Anlotinib or Penpulimab in Combination With RAI for DTC
- Conditions
- Thyroid Cancer
- Interventions
- Registration Number
- NCT04952493
- Lead Sponsor
- Peking Union Medical College Hospital
- Brief Summary
The purpose of this study is to assess the efficacy and safety of anlotinib in combination with I-131 in locally advanced/metastatic differentiated thyroid cancer. Anlotinib may stop the growth of tumor cells and improve iodine uptake.
- Detailed Description
Primary Outcome Measures:
objective response rate (ORR)
Secondary Outcome Measures：
1. Biochemical Response Rate (BRR) Biochemical response rate is defined as the percentage of subjects whose Tg was consecutive decreases more than 25% compared to baseline twice
2. Disease Control Rate (DCR)
3. Progression-free Survival (PFS) (median) was determined using the number of months measured from the initial date of treatment to the date of documented progression, or the date of death (in the absence of progression) of participants. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
4. Nuclear medicine functional imaging changes of target lesions The dynamic changes of I uptake and 18F-FDG PET/CT imaging
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 42
- local advanced or metastatic differentiated thyroid cancer (DTC)
- scheduled to receive RAI treatment.
- absence of good remission of RAI or may not get satisfactory remission from RAI treatment
- At least one measurable lesion, with diameter ≥ 10mm measured by spiral MRI/CT scan per RECIST1.1.
- Be 18 years of age or older, ECOG PS: 0-2. Life expectancy of at least 6 months.
- Main organs function is normal.
- The woman patients of childbearing age who must agree to take contraceptive methods (e.g. intrauterine device, contraceptive pill or condom) during the research and within another 6 months after it; who are not in the lactation period and examined as negative in blood serum test or urine pregnancy test within 7 days before the research; The man patients who must agree to take contraceptive methods during the research and within another 6 months after it.
- Patients who had previously received treatment with Antiangiogenic tyrosine kinase inhibitors, such as: Anlotinib, apatinib and Lenvatinib.
- Patients who had previously received local treatment within 4 weeks or Participated in other anti-tumor clinical trials within 4 weeks.
- Patients with previous or current concurrent malignancies or solid organs or bone marrow transplants within 5 years. Exceptions include basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or in situ cervical cancer that has undergone potentially curative therapy
- Unmitigated ≥ grade 2 toxicity (CTC AE 5.0) due to any prior treatment, excluding alopecia.
- With kinds of factors which affect oral medicine (e.g. failing to swallow, gastrointestinal tract getting resected, chronic diarrhea and ileus)
- Patients with pleural effusion or ascites.
- Patients with any severe and/or uncontrolled disease.
- Patients who underwent major surgery, open biopsy or significant traumatic injury within 4 weeks.
- Regardless of the severity, patients with any physical signs or history of bleeding, patients with bleeding or bleeding events greater than or equal to CTCAE 2 within four weeks prior to the first administration, or patients with unhealed wounds, fractures, ulcers.
- Patients with arterial or venous thromboembolic events occurred within 6 months, such as cerebrovascular accident (including transient ischemic attack), deep vein thrombosis and pulmonary embolism.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description anlotinib + RAI Anlotinib hydrochloride Patients in this arm will receive anlotinib 6 cycles around RAI treatment ( 4 cycles before and 2 cycles after RAI) anlotinib + RAI Sodium Iodide I 131 Patients in this arm will receive anlotinib 6 cycles around RAI treatment ( 4 cycles before and 2 cycles after RAI) RAI only Sodium Iodide I 131 Patients in this arm will receive RAI treatment as scheduled. Penpulimab + RAI Sodium Iodide I 131 Patients in this arm will receive Penpulimab from one week prior to RAI treatment until the disease progressed or intolerable. Penpulimab + RAI Penpulimab Patients in this arm will receive Penpulimab from one week prior to RAI treatment until the disease progressed or intolerable.
- Primary Outcome Measures
Name Time Method objective response rate (ORR) up to 24 months Proportion of patients with target lesions reaching PR or CR
- Secondary Outcome Measures
Name Time Method Nuclear medicine functional imaging changes of target lesions up to 24 months The dynamic changes of I uptake and 18F-FDG PET/CT imaging
Disease Control Rate (DCR) up to 24 months Proportion of patients with target lesions reaching PR, CR or SD
Biochemical Response Rate (BRR) up to 24 months Biochemical response rate is defined as the percentage of subjects whose Tg was consecutive decreases more than 25% compared to baseline twice
Progression-free Survival (PFS) (median) up to 24 months PFS was determined using the number of months measured from the initial date of treatment to the date of documented progression, or the date of death (in the absence of progression) of participants. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions
Trial Locations
- Locations (1)
Peking Union Medical College Hospital
🇨🇳Beijing, China