Study on the Adverse Drug Reactions (ADRs) of Apatinib and Their Biomarker Correlations
2020年5月9日 更新者:Hao Long、Sun Yat-sen University
A Clinical Study Investigating Adverse Drug Reactions and Their Biomarker Correlations in Stage IV Cancer Patients Following Individualized Therapy of Apatinib
The tolerability of apatinib, an effective antiangiogenic agent, varies greatly in patients with stage IV cancer during treatment.
This study will include patients with advanced (stage IV) gastric cancer, non-small-cell lung cancer (NSCLC), breast cancer or ovarian cancer, who will be administered apatinib treatment starting from 250 mg Qd and closely monitored for ADRs during the period of apatinib treatment.
Meanwhile, relevant assay technologies will be used to precisely detect changes of various biomarkers in the patients treated by apatinib, with the aim of identifying biomarkers related to their prognosis and relevant complications so as to screen out the favored population, establish the drug's indication(s) and reduce relevant side effects.
研究概览
研究类型
介入性
注册 (预期的)
217
阶段
- 第四阶段
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习地点
-
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Guangdong
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GuangZhou、Guangdong、中国、510060
- 招聘中
- Sun Yat-sen University Cancer Center
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接触:
- Hao Long, professor
- 电话号码:+86-20-87343314
- 邮箱:longhao@sysucc.org.cn
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接触:
- Ruping Xing
- 电话号码:+86-20-87343736
- 邮箱:xingrp@sysucc.org.cn
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参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- Age of 18 and over, male or female;
- Patients with histologically confirmed advanced (stage IV) gastric cancer, NSCLC, breast cancer or ovarian cancer, who choose monotherapy of oral vascular targeting drug (apatinib) due to intolerability or inappropriateness of other therapies;
- Presence of measurable lesions (≥10mm on spiral CT scan) subject to RECIST 1.1;
- Blood pressured controlled at 150/100 mHg following drug administration;
- An ECOG PS score of between 0 and 1;
Findings of hematology and laboratory tests at the baseline that meet the following criteria:
Hemoglobin ≥80g/L; Absolute neutrophil count (ANC) ≥1.5×10^9/L; Platelets ≥90×10^9/L; ALT/AST ≤ 2.5×ULN; or ALT/AST ≤ 5×ULN for patients with hepatic metastases; Serum total bilirubin ≤1.5×ULN; Serum urea nitrogen and creatinine ≤ 1.5×ULN; Serum albumin ≥30g/L; Coagulation function (INR≤1.5, APTT≤1.5 ULN);
- A life expectancy of at least 3 months;
- Subjects who volunteer to participate in this study and have signed the Informed Consent Form (ICF), with good compliance with treatment and follow-up.
Exclusion Criteria:
- Confirmed allergy to apatinin and or its excipients;
- Hypertension (high blood pressure) that can not be controlled by drugs;
- A history of active hemorragge, ulcer, intestinal perforation, intestinal obstruction, or major surgery no older than 30 days;
- NYHA III-IV heart function, or severe hepatic or renal insufficiency (Grade 4);
- Presence of multiple factors that affect oral medications, such as difficulty swallowing, nausea, vomiting, chronic diarrhea and intestinal obstruction;
- Pregnant or lactating women, or women of child-bearing potential who have planned a pregnancy, or male and female patients who do not agree to practice adequate contraception during this study;
- Patients who have a history of psychotropics abuse and can not quit, or who have mental disorders;
- Participation in other drug clinical trial within the last 4 weeks;
- Prior therapy with VEGFR inhibitors such as sorafenib and sunitinib;
- Presence of comorbidities that seriously affect the patient's safety or ability to complete the study, in the investigator's judgment;
- Patients who can not tolerate apatinib treatment as judged by the investigator depending on the their medical history;
- Patients that are considered ineligible for this study by the investigator.
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:其他
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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其他:单组
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Patients with advanced (stage IV) gastric cancer, non-small-cell lung cancer (NSCLC), breast cancer or ovarian cancer will be included in this study to receive apatinib treaetment starting from 250 mg Qd and closely monitored for ADRs during apatinib treatment, with dosage adjustment performed as needed to make the treatment tolerable to the patients.
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
metastasis
大体时间:eight weeks
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The patient was diagnosed as recurrence or metastasis according to the computed tomography (CT) scan
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eight weeks
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2018年2月26日
初级完成 (预期的)
2020年12月1日
研究完成 (预期的)
2021年12月1日
研究注册日期
首次提交
2018年3月18日
首先提交符合 QC 标准的
2018年3月18日
首次发布 (实际的)
2018年3月23日
研究记录更新
最后更新发布 (实际的)
2020年5月12日
上次提交的符合 QC 标准的更新
2020年5月9日
最后验证
2020年5月1日
更多信息
与本研究相关的术语
其他研究编号
- A2018-002
药物和器械信息、研究文件
研究美国 FDA 监管的药品
不
研究美国 FDA 监管的设备产品
不
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.
IV 期癌症的临床试验
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Jerome Canady, M.D.主动,不招人第四期肺癌 | IV 期膀胱癌 | IV 期胰腺癌 | 复发性恶性实体瘤 | IV 期乳腺癌 | IV 期肾细胞癌 | IV 期前列腺癌 | IV 期结肠癌 | IV 期直肠癌 | IV 期胃癌 | IV 期非小细胞肺癌 | IV 期结直肠癌 | IV 期肝癌 | IV 期输卵管癌 | IV 期卵巢癌 | IV 期小肠癌美国
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Maastricht Radiation OncologyAmsterdam UMC, location VUmc完全的
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Spanish Lung Cancer Group完全的
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Brigham and Women's Hospital完全的
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The University of The West Indies未知
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Niguarda HospitalUniversity of Turin, Italy; Fondazione del Piemonte per l'Oncologia完全的
apatinib的临床试验
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Sun Yat-sen UniversityJiangsu Hengrui Pharmaceutical Co., Ltd.尚未招聘