- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03594682
Optimizing the Therapeutic Dose of Apatinib Mesylate Tablets in Patients With Lung Cancer by Dose Titration:A Real World Exploratory Study
July 11, 2018 updated by: Ying Hu, Beijing Chest Hospital
The purpose of the study is to evaluate the safety and efficacy of two different administration methods of apatinib in NSCLC patients.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
- Aged ≥18;
- Locally advanced/metastatic non-small lung cancer (IIIb/IV) confirmed by pathology with measurable lesions;
- Patients with wild type EGFR/ALK must received two kinds of systemic chemotherapy before;Patients with EGFR mutation positive had experienced treatment failure with TKI in first line and Chemotherapy in second line ;
- ECOG:0-4;
- The subjects were treated with other drugs has been restored (NCI CTCAE version 4.0 class 1 or less), which accept nitroso urea or mitomycin interval 6 weeks or more; Accept other cytotoxic drugs, bevacizumab (Avastin) (except local palliative radiotherapy), radiotherapy or surgery four weeks or more. EGFR TKI ≥2 weeks; Main organs function is normal;
- Fertile woman must perform a pregnancy test (serum or urine) 7 days before screened, or voluntarily adopt proper methods of contraception during the observation period and 8 week after the last given apatinib. For man, surgical sterilization should be performed, or voluntarily adopt proper methods of contraception during the observation period and 8 week after the last given apatinib;
- Patients voluntarily entered the study and signed informed consent form (ICF).
Study Type
Interventional
Enrollment (Anticipated)
31
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Hu Ying
- Phone Number: 010-89509330
- Email: huying2004@126.com
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 85 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Aged ≥18;
- Locally advanced/metastatic non-small lung cancer (IIIb / IV) confirmed by pathology with measurable lesions ;
- Patients with wild type EGFR/ALK must received two kinds of systemic chemotherapy before;Patients with EGFR mutation positive had experienced treatment failure with TKI in first line and Chemotherapy in second line ;
- ECOG:0-4;
- The subjects were treated with other drugs has been restored (NCI CTCAE version 4.0 class 1 or less), which accept nitroso urea or mitomycin interval 6 weeks or more; Accept other cytotoxic drugs, bevacizumab (Avastin) (except local palliative radiotherapy), radiotherapy or surgery four weeks or more. EGFR TKI ≥2 weeks; Main organs function is normal;
- Fertile woman must perform a pregnancy test (serum or urine) 7 days before screened, or voluntarily adopt proper methods of contraception during the observation period and 8 week after the last given apatinib. For man, surgical sterilization should be performed, or voluntarily adopt proper methods of contraception during the observation period and 8 week after the last given apatinib;
- Patients voluntarily entered the study and signed informed consent form (ICF).
Exclusion Criteria:
- brain MRI, CT or venography confirmed that there are brain hemorrhage symptoms;
- Tumor invade big vessels or close to big vessels (less than 5mm);
- Patients with uncontrollable hypertension (systolic blood pressure> 140 mmHg, diastolic blood pressure> 90 mmHg, despite optimal drug therapy).;
- Patients with with grade Ⅱ myocardial ischemia or myocardial infarction, poor control of arrhythmias (including QTc interval male ≥ 450 ms, female ≥470 ms);
- Abnormal coagulation (INR>1.5 or PT>ULN+4, or APTT>1.5 ULN), bleeding tendency or receiving coagulation therapy
- Urine protein≥++, or urine protein in 24 hours≥1.0g
- CTCAE 2 degrees or more peripheral neuropathy, except the trauma;
- Unhealed bone fracture or wound for long time;
- Patients who received systemic antibiotic treatment of serious infections;
- Decompensated diabetes or high dose of glucocorticoid treatment other banned disease;
- Patients with active hepatitis B virus or hepatitis c virus infection;
- Patients with obvious factors affecting absorption of oral drugs, such as difficulties in swallowing, chronic diarrhea and intestinal obstruction, etc.
- Received big surgery, had bone fracture or ulcer in 4 weeks.
- Within 6 weeks before random severe weight loss (> 10%);
- Patients who experienced bleeding symptoms of clinical significance within 3 months before screening, or with confirmed bleeding tendency such as hemorrhage of digestive tract, hemorrhagic gastric ulcer, baseline occult blood in stool ++ and above, or vasculitis, etc;
- Random 12 months before the artery/vein thrombosis events, such as cerebrovascular accident (including transient ischemic attack, cerebral hemorrhage, cerebral infarction), deep vein thrombosis and pulmonary embolism, etc.;
- Known history of hypersensitivity to apatinib or any of it components.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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: dose titration group
First of all, according to the patient's weight and ECOG score, patients were divided into three groups(the initial dose of 250 mg qd,250 mg/500 mg qd by turns, 500 mg qd). in two weeks, if the patient who is intolerant of the initial dose,250mg qod,250mg qd ,250mg qd was selected.
if the patient can tolerate the dose well,a high-dose was given,and the maximum dose does not exceeding 750mg qd.
|
experimentalgroup initial dose:
|
Active Comparator: non-titration group
Patients were given 750mg qd apatinib until disease progression or intolerance
|
experimentalgroup initial dose:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
duration of treatment
Time Frame: two years
|
time from take apatinib to withdrawal from experiment due to adverse reaction of apatinib
|
two years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Li Baolan, Beijing Chest Hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
August 1, 2018
Primary Completion (Anticipated)
July 1, 2019
Study Completion (Anticipated)
July 1, 2020
Study Registration Dates
First Submitted
June 24, 2018
First Submitted That Met QC Criteria
July 11, 2018
First Posted (Actual)
July 20, 2018
Study Record Updates
Last Update Posted (Actual)
July 20, 2018
Last Update Submitted That Met QC Criteria
July 11, 2018
Last Verified
June 1, 2018
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- HB-B001
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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