NCT04345783
Unknown
Phase 2
A Study on the Efficacy and Safety of Camrelizumab for Injection, Apatinib Mesylate and Tegio for First-line Refractory Patients With Advanced Gastric Cancer
ConditionsGastric Cancer
Overview
- Phase
- Phase 2
- Intervention
- Camrelizumab for injection, apatinib mesylate and tegio
- Conditions
- Gastric Cancer
- Sponsor
- Beijing Friendship Hospital
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- DFS
- Last Updated
- 6 years ago
Overview
Brief Summary
This is a prospective, single-center, single-arm, open-label clinical study, aiming at evaluating the efficacy and safety of camrelizumab for injection, apatinib mesylate and tegio for first-line refractory patients with advanced gastric cancer.
Investigators
Zhongtao Zhang
Professor
Beijing Friendship Hospital
Eligibility Criteria
Inclusion Criteria
- •Aged 18-75;
- •ECOG score 0-2;
- •Pathologically diagnosed late-stage adenocarcinoma of stomach or gastroesophageal junction, with extra-gastric measurable lesions (spiral CT scan≥10 mm, meeting RECIST 1.1 criteria);
- •Patients with locally advanced or metastatic gastric or gastroesophageal junction adenocarcinoma that are refractory to first-line chemotherapy;
- •Patients who received no previous treatment with apatinib or other VEGFR inhibitors, e.g. sorafenib and sunitinib;
- •Normal blood routine examination: Neutrophil count ≥ 1.5 × 109 / L; Hemoglobin ≥ 80 g / L; Platelet count ≥ 100 × 109 / L; Total bilirubin ≤ 1.5 × ULN; ALT, AST≤2.5×ULN;
- •Without severe dysfunction of heart, lung, liver or kidney, without jaundice and digestive tract obstruction, and without acute infection.
Exclusion Criteria
- •KPS \< 60, or estimated survival \< 3 months;
- •Patients with cardiovascular and cerebrovascular events within half a year; patients with uncontrollable hypertension (systolic pressure \> 140 mmHg, diastolic pressure \> 90 mmHg), coronary heart disease above grade I, arrhythmia (including QTc interval prolongation \> 450 ms in men, 470 MS in women) and grade I cardiac dysfunction; patients positive of urine albumin;
- •Patients with definite tendency of gastrointestinal bleeding, local active ulcer focus, and occult blood in stool (+ +); patients with history of black stool and hematemesis within 2 months;
- •Abnormal coagulation (INR \> 1.5, APTT \> 1.5 ULN), with bleeding tendency;
- •Patients with factors that can affect the absorption of oral-intake drugs (such as inability to swallow, nausea, vomiting, chronic diarrhea and intestinal obstruction, etc.);
- •Patients with nervous and mental diseases or with severe infection;
- •Pregnant or lactating women or those who have fertility requirements during the study period.
Arms & Interventions
Camrelizumab+Apatinib Mesylate+Tegio
Intervention: Camrelizumab for injection, apatinib mesylate and tegio
Outcomes
Primary Outcomes
DFS
Time Frame: 3 years
disease free survival
OS
Time Frame: 3 years
overall survival
Study Sites (1)
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