 5.74
Day 1: 24 hours post-dose13.6 ± 4.18
Day 14: Pre-dose54.4 ± 20.5
Day 14: 1 hour post-dose56.8 ± 22.3
Day 14: 2 hours post-dose58.5 ± 23.2
Day 14: 4 hours post-dose63.2 ± 23.3
Day 14: 24 hours post-dose55.8 ± 19.1
PrimaryPhase 1b: Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) of Tesevatinib 100 mg and 150 mg

Cmax was defined as maximum observed plasma concentration.

Time frame:
Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14
Reported as:
Mean · ng/mL
Phase 1b: Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) of Tesevatinib 100 mg and 150 mg
ng/mLPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily Dosing
Day 127.5 ± 12.244.3 ± 7.50
Day 14116 ± 31.8205 ± 65.4
PrimaryPhase 1b: Pharmacokinetics: Maximum Observed Plasma Concentration of Tesevatinib 50 mg

Cmax was defined as maximum observed plasma concentration.

Time frame:
Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14
Reported as:
Mean · ng/mL
Phase 1b: Pharmacokinetics: Maximum Observed Plasma Concentration of Tesevatinib 50 mg
ng/mLPhase 1b: Cohort 1: Tesevatinib 50 mg Once Daily Dosing
Day 114.5 ± 5.34
Day 1465.9 ± 24.8
PrimaryPhase 1b: Pharmacokinetics: Time of the Maximum Observed Plasma Concentration (Tmax) of Tesevatinib 100 mg and 150 mg

Tmax was defined as time to reach maximum observed plasma concentration.

Time frame:
Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14
Reported as:
Mean · hours
Phase 1b: Pharmacokinetics: Time of the Maximum Observed Plasma Concentration (Tmax) of Tesevatinib 100 mg and 150 mg
hoursPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily Dosing
Day 110.9 ± 8.097.99 ± 0.0434
Day 146.25 ± 7.013.59 ± 0.891
PrimaryPhase 1b: Pharmacokinetics: Time of the Maximum Observed Plasma Concentration of Tesevatinib 50 mg

Tmax was defined as time to reach maximum observed plasma concentration.

Time frame:
Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14
Reported as:
Mean · hours
Phase 1b: Pharmacokinetics: Time of the Maximum Observed Plasma Concentration of Tesevatinib 50 mg
hoursPhase 1b: Cohort 1: Tesevatinib 50 mg Once Daily Dosing
Day 116.4 ± 8.86
Day 145.33 ± 6.34
PrimaryPhase 1b: Pharmacokinetics: Time of the Last Quantifiable Plasma Concentration (Tlast) of Tesevatinib 100 mg and 150 mg

Tlast was defined as time to reach last quantifiable plasma concentration.

Time frame:
Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14
Reported as:
Mean · hours
Phase 1b: Pharmacokinetics: Time of the Last Quantifiable Plasma Concentration (Tlast) of Tesevatinib 100 mg and 150 mg
hoursPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg
Day 123.9 ± 0.26423.9 ± 0.132
Day 1423.5 ± 0.60623.9 ± 0.154
PrimaryPhase 1b: Pharmacokinetics: Time of the Last Quantifiable Plasma Concentration of Tesevatinib 50 mg

Tlast was defined as time to reach last quantifiable plasma concentration.

Time frame:
Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14
Reported as:
Mean · hours
Phase 1b: Pharmacokinetics: Time of the Last Quantifiable Plasma Concentration of Tesevatinib 50 mg
hoursPhase 1b: Cohort 1: Tesevatinib 50 mg Once Daily Dosing
Day 123.9 ± 0.177
Day 1423.9 ± 0.266
PrimaryPhase 1b: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of Last Quantifiable Concentration (AUC0-t) of Tesevatinib 100 mg and 150 mg

AUC0-last was defined as area under the concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (tlast).

Time frame:
Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14
Reported as:
Mean · hour*nanograms per milliliter (hr*ng/mL)
Phase 1b: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of Last Quantifiable Concentration (AUC0-t) of Tesevatinib 100 mg and 150 mg
hour*nanograms per milliliter (hr*ng/mL)Phase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily Dosing
Day 1508 ± 247853 ± 130
Day 142280 ± 7414200 ± 1180
PrimaryPhase 1b: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of Last Quantifiable Concentration of Tesevatinib 50 mg

AUC0-last was defined as area under the concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (tlast).

