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Phase II trial of Lenvatinib in patients with metastatic or recurrent thymic carcinoma

Phase 2
Completed
Conditions
Thymic carcinoma
Registration Number
JPRN-jRCT2091220285
Lead Sponsor
oboru YamamotoDepartment of Experimental Therapeutics, National Cancer Center Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
42
Inclusion Criteria

1) Patients with thymic carcinoma confirmed by tissue or cytological diagnosis
2) Correspond to any of the following
a. Unresectable Masaoka-Koga classification IIIa or IIIb thymic carcinoma
b. Masaoka-Koga classification IVa or IVb thymic carcinoma
c. Recurrent thymic carcinoma
3) Patients who had received at least one previous platinum-based chemo (radio) therapy
4) No symptomatic brain metastasis, carcinomatous meningitis, vertebral metastasis requiring radiotherapy or surgery
5) No cardiac effusion, pleural effusion and ascites requiring any treatment
6) Aged 20 or above at the time of registration
7) Performance Status 0 or 1
8) Oral intake
9) One or more measurable lesions confirmed by contrast enhanced CT
10) No prior treatment of agents targeting the VEGFR
11) Not received anti-cancer therapy within 14days before registration
12) Not having any of the following histories/complications
a. History of hypertensive crisis or hypertensive encephalopathy
b. History of surgery under general anesthesia within 28days before registration
c. History of total gastrectomy
d. Unrecovered wound, active gastrointestinal ulcer
e. Congenital hemorrhagic diathesis or coagulation disorder
13) Adequately controlled blood pressure
14) Patients in laboratory tests performed within 14 days before registration
15) Patients who achieved an SpO2 of 92% or more under room air conditions within 14 days before registration
16) Given consent to contraception
17) Written informed consent

Exclusion Criteria

1) Active double cancer; synchronous or metachronous within 5years. Patients with carcinoma in situ are eligible
2) Infections requiring systemic therapy
3) Fever of >=38 degrees Celsius at the time of registration
4) Active hemoptysis (more than half a teaspoon of blood) within 21days before registration
5) Interstitial pneumonia and/or pulmonary fibrosis diagnosed by chest CT imaging or clinical examinations
6) Grade >=2 adverse reactions caused by prior therapy except any grade of alopecia
7) History of any of the followings; unstable angina within 6 months before registration, heart attack, pulmonary embolism, deep vein thrombosis, brain bleeding, cerebral infarction, transient ischemic attacks within 6 months before registration and arterial thromboembolism
8) HIV antibody positive
9) Pregnant or breast-feeding women, or women suspected of being pregnant
10) Mental disease interfering taking part in the trial
11) Taking continuous systemic steroids and/or other immunosuppressive drugs (orally or intravenously)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Response rate; Central Review
Secondary Outcome Measures
NameTimeMethod
1)Response rate; assessed by the investigator<br>2)Progression Free Survival (PFS)<br>3)Overall Survival (OS) <br>4)Clinical Benefit Response (CBR) <br>5)Adverse Event
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