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临床试验/NCT05004831
NCT05004831招募中2 期

Phase II Study of Fruquintinib Combined With TAS-102 in the Treatment of Patients With Advanced Metastatic CRC

Sun Yat-sen University1 个研究点 分布在 1 个国家目标入组 54 人开始时间: 2022年3月11日最近更新:
适应症
干预措施

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
54
试验地点
1
主要终点
PFS

研究概览

简要总结

This phase II study aims to explore the efficacy and safety of fruquintinib combined with TAS-102 in the third-line treatment of patients with advanced metastatic colorectal cancer.

详细描述

This is a prospective, single center, one-arm phase II study. A total of 54 advanced mCRC patients refractory to standard therapies will be enrolled and administered with fruquintinib (4mg/d, qd po, D1-21, Q4W) combined with TAS-102 (70mg/m2/d, bid po, D1-5, 8-12, Q4W) until intolerable toxicity, disease progression or death. Primary endpoint of this study is PFS and secondary endpoints are OS, ORR, DCR and safety.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • ≥ 18 and ≤ 75 years of age;
  • Histological or cytological confirmed advanced metastatic colorectal cancer;
  • Refractory to at least second line standard treatment containing fluorouracil, oxaliplatin and irinotecan;
  • At least one measurable lesion (larger than 10 mm in diameter by spiral CT scan or 20mm by conventional CT scan);
  • ECOG performance status of 0-1;
  • Life expectancy ≥ 12 weeks;
  • No previous treatment with vascular endothelial growth factor receptor (VEGFR) inhibitor (TKI);
  • Signed and dated informed consent;
  • Adequate hepatic, renal, heart, and hematologic functions;
  • Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedure.

排除标准

  • Pregnant or lactating women;
  • Any factors that influence the usage of oral administration or any disease or condition that affects drug absorption;
  • Previous treatment with TAS-102;
  • Participated in clinical trials of other drugs within four weeks before enrollment;
  • Received other systemic anti-tumor therapy within 4 weeks before enrollment, including chemotherapy, signal transduction inhibitors, hormone therapy and immunotherapy;
  • International normalized ratio (INR) > 1.5 or partially activated prothrombin time (APTT) > 1.5 × ULN;
  • Clinically significant electrolyte abnormalities;
  • Subjected with hypertension that cannot be controlled by drugs, which is specified as: systolic blood pressure ≥ 140 mmHg and / or diastolic blood pressure ≥ 90 mmHg;
  • Unrelieved toxic reactions higher than CTCAE V5.0 grade 1 caused by any previous anti-cancer treatment;
  • Incomplete healing of skin wound, surgical site, traumatic site, severe mucosal ulcer or fracture;
  • Conditions that may cause gastrointestinal bleeding and perforation determined by the researcher;
  • History of arterial thrombosis or deep venous thrombosis within 6 months before enrollment;
  • Stroke and / or transient cerebral ischemia occurred within 12 months before enrollment;
  • Cardiovascular diseases with significant clinical significance;
  • Congestive heart failure New York Heart Association (NYHA) grade > 2;
  • Evidence of CNS metastasis;
  • Previous treatment with VEGFR inhibition;
  • Ventricular arrhythmias requiring drug treatment;
  • Proteinuria ≥ 2+ (1.0g/24hr);
  • Coagulation dysfunction, hemorrhagic tendency or receiving anticoagulant therapy;
  • Other malignant tumors in the past 5 years, except skin basal cell or squamous cell carcinoma after radical surgery, or cervical carcinoma in situ;
  • Active infection that is not controlled clinically, such as acute pneumonia, active hepatitis B or hepatitis C;
  • By judgment of the investigator, there are concomitant diseases that seriously endanger the safety of the patient or affect the completion of the study.

研究组 & 干预措施

fruquintinib plus TAS-102

Experimental

fruquintinib plus TAS-102, orally given, Q4W

干预措施: fruquintinib plus TAS-102 (Drug)

结局指标

主要结局

PFS

时间窗: from randomization up to progressive disease or EOT due to any cause, up to 2 years

Progression-free Survival

次要结局

  • Safety and tolerance(from first dose to within 30 days after the last dose)
  • DCR(from randomization up to progressive disease or EOT due to any cause, up to 2 years)
  • ORR(from randomization up to progressive disease or EOT due to any cause, up to 2 years)
  • OS(from randomization until death due to any cause, assessed up to 3 years)

研究者

发起方
Sun Yat-sen University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Peng Jian-jun

Professor

Sun Yat-sen University

研究点 (1)

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