Time frame:
Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14
Reported as:
Mean · hr*ng/mL
Phase 1b: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of Last Quantifiable Concentration of Tesevatinib 50 mg
hr*ng/mLPhase 1b: Cohort 1: Tesevatinib 50 mg Once Daily Dosing
Day 1272 ± 99.9
Day 141410 ± 485
PrimaryPhase 1b: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time Zero to 24 Hours Post-dose (AUC0-24) of Tesevatinib 100 mg and 150 mg

AUC0-24 was defined as area under the plasma concentration versus time curve of study drug from time 0 to 24 hours post-dose.

Time frame:
Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14
Reported as:
Mean · hr*ng/mL
Phase 1b: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time Zero to 24 Hours Post-dose (AUC0-24) of Tesevatinib 100 mg and 150 mg
hr*ng/mLPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily Dosing
Day 1507 ± 246853 ± 129
Day 142700 ± 7504200 ± 1180
PrimaryPhase 1b: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours Post-dose of Tesevatinib 50 mg

AUC0-24 was defined as area under the plasma concentration versus time curve of study drug from time 0 to 24 hours post-dose.

Time frame:
Pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and pre-dose, 1, 2, 4, and 24 hours post-dose on Day 14
Reported as:
Mean · hr*ng/mL
Phase 1b: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours Post-dose of Tesevatinib 50 mg
hr*ng/mLPhase 1b: Cohort 1: Tesevatinib 50 mg Once Daily Dosing
Day 1272 ± 99.8
Day 141430 ± 498
PrimaryPhase 1b: Pharmacokinetics: Trough Plasma Concentrations (Ctrough) of Tesevatinib 100 mg and 500 mg

Ctrough was the plasma concentration observed at the time immediately before (pre-dose) study drug administration.

Time frame:
Pre-dose on Days 7, 14, 21, 28 and Months 2, 3, 4, 5 and 6
Reported as:
Mean · ng/mL
Phase 1b: Pharmacokinetics: Trough Plasma Concentrations (Ctrough) of Tesevatinib 100 mg and 500 mg
ng/mLPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily Dosing
Day 7: Pre-dose72.7 (52.0 to 108)143 (75.5 to 173)
Day 14: Pre-dose90.3 (52.8 to 131)164 (105 to 213)
Day 21: Pre-dose88.1 (5.74 to 122)155 (17.5 to 230)
Day 28: Pre-dose93.7 (22.9 to 135)180 (137 to 207)
Month 2: Pre-dose87.0 (17.1 to 142)107 (107 to 107)
Month 3: Pre-dose113 (80.3 to 152)130.25 (96.5 to 164)
Month 4: Pre-dose128 (83.4 to 173)121 (121 to 121)
Month 5: Pre-dose89.0 (66.4 to 116)227.5 (122 to 333)
Month 6: Pre-dose84.7 (63.2 to 112)119 (110 to 128)
PrimaryPhase 1b: Pharmacokinetics: Trough Plasma Concentrations of Tesevatinib 50 mg

Ctrough was the plasma concentration observed at the time immediately before study drug administration.

Time frame:
Pre-dose on Days 7, 14, 21, 28 and Months 2, 3, 4, 5 and 6
Reported as:
Mean · ng/mL
Phase 1b: Pharmacokinetics: Trough Plasma Concentrations of Tesevatinib 50 mg
ng/mLPhase 1b: Cohort 1: Tesevatinib 50 mg Once Daily Dosing
Day 7: Pre-dose45.4 ± 14.8
Day 14: Pre-dose54.4 ± 20.5
Day 21: Pre-dose59.9 ± 23.8
Day 28: Pre-dose59.5 ± 26.7
Month 2: Pre-dose54.9 ± 24.5
Month 3: Pre-dose50.0 ± 21.8
Month 4: Pre-dose45.5 ± 17.4
Month 5: Pre-dose46.5 ± 16.3
Month 6: Pre-dose44.8 ± 17.9
PrimaryPhase 1b: Maximum Tolerated Dose (MTD) of Tesevatinib

The MTD was determined based on dose-limiting toxicities (DLTs) occurring in the first 28 days of study treatment. Any toxicity that the Investigator and the Sponsor deemed to be dose-limiting, regardless of the grade, was considered as DLT.

