To Predict Efficacy by Detecting Circulating Endothelial Cell Subsets and Blood Perfusion Parameters Changes in Vivo Tumor in the Phase II/III Study of Anlotinib in Patients With Advanced Non-small Cell Lung Cancer
- To reveal changes of peripheral markers and blood perfusion parameters in vivo tumor in the phase II study of anlotinib in patients with advanced non-small cell lung cancer.
- To clarify the meaning of peripheral markers and blood perfusion parameters in vivo tumor in predicting the effect of anti-angiogenic therapy.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
-
-
Tianjin
-
Tianjin, Tianjin, China, 300600
- 20th Floor, Block C, Lake Road, Hexi District, Tianjin Medical University Cancer Institute and Hospital .
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Pathology diagnosed with advanced NSCLC with measurable lesions;
- Have failed for 2 lines of chemotherapy; 3.18-70 years,ECOG PS:0-2,life expectancy of more than 3 months;
4.Other cytotoxic drugs,radiation therapy,or surgery≥4 weeks; 5.Main organs function is normal; 6.Women of childbearing age should take contraceptive measures during the study and within 6 months after end.
Exclusion Criteria:
- SCLC(including mixed with NSCLC);
- The central cavity of Squamous cell carcinoma and hemoptysis with NSCLC;
- Patients failed to use the anti-tumor angiogenesis therapy;
- Patients have many influence factors toward oral medications ;
- Brain metastases patients accompanied by symptoms or symptom control for less than two months;
- Patients with severe and failed to controlled diseases,including: suboptimal blood pressure control;suffering from myocardial ischemia or above grade I myocardial infarction, arrhythmias and Class I heart failure;activity or failure to control severe infections;liver disease such as cirrhosis, decompensated liver disease, chronic active hepatitis;poorly controlled diabetes (FBG>10mmol/L);urine protein≥++,etc.
- Patients failed to heal wounds or fractures for Long-term;
- 4 weeks before enrollment, patients appeared NCI CTC AE grading >1 pulmonary hemorrhage; 4 weeks before enrollment, patients who appeared NCI CTC AE grade> 2 had other parts of the bleeding; patients have a tendency to bleed (e.g active peptic ulcer) or are receiving thrombolytic or anticoagulant therapy such as Warfarin, heparin or its analogues;
- Patients occurred venous thromboembolic events within 6 months;
- Patients who have HIV-positive or organ transplantation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Anlotinib
Anlotinib QD orally and it should be continued until disease progression or intolerable toxicity or patients withdrawal of consent
|
Anlotinib QD
|
|
Placebo Comparator: Placebo Capsule
Placebo capsule QD orally and it should be continued until disease progression or patients withdrawal of consent
|
Placebo capsule QD
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of circulating endothelial cell subsets( total CECs 、 aCECs、apopCECs, etc.)
Time Frame: Different time points before and after treatment of anlotinib,an expected average of 3 weeks
|
To detect number of circulating endothelial cell subsets( total CECs 、aCECs、apopCECs, etc.) by Flow Cytometry;
|
Different time points before and after treatment of anlotinib,an expected average of 3 weeks
|
|
The strength of intratumoral blood perfusion index (BV, BF, PS and MTT) .
Time Frame: Different time points before and after treatment of anlotinib,an expected average of 3 weeks
|
To detect the strength of intratumoral blood perfusion index(BV, BF, PS and MTT) by CT perfusion imaging.
|
Different time points before and after treatment of anlotinib,an expected average of 3 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Li Kai, doctor, Tianjin Medical University Cancer Institute and Hospital
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ALTN-03-II 1.2-2
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