Clinical Study on the Use of Huaier Granules for the Treatment of Proteinuria Related to Bevacizumab and Anlotinib in Lung Cancer Patients
Prospective, Multicenter, Parallel-Controlled Clinical Study on the Use of Huaier Granules for the Treatment of Bevacizumab- and Anlotinib-Related Proteinuria in Lung Cancer Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Jialei Wang, phD
- Phone Number: 0086-18017312369
- Email: luwangjialei@126.com
Study Contact Backup
- Name: Xinmin Zhao, phD
- Phone Number: 0086-18017312493
Study Locations
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-
Jiangsu
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Xuzhou, Jiangsu, China
- Xuzhou Central Hospital
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Contact:
- Xiang Wang, phD
- Phone Number: 0086-18912007930
- Email: XiangWang7726@163.com
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China
- Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
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Contact:
- Fengfeng Han, phD
- Phone Number: 0086-13816386372
- Email: fengfhan86@sina.com
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥18 years;
- Histopathologically confirmed diagnosis of lung cancer;
- Receiving Bevacizumab or Anlotinib treatment;
- Positive urine protein detection, with 0.15g < 24-hour urinary protein quantification < 3.5g;
- No treatment with Huaier Granules within one month prior to enrollment;
- Expected survival time not less than 6 months;
- Voluntary participation in this study and provision of signed informed consent.
Exclusion Criteria:
- Known allergy, contraindication, or caution to any component of Huaier Granules;
- Inability to take oral medication;
- Required or ongoing use of drugs known to potentially affect proteinuria, including but not limited to ACE inhibitors, glucocorticoids (>3 weeks), and Chinese patent medicines (as per respective drug prescribing information);
- Proteinuria caused by underlying diseases, including but not limited to nephropathy, hypertension, urinary tract infection, systemic lupus erythematosus, multiple myeloma, etc.;
- Women who are pregnant, breastfeeding, or planning pregnancy;
- Currently participating in other clinical trials investigating drugs for treating proteinuria;
- Refusal to cooperate with follow-up;
- Any other reasons deemed by the investigator as unsuitable for participation in this study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Huaier Granules
Take orally, 10g each time, three times a day.
Participants in the experimental group should continue treatment for at least 24 weeks or until treatment failure, intolerable toxicity, withdrawal from the study for any reason, or death, whichever occurs first; or until the investigator determines that there is no further benefit.
For specific usage, refer to the drug instructions.
|
Take orally, 10g each time, three times daily.
|
|
Active Comparator: Anlotinib and Bevacizumab
Administer according to clinical routine practice.
Refer to the respective drug prescribing information for specific usage.
Continue treatment until disease progression, intolerable toxicity, withdrawal from the study for any reason, or death, whichever occurs first.
|
Administer according to clinical routine practice.
Refer to the respective drug prescribing information for specific usage.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
16-week Efficacy Rate for Proteinuria Treatment
Time Frame: Start of treatment until 16-week follow-up
|
It defined as the proportion of subjects achieving complete remission, partial remission, or stable disease according to proteinuria treatment efficacy evaluation at 16 weeks, relative to the total number of subjects in both groups.
|
Start of treatment until 16-week follow-up
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
48-week Recurrence Rate for Proteinuria Treatment
Time Frame: Start of treatment until 48-week follow-up
|
It defined as the proportion of subjects whose proteinuria reverts to positive (≥1+) after becoming negative during treatment, relative to the total number of subjects.
|
Start of treatment until 48-week follow-up
|
|
48-week Resumption and Discontinuation Rates for Bevacizumab or Anlotinib after Proteinuria Treatment
Time Frame: Start of treatment until 48-week follow-up
|
It defined as the proportion of subjects who, due to worsening proteinuria, required temporary suspension of bevacizumab or anlotinib and subsequently resumed treatment after proteinuria alleviation, relative to the total number of subjects.
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Start of treatment until 48-week follow-up
|
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Incidence and Severity of Other Adverse Reactions (including but not limited to hypertension, bleeding, and gastrointestinal perforation) after 48 weeks of Proteinuria Treatment
Time Frame: Start of treatment until 48-week follow-up
|
Incidence is defined as the proportion of subjects experiencing other adverse reactions (including but not limited to hypertension, bleeding, and gastrointestinal perforation) relative to the corresponding total population.
Severity will be assessed as per the relevant descriptions in the adverse event definitions and evaluation section
|
Start of treatment until 48-week follow-up
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jialei Wang, phD, Fudan University
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urination Disorders
- Urological Manifestations
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Proteinuria
- Amino Acids, Peptides, and Proteins
- Proteins
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Bevacizumab
- anlotinib
Other Study ID Numbers
Other Study ID Numbers
- HE-202508
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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