Time frame:
Cycle 1 (Up to 28 days)
Reported as:
Number · milligrams
Phase 1b: Maximum Tolerated Dose (MTD) of Tesevatinib
milligramsPhase 1b: Cohort 1: Tesevatinib 50 mg Once Daily DosingPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily Dosing
Phase 1b: Maximum Tolerated Dose (MTD) of Tesevatinib100100100
PrimaryPhase 2a: Annualized Percent Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)

eGFR: measures kidney function based on serum creatinine (Scr) and cystatin C (Scys). Annualized change in eGFR was calculated as: percent change from Baseline divided by total duration in days\*365.25. eGFR was estimated using 3 formulas and is reported separately for each formula: 1) 4-variable modification of diet in renal disease (MDRD-4) : Black/African-American males:175\*(Creatinine \[Cr\]\^-1.154)\*(Age\^-0.203)\*1.212, other males:175\*(Cr\^-1.154)\*(Age\^-0.203), females: male equation\*0.742.; 2) cystatin C-based chronic kidney disease (CKD) epidemiology (EPI) (CKD-EPI2012cys) equation: based on Scyc levels, for males if \<=0.8: 133\*(Scys/0.8)\^0.499\*0.996\^age, if \>0.8: 133\*(Scys/0.8)\^-1.238\*0.996\^age; for female: male equation\*0.932., 3) Scr- and Scys-based CKD-EPI (CKD EPI2012Scr-cys) equation: 135\*(Scr/0.9)\^XX\*(Scys/0.8)\^XXX\*0.995\^age\*(× 1.08, if black)- XX and XXX had variable values based on different values of Scr and Scys.

Time frame:
Baseline (Day 1), Months 6, 12, 18, 24 and at end of study (i.e., anytime up to 37 months)
Reported as:
Mean · percent change/participant-year
Phase 2a: Annualized Percent Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)
percent change/participant-yearPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly DosingPhase 2a: SILK Cohort: Tesevatinib 50 mg Once Daily Dosing
Month 6: MDRD-4-0.125 ± 0.3236-0.150 ± 0.1515-0.195 ± 0.1851
Month 6: CKD-EPI2012cys0.069 ± 0.21500.125 ± 0.17950.131 ± 0.2310
Month 6: CKD-EPI2012Scr-cys-0.031 ± 0.1522-0.009 ± 0.1277-0.043 ± 0.1341
Month 12: MDRD-4-0.096 ± 0.1177-0.103 ± 0.1222-0.173 ± 0.0515
Month 12: CKD-EPI2012cys0.040 ± 0.06440.031 ± 0.0696-0.037 ± 0.0966
Month 12: CKD-EPI2012Scr-cys-0.028 ± 0.0721-0.040 ± 0.0861-0.113 ± 0.0565
Month 18: MDRD-4-0.087 ± 0.0680-0.060 ± 0.0402-0.121 ± 0.1002
Month 18: CKD-EPI2012cys0.006 ± 0.02510.055 ± 0.06740.024 ± 0.1167
Month 18: CKD-EPI2012Scr-cys-0.040 ± 0.03790.000 ± 0.0463-0.056 ± 0.1049
Month 24: MDRD-4-0.010 ± 0.0657-0.049 ± 0.0500-0.077 ± 0.0752
Month 24: CKD-EPI2012cys-0.000 ± 0.02450.029 ± 0.0388-0.017 ± 0.1081
Month 24: CKD-EPI2012Scr-cys-0.008 ± 0.0240-0.015 ± 0.0251-0.051 ± 0.0734
End of study: MDRD-4-0.026 ± 0.2369-0.084 ± 0.1903-0.021 ± 0.0836
End of study: CKD-EPI2012cys0.005 ± 0.09370.128 ± 0.2872-0.061 ± 0.0827
End of study: CKD-EPI2012Scr-cys-0.018 ± 0.12590.014 ± 0.0451-0.045 ± 0.0723
SecondaryPhase 2a: Annualized Percent Change From Baseline in Height Adjusted Total Kidney Volume (htTKV) at Month 6, 12, 18, 24 and End of Study

htTKV was calculated using total kidney volume obtained from magnetic resonance imaging (MRI) divided by height in meters. The annualized percent change from Baseline was calculated as the percent change from Baseline divided by total duration in days\*365.25.

