The Use of CT Perfusion to Determine the Normalization Window Period in the Treatment of Advanced Primary Lung Adenocarcinoma With Endostar
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Forventet)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
-
-
Sichuan
-
Chengdu, Sichuan, Kina, 610041
- Rekruttering
- The Department of Thoracic Oncology in West China Hospital of Sichuan University
-
Kontakt:
- Meijuan Huang, MD
-
Kontakt:
- You Lu, MD
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Histologically or cytologically newly diagnosed as unresectable and metastasis advanced lung adenocarcinoma(Stage IV, Seventh Edition of the UICC/AJCC Classification for Lung Cancer).
- At least one measurable objective tumor lesion, spiral CT or PET-CT examination: the shortest diameter ≥2cm,and no obvious necrosis
- Life expectancy ≥12weeks
- Patients receive palliative radiotherapy for bone's pain relief; patients receive radiotherapy for brain metastasis、patients after brain transfer operation or radiation therapy are allowed to enter the research.
- 18≤Patients'age <70 years.
- Electrocolonogram (ECOG) Score:0-1.
- Granulocyte count ≥ 2.0×109/L, platelet count ≥ 100×109/L.
- Serum bilirubin within the normal range.
- Aspartate aminotransferase ( AST ), Alanine aminotransferase ( ALT ) within the normal range(if the patients is diagonosed as liver metastasis,his/her AST/ALT should not surpass 1.5 times of the normal range ).
- Serum creatinine within the normal range and creatinine clearance rate ≥60ml/min
- Compliance with research requirements and be able to follow up.
- Within 72 hours before the treatment, all women pregnant with pregnant possibility should undergo pregnancy test and get negative results.
- Patients with fertility ability should take effective contraceptive techniques.
- Sign informed consent of this clinic trial.
Exclusion Criteria:
- Lung adenocarcinoma patients who received systemic chemotherapy/thoracic radiotherapy/targeted therapy
- Received resection, cutting or aspiration within seven days
- Any unstable systemic diseases (including peptic ulcer、active infection、grade4 hypertension、unstable angina、congestive heart failure、liver, metabolic disorders or fracture、unhealing wound )
- Chronic kidney disease history(including chronic nephritis, nephrotic syndrome, Obstruction of urinary tract etc. caused by Urinary calculus)
- have to use anticoagulant drugs at the same time
- patients with obvious coagulation disorders、active bleeding and bleeding tendency
- Any other malignancies (complete cure of cervical carcinoma in situ/basal cell carcinoma/squamous cell carcinoma are excluded )happened within 5 years.
- Signifinant weight loss, weight lost during the 6 weeks more than or equal to 10%
- Patients who take bone metastasis as the only observing index
- Allergic to escherichia coli preparation
- Used Endostar before
- Lactating women
- Contraindications written on Pemetrexed、Carboplatin、Dexamethasone instructions
- Allergic to radiographic contrast agents
- In the middle or planning to attend other clinic trails
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Diagnostisk
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: endostar2
CT Perfusion Imaging(CTPI) at D0, D21 of the first cycle、D6, D14 of the second cycle, measure blood flow ( BF ), blood volume ( BV ), mean transit time ( MTT ), start time ( TTS ), time to peak ( TTP ), Patlak blood volume ( pBV ), vascular permeability etc. before/after tumor tissue treatment.
|
Endostar TM 7.5mg/m2,intravenous drip, Day 1to Day 10;Pemetrexed 500mg/m2, intravenous drip, Day 6; Carboplatin AUC=5,intravenous drip, Day 6; 21 days as a cycle, 4 cycles in all.
|
|
Eksperimentel: endostar1
CT Perfusion Imaging(CTPI) at D0,D6, D14, D21 of the first period, measure blood flow ( BF ), blood volume ( BV ), mean transit time ( MTT ), start time ( TTS ), time to peak ( TTP ), Patlak blood volume ( pBV ), vascular permeability etc. before/after tumor tissue treatment.
|
Endostar TM 7.5mg/m2,intravenous drip, Day 1to Day 10;Pemetrexed 500mg/m2, intravenous drip, Day 6; Carboplatin AUC=5,intravenous drip, Day 6; 21 days as a cycle, 4 cycles in all.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
the change of blood perfusion before/after the use of Endostar
Tidsramme: per 3 weeks
|
per 3 weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
tumor to progress
Tidsramme: 6 months
|
tumor to progress
|
6 months
|
|
clinical benefit rate
Tidsramme: per 6 weeks
|
per 6 weeks
|
|
|
Adverse Drug Reaction
Tidsramme: per 1 day
|
NCI-CTCAE V3.0
|
per 1 day
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Forventet)
Primær færdiggørelse
Studieafslutning (Forventet)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Neoplasmer efter histologisk type
- Neoplasmer
- Neoplasmer efter sted
- Karcinom
- Neoplasmer, kirtel og epitel
- Neoplasmer i luftvejene
- Thoracale neoplasmer
- Lungeneoplasmer
- Adenocarcinom
- Adenocarcinom i lunge
- Lægemidlers fysiologiske virkninger
- Antineoplastiske midler
- Angiogenese-hæmmere
- Angiogenesemodulerende midler
- Vækststoffer
- Væksthæmmere
- Endostar protein
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- sim-endo-201201
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