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临床试验/NCT02530398
NCT02530398Unknown1 期

Single-arm, Non-randomized, Open, Drug Tolerance Trial of Cinobufacini Injection Intraperitoneal Perfusion Treatment on Digestive System Cancer Patients With Ascites

Dongfang Hospital Beijing University of Chinese Medicine1 个研究点 分布在 1 个国家目标入组 48 人开始时间: 2015年7月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
发起方
入组人数
48
试验地点
1
主要终点
the grade of adverse events

研究概览

简要总结

To evaluate the tolerance and safety of cinobufacini injection intraperitoneal treatment on digestive system cancer patients with malignant ascites, and propose dosage regimens for future clinical trials. The clinical trial is divided into two parts, including single and successive administration.

详细描述

To evaluate the tolerance and safety of cinobufacini injection intraperitoneal treatment on digestive system cancer patients with malignant ascites, and propose dosage regimens for future clinical trials. A single-arm, non-randomized, open, drug tolerance trial will be conducted. The clinical trial is divided into two parts, including single and successive administration.The single administration includes 7 groups, dose is escalated from 15ml to 180ml, with 2-6 patients per dose level. Central venous catheters will be preserved for drainage of ascites, after the drainage of most of ascites, we will slowly inject a dilute concentration of cinobufacini injection with escalated dosage through the catheters. This treatment will be given only once, and the volunteers will be observed for 24 hours. Then we will evaluate the observation indexes, including adverse events, vital signs, electrocardiogram, blood routine, urine routine, hepatic and renal function, etc. The successive administration includes 2 groups, according to the result of single administration, choose the second largest tolerance dose to conduct the 1st group of successive administration. If there are significant adverse effects, then drop to a lower dose to conduct the 2nd group; if the trial shows no adverse effects, it upgrades to a higher dose (the maximum tolerated dose) to conduct the 2nd group. The treatment will be given 3 times a week, 2 weeks as a period. Adverse effects will be evaluated during and after treatment.

研究设计

研究类型
Interventional
分配方式
Non Randomized
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 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •digestive system cancer with malignant ascites;
  • •the age of 18-80 years;
  • •neither systemic chemotherapy, nor peritoneal perfusion therapy in 2 weeks;
  • •no cinobufotalin preparations in 2 weeks;
  • •ECOG score 0-3;
  • •the amount of ascites is above level II (1000-3000ml);
  • •volunteer to participate and sign informed consent.

排除标准

  • •non-cancer causes of ascites, such as peritonitis, cirrhosis,hypoalbuminemia;
  • •Had an allergy history to toad's skin or its products or had adverse reactions like arrhythmia when applied before;
  • •B ultrasound or CT confirmed the peritoneal cavity is separated which will affect the treatment of ascites and the estimation of ascites;
  • •The conditions admit and the patients would better to undergo chemotherapy of malignant ascites;
  • •cardiac function is Ⅲ-Ⅳ;
  • •ALT> 3 times upper limit and / or TBIL> 2 times upper limit;
  • •renal function is phase 3 and above 3;
  • •have severe neutropenia of degree II or above, and / or moderate or severe anemia, and / or thrombocytopenia of degree II or above;
  • •Consolidated mental disorders.

研究组 & 干预措施

cinobufacini group

Experimental

48 patients(half males and half females) will be in the group.Central venous catheters will be preserved for drainage of ascites, after the drainage of most of ascites, we will slowly inject a dilute concentration of cinobufacini injection with escalated dosage through the catheters. Then we will evaluate the observation indexes, including adverse events, vital signs, electrocardiogram, blood routine, urine routine, hepatic and renal function, etc.

干预措施: Cinobufacini Injection (Drug)

结局指标

主要结局

the grade of adverse events

时间窗: 14 days

According to The National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE 4.0),grade the severity of adverse events (AE) that occur with drug treatment,which include symptoms, electrocardiogram, blood routine, urine routine, hepatic and renal function. Each item is graded 1-5.

次要结局

未报告次要终点

研究者

发起方
Dongfang Hospital Beijing University of Chinese Medicine
申办方类型
Other
责任方
Principal Investigator
主要研究者

Quanwang Li

Chief of oncology dept

Dongfang Hospital Beijing University of Chinese Medicine

研究点 (1)

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