Time frame:
Baseline (Day 1), Months 6, 12, 18, 24 and at end of study (i.e., anytime up to 37 months)
Reported as:
Mean · percent change/participant-year
Phase 2a: Annualized Percent Change From Baseline in Height Adjusted Total Kidney Volume (htTKV) at Month 6, 12, 18, 24 and End of Study
percent change/participant-yearPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly DosingPhase 2a: SILK Cohort: Tesevatinib 50 mg Once Daily Dosing
Month 60.0696 ± 0.11610.0544 ± 0.12920.1570 ± 0.0943
Month 120.0503 ± 0.07580.0422 ± 0.06870.1145 ± 0.0722
Month 180.0632 ± 0.05120.0353 ± 0.04830.0841 ± 0.0277
Month 240.0702 ± 0.05170.0540 ± 0.05840.1080 ± 0.0536
End of study0.09430.0517 ± 0.03270.0731
SecondaryPhase 2a: Annualized Percent Change From Baseline in the Reciprocal of Serum Creatinine at End of Study

Reciprocal Creatinine was an indication for monitoring renal disease progression over time. The annualized percent change from Baseline was calculated as the percent change from Baseline divided by total duration in days\*365.25.

Time frame:
Baseline (Day 1), at end of study (i.e., anytime up to 37 months)
Reported as:
Mean · percent change per participant-year
Phase 2a: Annualized Percent Change From Baseline in the Reciprocal of Serum Creatinine at End of Study
percent change per participant-yearPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly DosingPhase 2a: SILK Cohort: Tesevatinib 50 mg Once Daily Dosing
Phase 2a: Annualized Percent Change From Baseline in the Reciprocal of Serum Creatinine at End of Study-8.2923 ± 29.0965-6.9630 ± 20.24754.0189 ± 20.0561
SecondaryPhase 2a: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (TESAE)

An AE was any untoward medical occurrence in a clinical study participant administered a medicinal product and which did not necessarily had to have a causal relationship with the treatment. An SAE was any untoward medical occurrence at any dose that: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were AEs that developed or worsened or became serious from the first dose (Day 1) of the study drug until 30 days after the last dose of study drug.

Time frame:
From Baseline (Day 1) until 30 days after the last dose of study drug (i.e., up to 29 months)
Reported as:
Count of participants · Participants
Phase 2a: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (TESAE)
ParticipantsPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly DosingPhase 2a: SILK Cohort: Tesevatinib 50 mg Once Daily Dosing
TEAEs10148
SAEs101
SecondaryPhase 2a: Change From Baseline in Serum Creatinine Levels

Serum creatinine levels indicated the renal function (normal or abnormal) over time.

Time frame:
Baseline, Day 1, 3, 7, 11, 12, 14, 21, 25, 26, 28, Month 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 16, 18, 20, 22, 24, and at end of study (i.e., anytime up to 37 months)
Reported as:
Mean · micromoles per liter
Phase 2a: Change From Baseline in Serum Creatinine Levels
micromoles per literPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly DosingPhase 2a: SILK Cohort: Tesevatinib 50 mg Once Daily Dosing
Day 1——35.5 ± 34.6
Day 3——9.8 ± 11.4
Day 7——11.1 ± 15.6
Day 114.5 ± 9.0——
Day 12—12.5 ± 8.5—
Day 14——8.3 ± 12.2
Day 21——14.9 ± 17.5
Day 255.3 ± 10.9——
Day 26—8.2 ± 6.4—
Day 28——14.9 ± 15.2
Month 29.6 ± 14.15.8 ± 7.37.4 ± 20.5
Month 38.4 ± 11.67.3 ± 8.610.8 ± 10.7
Month 410.6 ± 14.04.5 ± 12.014.6 ± 12.4
Month 54.4 ± 12.94.6 ± 6.97.1 ± 10.6
Month 65.4 ± 11.05.5 ± 5.610.4 ± 9.9
Month 79.6 ± 9.66.1 ± 6.024.9 ± 26.2
Month 811.4 ± 11.15.4 ± 6.79.4 ± 8.3
Month 910.6 ± 11.86.5 ± 7.712.0 ± 17.2
Month 107.5 ± 13.72.6 ± 7.814.6 ± 9.0
Month 1112.1 ± 11.39.2 ± 9.513.3 ± 18.7
Month 128.6 ± 10.48.0 ± 9.820.7 ± 9.7
Month 13——0.0
Month 146.1 ± 10.013.6 ± 9.813.3 ± 8.7
Month 1611.7 ± 11.56.7 ± 7.215.6 ± 13.1
Month 1811.4 ± 11.36.6 ± 4.221.6 ± 17.4
Month 205.7 ± 11.44.6 ± 9.112.3 ± 26.9
Month 226.7 ± 11.25.9 ± 10.312.3 ± 20.3
Month 242.8 ± 10.67.0 ± 7.018.0 ± 20.6
End of study5.5 ± 10.13.6 ± 8.36.3 ± 17.4
SecondaryPhase 2a: Pharmacokinetics: Plasma Concentrations of Tesevatinib 150 mg

