- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03412994
Clinical Study of Apatinib Combined With Second - Line Chemotherapy for Metastatic Colorectal Cancer
A Randomized, Parallel-controlled, Exploratory Clinical Trial of Second-line Chemotherapy With Second-line Chemotherapy Versus Second-line Chemotherapy With Apatinib in the Treatment of Metastatic Colorectal Cancer
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Standard second line chemotherapy includes chemotherapy based on irinotecan or chemotherapy based on oxaliplatin.
Apatinib is a small-molecule tyrosine kinase inhibitor (TKI) that highly selectively binds to and strongly inhibits vascular endothelial growth factor receptor 2 (VEGFR-2), with a decrease in VEGF-mediated endothelial cell migration, proliferation, and tumor microvascular density. A phase II trail of Apatinib has been demonstrated that Apatinib is safe to treat the metastatic colorectal cancer and the disease control rate can reach 50%.
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Liqiang Zhong
- Phone Number: 15283572951
- Email: zhongliqiang@163.com
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female aged 18 to 70 years old;
- Histologically or cytologically proven patients with metastatic colorectal cancer have undergone a first-line standard regimen recommended by the NCCN guidelines for progression;
- According to the RECIST 1.1 criteria, the patient has at least one target lesion that can measure the diameter;
- ECOG PS ≤ 2;
- Expected survival time of more than 12 weeks.
The level of organ function must meet the following requirements:
Bone marrow: neutrophil count (ANC) ≥ 1.5 × 10^9/L, platelet ≥ 75 × 10^9/L, hemoglobin ≥ 90g/L.
Liver: serum bilirubin ≤ 2 times the upper limit of normal, aminotransferase AST and ALT ≤ 2.5 times the normal upper limit.
Kidney: Serum creatinine ≤1.5 times upper limit of normal.
- Patient compliance is good;
- Understand and voluntarily sign a written informed consent.
Exclusion Criteria:
- Other previous or concurrent malignancy, except cured skin basal cell carcinoma and cervical carcinoma in situ;
- Already known to be allergic to apatinib or any excipient;
- Use unapproved drugs or other test medications within 4 weeks prior to enrollment;
- There are many factors that affect oral medications (such as inability to swallow, chronic diarrhea and intestinal obstruction);
- Patients with a history of CNS metastases or CNS metastases;
- A history of bleeding, with any serious grading within 4 weeks prior to screening reaching a bleeding event of 3 degrees Celsius or greater in CTCAE4.0;
- Serious infection;
- Serious cardiovascular disease: uncontrolled hypertension, unstable angina, grade 3-4 heart failure (NYHA standard), congestive heart failure;
- urinary routine urinary protein ≥ ++ and confirmed 24-hour urinary protein quantitation> 1.0 g;
- Within 30 days after major surgery;
- Thrombotic disease. Anemia or venous thrombosis occurred in the previous year, such as cerebrovascular accident (including transient ischemic attack), deep vein thrombosis, pulmonary embolism, etc.;
- Those with history of psychotropic substance abuse who can not be abstinent or have mental disorders;
- Have clinical symptoms, need clinical intervention pleural effusion or ascites;
- At the investigator's discretion, there is a serious concomitant condition that compromises the patient's safety or affects the patient in completing the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Apatinib group
Apatinib combined with second-line chemotherapy (5-Fu combined with irinotecan or oxaliplatin standard regimen ) Apatinib tablets: 500 mg po qd . Continuous medication, the cycle is consistent with the chemotherapy cycle. Oxaliplatin: Day 1, 130mg/m2, IV infusion. Capecitabine: Day 1-14, 1000mg/m2 Twice Daily, po. A total of 6 cycles, 3 weeks apart of chemotherapy.(Take CAPEOX for example) |
Apatinib in combination with standard second-line chemotherapy for advanced colorectal cancer
Other Names:
The second line standard chemotherapy regimen recommended by the NCCN
Other Names:
|
Placebo Comparator: Control group
Oxaliplatin: Day 1, 130mg/m2, IV infusion.
Capecitabine: Day 1-14, 1000mg/m2 Twice Daily, po.
A total of 6 cycles, 3 weeks apart of chemotherapy.(Take
CAPEOX for example)
|
The second line standard chemotherapy regimen recommended by the NCCN
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression-free survival (PFS)
Time Frame: Approximately 2 year
|
the time from randomize to progression or death; RECIST guidelines were used to define all responses after patients had received every 4 weeks of therapy
|
Approximately 2 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall survival (OS)
Time Frame: Approximately 3 years
|
Defined as the time from randomize to death
|
Approximately 3 years
|
Objective Response Rate (ORR)
Time Frame: Approximately 2 years
|
ORR=complete response (CR) + partial response (PR)
|
Approximately 2 years
|
Disease control rate(DCR)
Time Frame: Approximately 2 years
|
Defined as the rate of complete response , partial response and stable disease according to RECIST guidelines
|
Approximately 2 years
|
Quality of life(QoL)
Time Frame: Approximately 2 year
|
As measured by the European Organization for Research and Treatment of Cancer questionnaire (EORTC QLQ C30)
|
Approximately 2 year
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Liqiang Zhong, Yibin Second People's Hospital
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms
- Neoplasms by Site
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Colonic Diseases
- Intestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Colorectal Neoplasms
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Protein Kinase Inhibitors
- Apatinib
Other Study ID Numbers
- ChiCTR1800014478
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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