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临床试验/NCT03521219
NCT03521219Unknown2 期

Single Arm, Exploratory and Open Clinical Trial of Second-line Therapy With Apatinib Mesylate in Advanced Cholangiocarcinoma

The First Affiliated Hospital of Zhengzhou University1 个研究点 分布在 1 个国家目标入组 30 人开始时间: 2018年2月7日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
发起方
入组人数
30
试验地点
1
主要终点
Disease Control Rate (DCR)

研究概览

简要总结

The propose of this study is to confirm safety and efficacy of Apatinib monotherapy in patients with advanced cholangiocarcinoma.

研究设计

研究类型
Interventional
分配方式
Na
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 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Ages 18-65 years;
  • Eastern Cooperative Oncology Group performance score (ECOG): 0-2;
  • Estimated survival time > 3 months;
  • Patients with recurrent or metastatic cholangiocarcinoma with histologic or cytological diagnosis;
  • Previous first-line GP programmes failed, or were not able to withstand first-line treatment;
  • At least one measurable lesion [spiral CT scan ≥ 10 mm (CT scan thickness not greater than 5mm)], Measurable lesions were not treated with radiotherapy or other topical treatments unless progress was achieved after treatment was completed (RECIST version 1.1);
  • Adequate hepatic, renal, heart, and hematologic functions: ANC ≥ 1.5×109/L, PLT ≥ 75×109/L, HB ≥ 8 g/dL,ALB ≥2.8g/dL,TBIL ≤ 3×ULN, ALT or AST≤ 2.5×ULN (or ≤ 5×ULN in patients with liver metastases), Cr clearance ≥ 50 mL/min;Thyroid function is normal;
  • No serious history of drug allergy;
  • Subjects volunteered for the study. Sign informed consent, good compliance, with follow-up.

排除标准

  • Patients have received targeted therapy;
  • Patients with contraindications (active bleeding, ulcers, intestinal perforation, intestinal obstruction, within 30 days after major surgery, uncontrolled high blood pressure medication, III-IV level cardiac insufficiency, severe liver and kidney dysfunction);
  • Coagulation dysfunction (INR> 1.5, PT> ULN +4s or APTT> 1.5 ULN), with bleeding tendency or ongoing thrombolysis or anti-blood coagulation treatment;
  • Urine routine showed that urine protein ≥++ or the urine protein in 24 hours>1.0 g;
  • Pregnant or lactating women;
  • History of other malignancy within 5 years except for effectively treated skin basal cell carcinoma, cutaneous squamous cell carcinoma and / or effectively excised orthotopic cervical and / or breast cancer;
  • The researchers judged other conditions that might affect clinical research and the outcome of the study.

研究组 & 干预措施

Apatinib

Experimental

Apatinib 500mg, once a day, oral of each 28 day cycle. Number of cycle: until progression or unacceptable toxicity develops.

干预措施: Apatinib (Drug)

结局指标

主要结局

Disease Control Rate (DCR)

时间窗: 1 month

the percentage of patients with advanced or metastatic cancer who have achieved complete response, partial response and stable disease

次要结局

  • Overall Survival(36 month)
  • Progression-free Survival(24 month)
  • Objective Response Rate(ORR)(1 month, 3 month, 6 month)

研究者

发起方
The First Affiliated Hospital of Zhengzhou University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Wei He

Deputy Chief Physician of Oncology

The First Affiliated Hospital of Zhengzhou University

研究点 (1)

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