Plasma concentrations of tesevatinib was analyzed using non-compartmental analysis.

Time frame:
Bi-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and Day 25; Tri-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1; pre-dose, 1, 2, 4, and 24 hours post-dose on Day 12
Reported as:
Mean · ng/mL
Phase 2a: Pharmacokinetics: Plasma Concentrations of Tesevatinib 150 mg
ng/mLPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly Dosing
Day 1: pre-dose0 ± 00 ± 0
Day 1: 1 hour post-dose14.8 ± 18.913.0 ± 11.2
Day 1: 2 hours post-dose21.7 ± 14.720.9 ± 12.7
Day 1: 4 hours post-dose46.0 ± 16.241.1 ± 25.4
Day 1: 8 hours post-dose55.0 ± 16.749.8 ± 19.9
Day 1: 24 hours post-dose45.4 ± 8.8142.4 ± 13.0
Day 12: pre-dose—53.7 ± 24.8
Day 12: 1 hour post-dose—58.5 ± 21.1
Day 12: 2 hours post-dose—70.1 ± 26.5
Day 12: 4 hours post-dose—100 ± 42.6
Day 12: 24 hours post-dose—90.5 ± 26.2
Day 25: pre-dose29.6 ± 6.05—
Day 25: 1 hour post-dose31.9 ± 10.8—
Day 25: 2 hours post-dose50.5 ± 21.2—
Day 25: 4 hours post-dose76.2 ± 21.9—
Day 25: 8 hours post-dose83.9 ± 29.4—
Day 25: 24 hours post-dose69.4 ± 20.4—
SecondaryPhase 2a: Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) of Tesevatinib 150 mg

Cmax was defined as maximum observed plasma concentration.

Time frame:
Bi-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and Day 25; Tri-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1; pre-dose, 1, 2, 4, and 24 hours post-dose on Day 12
Reported as:
Mean · ng/mL
Phase 2a: Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) of Tesevatinib 150 mg
ng/mLPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly Dosing
Day 156.1 ± 15.349.9 ± 20.3
Day 12—102 ± 41.5
Day 2584.0 ± 29.2—
SecondaryPhase 2a: Pharmacokinetics: Time of the Maximum Observed Plasma Concentration (Tmax) of Tesevatinib 150 mg

Tmax was defined as time to reach maximum observed plasma concentration.

Time frame:
Bi-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and Day 25; Tri-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1; pre-dose, 1, 2, 4, and 24 hours post-dose on Day 12
Reported as:
Mean · hours
Phase 2a: Pharmacokinetics: Time of the Maximum Observed Plasma Concentration (Tmax) of Tesevatinib 150 mg
hoursPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly Dosing
Day 114.5 ± 8.847.20 ± 1.76
Day 12—12.0 ± 11.0
Day 257.03 ± 2.02—
SecondaryPhase 2a: Pharmacokinetics: Time of the Last Quantifiable Plasma Concentration (Tlast) of Tesevatinib 150 mg

Tlast was defined as time to reach last quantifiable plasma concentration.

Time frame:
Bi-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and Day 25; Tri-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1; pre-dose, 1, 2, 4, and 24 hours post-dose on Day 12
Reported as:
Mean · hours
Phase 2a: Pharmacokinetics: Time of the Last Quantifiable Plasma Concentration (Tlast) of Tesevatinib 150 mg
hoursPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly Dosing
Day 124.1 ± 0.16320.8 ± 7.17
Day 12—20.0 ± 8.95
Day 2524.2 ± 0.163—
SecondaryPhase 2a: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to the Last Quantifiable Concentration (AUC0-t) of Tesevatinib 150 mg

AUC0-last was defined as area under the concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (tlast).

