Single-arm, Non-randomized, Open, Drug Tolerance Trial of Cinobufacini Injection Intraperitoneal Perfusion Treatment on Digestive System Cancer Patients With Ascites
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
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
Quanwang Li
Chief of oncology dept
Dongfang Hospital Beijing University of Chinese Medicine
