A Real-world Study of Anlotinib Hydrochloride Capsules in the Treatment of Locally Advanced or Metastatic Radioiodine-Refractory Differentiated Thyroid Carcinoma
Overview
- Phase
- Not Applicable
- Intervention
- Anlotinib Hydrochloride Capsule
- Conditions
- Thyroid Neoplasms
- Sponsor
- Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
- Enrollment
- 380
- Locations
- 3
- Primary Endpoint
- Overall Response Rate (ORR)
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The study aims to observe and investigate the efficacy and safety of Anlotinib capsules in patients with locally advanced or metastatic radioiodine-refractory differentiated thyroid carcinoma in the real world, and to summarize the treatment experience in a broad population.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients voluntarily participate in this study, sign the informed consent form and had good compliance;
- •Aged 18 \~ 70 years old; Eastern Cooperative Oncology Group Performance Status (ECOG PS) score: 0\~1; more than 6 months of expected survival ;
- •Histopathologically confirmed locally advanced or metastatic differentiated thyroid cancer, radiographically documented disease progression within 18 months of absence of radioactive iodine (RAI) therapy;
- •Meet any of the following:
- •Lesions were not iodine-avid: no RAI uptake was confirmed after RAI scan in the presence of a low-iodine diet, adequate thyroid stimulating hormone (TSH) elevation (≥ 30 mIU/L). The definition of no iodine uptake:
- •no iodine uptake initially;
- •exist of iodine uptake initially while lost subsequently;
- •partially uptake;
- •progression disease despite iodine uptake.
- •The cumulative dose of RAI was ≥ 600 mCi or 22 GBq, with an interval of at least 3 months.
Exclusion Criteria
- •Comorbidities and medical history:
- •A history of or concurrent with other malignancies within the past 3 years. Patients were eligible if they had disease-free survival (DFS) for 5 consecutive years in other malignancies treated by single surgery; Cured cervical carcinoma in situ, non-melanoma skin cancer and superficial bladder tumors \[Ta (non-invasive tumor), Tis (carcinoma in situ) and T1 (tumor infiltrating basement membrane)\];
- •Major surgical treatment, open biopsy, or significant traumatic injury within 28 days before the start of study treatment;
- •Subjects with any severe and/or uncontrolled illness, including:
- •Patients with ≥ grade 2 myocardial ischemia or myocardial infarction, arrhythmia (including Corrected QT Interval (QTc)≥450ms(male), QTc≥ 470ms(female)) and ≥ grade 2 congestive heart failure (NYHA classification);
- •Severe active or uncontrolled infection (≥ grade 2 infection according to Common Terminology Criteria for Adverse Events (CTCAE) );
- •Renal failure requiring hemodialysis or peritoneal dialysis;
- •Patients with concomitant diseases that seriously endanger the safety of patients or affect the completion of the study, or patients who are considered to be unsuitable for enrollment for other reasons according to the judgment of the investigators.
- •patients with previous treatment with anlotinib hydrochloride capsules or similar vascular endothelial growth factor receptor tyrosine kinase inhibitor (VEGFR-TKI) small molecule drugs, such as vandetanib, Cabozantinib, lenvatinib, sunitinib, or sorafenib, etc.;
Arms & Interventions
Anlotinib group
Anlotinib hydrochloride capsules: 12 mg once daily for 2 weeks, followed by a discontinuation of 1 week (21 days as a cycle)
Intervention: Anlotinib Hydrochloride Capsule
Outcomes
Primary Outcomes
Overall Response Rate (ORR)
Time Frame: Baseline up to 3 years.
The proportion of subjects who achieves a best overall response of complete response (CR) or partial response (PR).
Progression-free Survival (PFS)
Time Frame: Baseline up to 3 years.
From the first dose to the date of objective disease progression or death, whichever occurs first.
Secondary Outcomes
- Duration of Response (DOR)(Baseline up to 3 years.)
- Overall Survival (OS)(Baseline up to 3 years.)
- Adverse event rate(Baseline up to 3 years.)
- Disease-control Rate (DCR)(Baseline up to 3 years.)