Time frame:
Bi-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and Day 25; Tri-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1; pre-dose, 1, 2, 4, and 24 hours post-dose on Day 12
Reported as:
Mean · hr*ng/mL
Phase 2a: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to the Last Quantifiable Concentration (AUC0-t) of Tesevatinib 150 mg
hr*ng/mLPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly Dosing
Day 11090 ± 274866 ± 509
Day 12—1860 ± 1160
Day 251760 ± 559—
SecondaryPhase 2a: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours Post-dose (AUC0-24) of Tesevatinib 150 mg

AUC0-24 was defined as area under the plasma concentration versus time curve of study drug from time 0 to 24 hours post-dose.

Time frame:
Bi-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1 and Day 25; Tri-weekly: pre-dose, 1, 2, 4, 8, and 24 hours post-dose on Day 1; pre-dose, 1, 2, 4, and 24 hours post-dose on Day 12
Reported as:
Mean · hr*ng/mL
Phase 2a: Pharmacokinetics: Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours Post-dose (AUC0-24) of Tesevatinib 150 mg
hr*ng/mLPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly Dosing
Day 11090 ± 2771020 ± 424
Day 12—2280 ± 791
Day 251740 ± 551—
SecondaryPhase 2a: Pharmacokinetics: Concentration Immediately Before Dosing (Ctrough) of Tesevatinib 150 mg

Ctrough was the plasma concentration observed at the time immediately before study drug administration.

Time frame:
Bi-weekly: Pre-dose on Days 8, 11, 18 and 25; pre-dose on Months 2, 3, 4, 5 and 6; Tri-weekly: pre-dose on Days 3, 5, 8 and 12
Reported as:
Mean · ng/mL
Phase 2a: Pharmacokinetics: Concentration Immediately Before Dosing (Ctrough) of Tesevatinib 150 mg
ng/mLPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly Dosing
Day 3: Pre-dose—37.2 (21.4 to 76.0)
Day 5: Pre-dose—57.6 (34.2 to 116)
Day 8: Pre-dose28.0 (19.3 to 39.7)57.3 (30.7 to 132)
Day 11: Pre-dose38.8 (25.9 to 59.9)—
Day 12: Pre-dose—53.7 (29.9 to 95.2)
Day 18: Pre-dose33.6 (15.2 to 43.3)—
Day 25: Pre-dose29.6 (20.6 to 33.9)—
Month 2: Pre-dose34.1 (34.1 to 34.1)—
Month 3: Pre-dose14.6 (14.6 to 14.6)—
Month 4: Pre-dose47.55 (38.2 to 56.9)—
Month 5: Pre-dose45.0 (25.4 to 64.6)—
Month 6: Pre-dose21.6 (21.6 to 21.6)—

