A prospective, open and controlled clinical study of traditional Chinese medicine (Astragalus / Panax notoginseng) combined with a new oncolytic vaccine in the treatment of Recurrent or Metastatic Colorectal Cancer
- Conditions
- colorectal cancer
- Registration Number
- ITMCTR2000003898
- Lead Sponsor
- The First People's Hospital of Changde City
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- Not specified
1)Willingness to participate in the clinical trial; completely understanding and knowing about the study and signing the ICF; willingness and capability to comply with the requirements of the study.
2)Female and male aged from 18 to 75 years (margin included).
3)Colorectal cancer patients with histologically confirmed .
4)Recurrent or metastatic colorectal cancer patients who progress after receiving >= 3 standard treatment or colorectal cancer patients after receiving >= 2 standard treatment and refuse to accept the third line standard treatment
5)Based on RECIST 1.1, at least one measurable lesions, i.e. an extranodal lesion >= 10 mm in the longest diameter of cross-sectional areas or a lymph node lesion >= 15 mm in the shortest diameter of cross-sectional areas in CT or MRI test. 6)Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
7)Life expectancy >= 12 weeks.
8)Organ and hematopoietic function as defined below: Hemoglobin (HGB) >= 80 g/L; White blood cell (WBC) >= 3 x 10^9/L; Absolute neutrophil count (ANC) >= 1.5 x 10^9/L; Platelets (PLT) >= 100 x 10^9/L; Total bilirubin <= 1.5 x upper limit of normal (ULN); AST and ALT <= 2.5 x ULN or, for hepatic dysfunction due to liver metastases, <= 5 x ULN; Serum creatinine (Cr) <= 1.5 x ULN or a creatinine clearance (CrCl) >= 50 mL/min; International normalized ratio (INR) or activated partial thromboplastin time (aPTT) <= 1.5 x ULN;
9)Female patients of childbearing potential should be willing to birth control after ICF signing, the course of the study, and 5 months after the last dose of study medication.
10)Can cooperate to observe adverse events and curative effect.
11) The circulating tumor cells were examined before, during and after treatment, and PET-CT examination was completed before and after treatment.
1)Prior anti-tumor therapy,(including chemotherapy, targeted small molecule therapy , radiotherapy, immunotherapy, mAb therapy) , or treatment with investigational products having not been launched onto the market in China in other clinical trials within 4 weeks prior to the first dose.
2)A past history of allergic reactions attributed to any macromolecular protein preparation/monoclonal antibody, or any other composition of the investigational product.
3)Pregnancy or lactation.
4)Patients with any autoimmune disease and received systemic therapy within 2 years (i.e. corticosteroids or immunosuppressive medications) [i.e.,but not limited to, uveitis, enteritis, hepatitis, hypophysitis, vasculitis, nephritis, hyperthyroidism, hypothyroidism (hypothyroidism without clinical symptoms or caused by radiotherapy and chemotherapy can be included), patients with vitiligo or asthma CR in Childhood, not requiring any intervention in adulthood are permitted to enroll; patients with asthma requiring a bronchiectasis intervention are not permitted to enroll].
5)Subjects that requires systemic corticosteroids (dose equivalent to or above 10 mg prednisone daily) or other immunosuppressive medications within 14 days prior to enrollment or for the course of the study.
6)Patients with known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
7)Having received a live vaccine within 4 weeks prior to the first dose of investigational drug.
8)Having received a live anti-tumor vaccine, or anti-tumor treatment with immunostimulation.
9)Serious medical illness, such as severe infections, uncontrollable diabetes mellitus, cardiovascular diseases (i.e., grade 3 or 4 congestive heart failure (New York Heart Association (NYHA)), >= grade 2 heart block, myocardial infarction, uncontrolled arrhythmias, or unstable angina within 6 months prior to screening, and cerebral infarction within 3 months prior to screening) or lung diseases (i.e. interstitial pneumonia, obstructive pulmonary disease and symptomatic bronchospasm).
10)Patients with positive HBsAg and/or positive HBcAb with positive hepatitis B virus DNA > 103 copies/mL, or positive hepatitis C virus antibody; or positive syphilis.
11)A known history of human immunodeficiency virus (HIV) infection, or other acquired and congenital immune deficiency diseases. 12)A known history of active tuberculosis within 1 year prior to the first dose of investigational drug.
13)Presence of other malignant cancers within 5 years prior to enrollment. Patients with cured carcinoma in situ and cured skin basal cell carcinoma or cutaneous squamous cell carcinoma are eligible.
14)Having undergone allogeneic hematopoietic stem cell transplantation or solid organ transplantation.
15)Having undergone major surgery (with the exception of baseline tumor biopsy), or serious trauma within 4 weeks prior to the first dose of therapy.
16)A history of alcoholism or drug abuse within 1 year.
17)A clear history of neurological or mental disorders, i.e. epilepsy, dementia, and poor compliance
18)Patients with other severe, acute or chronic disease that might increase risk of study drug use and participation, or laboratory abnormality that might confound the results of the trial.
19)Subjects not eligible for the study for other reasons, evaluated by the investigator.
Study & Design
- Study Type
- Interventional study
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Objective response rate;Safety index;
- Secondary Outcome Measures
Name Time Method OS;Quality of life;Symptom relief rate;TTP;DCR;