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临床试验/EUCTR2017-001655-31-GB
EUCTR2017-001655-31-GB进行中(未招募)1 期

A Phase III Study of AL3818 (Catequentinib, Anlotinib) Hydrochloride Monotherapy in Subjects with Metastatic or Advanced Alveolar Soft Part Sarcoma, Leiomyosarcoma and Synovial Sarcoma - Anlotinib in Sarcoma, Version 2.1 15-October-2019

Advenchen Laboratories LLC0 个研究点目标入组 325 人开始时间: 2020年4月8日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
325

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Patients who are able to sign inform consent
  • 2. Male or female at least 18 years of age
  • 3. Indication A – ASPS: Histologically proven, unresectable, locally advanced or metastatic alveolar soft part sarcoma.
  • Indication C – SS: Histologically proven, unresectable, recurrent, locally advanced or metastatic synovial sarcoma.
  • Indication D – LMS: Histologically proven, unresectable, recurrent, locally advanced or metastatic leiomyosarcoma (of soft tissue, cutaneous origin, and vascular origin).
  • 4. Indication A – ASPS: Subjects with or without prior therapy.
  • Indication C – SS: Subjects previously treated with at least one prior line of standard systemic therapy, including first-line anthracycline containing regimen
  • Indication D – LMS: Treatment of patients with metastatic or advanced leiomyosarcoma (LMS) who have failed at least one prior line of standard therapy and are ineligible for or refuse standard second-line therapy or are suitable for third- and further-line treatment.
  • 5. Show clinical or objective disease progression after the last administration of the last standard therapy or have stopped standard therapy due to intolerability within 6 months of enrollment
  • 6. ECOG 0 or 1
  • 7. Measurable disease as per RECIST 1.1
  • 8. Life expectancy of at least 3 months
  • 9. Female of childbearing potential - negative test at screening and male and female participants willing to use contraception
  • 10. Adequate hematologic, hepatic and renal function as assessed by the following laboratory requirements conducted within 28 days of enrollment
  • 11. Left ventricular ejection fraction (LVEF) of > 50% by ECHO or MUGA within 56 days of enrollment
  • 12. Two readings of systolic blood pressure < 140 mm Hg and diastolic blood pressure < 90 mm Hg at screening taken at least 5 minutes apart in the sitting position after 5 minutes of rest.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 268
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 57

排除标准

  • 1. Prior treatment with or have known hypersensitivity to AL3818
  • 2. Indication A – ASPS: Prior treatment with cediranib
  • Indication C – SS: Prior treatment with or have known hypersensitivity to dacarbazine.
  • Indication D – LMS: Prior treatment with anlotinib.
  • 3. Previous or concurrent cancer that is distinct in primary site or histology from ASPS, LMS, or SS within 5 years before enrollment except for successfully treated in situ carcinoma, non-melanoma skin cancer and superficial bladder tumors (Ta, Tis and T1).
  • 4. Received last dose of systemic cytotoxic therapy or investigational therapy within 21 days of enrollment or last dose of hormonal therapy, immunotherapy, targeted therapy or any other type of non-cytotoxic anti-cancer therapy within 14 days of enrollment.
  • 5. Prior treatment with extended-field radiotherapy (EFRT) within 28 days of enrollment or prior treatment with any other form of radiotherapy within 14 days of enrollment.
  • 6. Known active CNS metastases and/or carcinomatous meningitis. Patients with brain mets who are stable can be considered.
  • 7. Cavitary tumors or tumors invading or abutting large blood vessels in the thorax.
  • 8. History of gastrointestinal perforation, abdominal fistula or intra-abdominal abscess within 6 months of enrollment.
  • 9. Known history of bleeding disorders
  • 10. Clinically significant bleeding
  • 11. CTCAE version 4.03 > grade 2 pulmonary hemorrhage or > grade 3 of other forms of bleeding within 28 days prior to enrollment
  • 12. History of untreated deep venous thrombosis (DVT) within the past 6 months
  • 13. Use of aspirin (>325 mg/day) within 10 days prior to the first dose of study treatment
  • 14. Serious non-healing wound, active ulcer
  • 15. Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to enrollment or minor surgical procedure within 7 days of enrollment
  • 16. CTCAE version 4.03 > grade 3 peripheral neuropathy
  • 17. Any unrecovered toxicity reactions of CTCAE version 4.03 > grade 1 caused by any previous therapy
  • 18. QTcF > 470 msec (per Fridericia’s formula) on electrocardiogram within 28 days of enrollment
  • 19. Severe and uncontrolled disease: Class I and above myocardial ischemia or myocardial infarction, cardiac arrhythmia and Class 2 or above congestive heart failure; active serious infections; liver diseases; renal failure; poorly controlled diabetes; untreated or uncontrolled epileptic seizures; drug abuse; untreated psychiatric disorders
  • 20. HIV positive
  • 21. Had organ transplant
  • 22. Not able to take oral medications
  • 23. Females who are pregnant or are breast-feeding
  • 24. Concomitant treatment with strong inhibitors or inducers of CYP1A2, CYP3A4 or CYP3A5; or sensitive substrates with narrow therapeutic index (TI) of CYP3A4, CYP2C9 and CYP2C19; or QT prolongating medications within 14 days prior to enrollment and during the study unless there was an emergent or life-threatening medical condition that required it.
  • 25. Any medical intervention that will exclude patients based on investigator assessment

研究者

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