Adverse events

Collected over Phase 1b: From Baseline (Day 1) until 30 days after the last dose of study drug (i.e., up to 37 months) and Phase 2a: From Baseline (Day 1) until 30 days after the last dose of study drug (i.e., up to 29 months). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Phase 1b: Cohort 1: Tesevatinib 50 mg Once Daily Dosing0/24 (0%)1/24 (4.2%)24/24 (100%)
Phase 1b: Cohort 2: Tesevatinib 100 mg Once Daily Dosing0/8 (0%)0/8 (0%)8/8 (100%)
Phase 1b: Cohort 3: Tesevatinib 150 mg Once Daily Dosing0/5 (0%)0/5 (0%)5/5 (100%)
Phase 2a: Cohort 4: Tesevatinib: Bi-weekly Dosing0/10 (0%)1/10 (10%)10/10 (100%)
Phase 2a: Cohort 5: Tesevatinib: Tri-weekly Dosing0/14 (0%)0/14 (0%)14/14 (100%)
Phase 2a: SILK Cohort: Tesevatinib 50 mg Once Daily Dosing0/8 (0%)1/8 (12.5%)8/8 (100%)
Most frequent serious events
Most frequent serious events
EventPhase 1b: Cohort 1: Tesevatinib 50 mg Once Daily DosingPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily DosingPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly DosingPhase 2a: SILK Cohort: Tesevatinib 50 mg Once Daily Dosing
Herpes zosterInfections and infestations0/240/80/50/100/141/8
Gastrooesophageal reflux diseaseGastrointestinal disorders0/240/80/51/100/140/8
LacerationInjury, poisoning and procedural complications0/240/80/51/100/140/8
DepressionPsychiatric disorders0/240/80/51/100/140/8
Suicidal ideationPsychiatric disorders0/240/80/51/100/140/8
AngioedemaSkin and subcutaneous tissue disorders1/240/80/50/100/140/8
Most frequent other events
Showing 10 of 221
Most frequent other events
EventPhase 1b: Cohort 1: Tesevatinib 50 mg Once Daily DosingPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily DosingPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly DosingPhase 2a: SILK Cohort: Tesevatinib 50 mg Once Daily Dosing
RashSkin and subcutaneous tissue disorders8/244/84/51/103/140/8
DiarrhoeaGastrointestinal disorders10/244/82/55/106/142/8
Muscle spasmsMusculoskeletal and connective tissue disorders5/242/80/50/105/144/8
NauseaGastrointestinal disorders10/242/82/52/105/141/8
Blood creatine phosphokinase increasedInvestigations7/243/80/54/105/141/8
AcneSkin and subcutaneous tissue disorders4/240/82/52/101/141/8
ProteinuriaRenal and urinary disorders4/240/82/50/100/140/8
Blood creatinine increasedInvestigations4/243/81/51/102/142/8
HypertensionVascular disorders4/240/80/51/102/143/8
Amylase increasedInvestigations4/240/80/50/105/140/8

Baseline characteristics

Analysis was performed on safety population which included all participants who receive at least 1 dose of tesevatinib.

Age, Continuous
Age, Continuous(years)Phase 1b: Cohort 1: Tesevatinib 50 mg Once Daily DosingPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily DosingPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly DosingPhase 2a: SILK Cohort: Tesevatinib 50 mg Once Daily DosingTotal
Mean37.9 ± 9.136.6 ± 7.442.6 ± 4.434.9 ± 11.337.7 ± 11.152.1 ± 9.539.3 ± 10.5
Sex: Female, Male
Sex: Female, Male(Participants)Phase 1b: Cohort 1: Tesevatinib 50 mg Once Daily DosingPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily DosingPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly DosingPhase 2a: SILK Cohort: Tesevatinib 50 mg Once Daily DosingTotal
Female1533610340
Male95244529
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Phase 1b: Cohort 1: Tesevatinib 50 mg Once Daily DosingPhase 1b: Cohort 2: Tesevatinib 100 mg Once Daily DosingPhase 1b: Cohort 3: Tesevatinib 150 mg Once Daily DosingPhase 2a: Cohort 4: Tesevatinib: Bi-weekly DosingPhase 2a: Cohort 5: Tesevatinib: Tri-weekly DosingPhase 2a: SILK Cohort: Tesevatinib 50 mg Once Daily DosingTotal
Asian3000003
White2085814762
Black or African American1002003
Other0000011
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Study locations

11 sites
  • UCLA Medical Center
    Los Angeles, California 90025, United States
  • University of Colorado Denver
    Denver, Colorado 80045, United States
  • University of Kansas Medical Center
    Kansas City, Kansas 66160, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Washington University School of Medicine
    Saint Louis, Missouri 63110, United States
  • New York University School of Medicine
    New York, New York 10016, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • Clinical Advancement Center, PLLC
    San Antonio, Texas 78215, United States
  • University of Virginia - Nephrology Clinical Research Center
    Charlottesville, Virginia 22908, United States
  • Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2012 to primary completion in Feb 2019, 75 months.

Results were first posted in Nov 2022, 3 years 9 months after primary completion. A results delay was requested in Oct 2020.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 9, 2012
First posted
Mar 21, 2012
StartActual
Oct 11, 2012
Primary completionActual
Feb 8, 2019
CompletionActual
Feb 8, 2019
Results delay requested
Oct 27, 2020
Results first posted
Nov 8, 2022
Last update
Nov 8, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 8, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01559363
Responsible party
Sponsor
First posted
Mar 21, 2012
Start date
Oct 11, 2012
Primary completion
Feb 8, 2019
Completion
Feb 8, 2019
Results posted
Nov 8, 2022
Last update
Nov 8, 2022

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: XL647

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