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The observation of clinical effect on Apatinib treatment of advanced malignant tumor by the evaluation of Peripheral blood circulating tumor cells

The observation of clinical effect on Apatinib treatment of advanced malignant tumor by the evaluation of Peripheral blood circulating tumor cells

Status
Recruiting
Phases
Phase 4
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR-OPC-17011248
Enrollment
Unknown
Registered
2017-04-27
Start date
2017-05-01
Completion date
Unknown
Last updated
2017-05-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

malignant tumor

Interventions

Sponsors

Sir Run Run Shaw Hospital School of Medicine, Zhejiang University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. Patients with histologically-confirmed, advanced metastatic malignant tumor who have progressed on standard therapy; 2.At least one measurable lesions; 3. gastric cancer patients, always received second-line chemotherapy regimens, other cancer patients, always received standard treatment failure or recurrence, lack of a standard treatment at present; 4. Distance the last radiotherapy at least 4 weeks and recover from the acute toxicity of radiotherapy, except preventive brain radiotherapy or palliative bone metastatic lesions radiotherapy; 5. Males or females = 18 years; 6. Performance status of 02 on the ECOG criteria; 7. Expected survival is more than three months; 8. Adequate hepatic, renal, heart, and hematologic functions (without blood transfusion during 14 daysunused g-csf and other hematopoietic stimulating factor correct) Absolute Neutrophil Count(ANC) = 1.5×10^9/L, Platelet (PLT) = 100×10^9/L, Hemoglobin(HB) = 100 g/L; Aspartate transaminase(AST) and alanine transaminase (ALT)=2.5×ULN (hepatic metastasis ALT, AST < 5 x ULN) BUN and Cr=1×ULN, total bilirubin =1.5× ULNendogenous creatinine clearance =50 ml/min (Cockcroft - Gault formula); 9. during the test and the last 8 weeks after experimental patients must be used appropriate methods of contraception, or surgery sterilization; 10. Signed and dated informed consent. Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedure.

Exclusion criteria

Exclusion criteria: 1. Symptomatic brain metastases (Patients who have no symptoms and is not needed to receive therapy before 21 days may participate in this trial, but need to be confirmed by MRI\CT or venography that no hematencephalon symptom); 2. Imaging (CT or MRI) shows that the tumor lesion vessels = 5 mm, or into the center of the large vessels tumor;Or show obvious lung empty or necrotic tumor; 3. Uncontrolled hypertension(systolic pressure = 140 mmHg and/or diastolic pressure = 90 mm Hg) even though two or more than two hypotensive agents application; 4. Patients who suffered from grade II or above myocardial ischemia or myocardial infarction, uncontrolled arrhythmias (including QT interval male = 450 ms, female = 470 ms). Grade III-IV cardiac insufficiency according to New York Heart Association(NYHA) criteria or echocardiography check: left ventricular ejection fraction (LVEF)1.5 o rPT>Upper Limit Of Normal(ULN)+4s or Activated Partial Thromboplastin Time (APTT) >1.5 Upper Limit Of Normal(ULN)), hemorrhagic tendency or receiving the therapy of thrombolysis or anticoagulation; 7. History of clinically significant haemoptysis =< 2 months (more than 2.5ml or half of one tea spoon of fresh blood per day) prior to registration; 8. History of clinically relevant major bleeding event =< 3 months; 9. Within 12 months before the first treatment occurs artery / venous thromboembolic events, such as cerebral vascular accident (including transient ischemic attack(TIA), hematencephalon, cerebral infarction), deep vein thrombosis and pulmonary embolism, etc.; 10. Known inherited and acquired hemorrhagic and thromboplastic possibility (such as hemophilia, coagulopathy, thrombocytopenia, hypersplenism, etc.); 11. Long-term untreated wounds or fractures; 12. Within 4 weeks of major surgery and/or injures, fractures, ulceration; 13. Significant factors that influence the ingestion and absorption of medicine (Such as unable to swallow, chronic diarrhea and intestinal obstruction); 14. History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess = 6 months; 15. Urine protein=++, or 24h urine protein quantitation=1.0g; 16. Active infection need anti-microbial treatment (Antimicrobial, antiviral, antifungal drug treatment); 17. History of psychiatric drugs abuse and not be abstinent, or dysphrenia; 18. Less than 4 weeks from the last clinical trial; 19. History or concomitant other malignancy except cured basal cell skin cancer, or carcinoma in situ of the cervix, or superficial bladder cancer; 20. Pregnant or lactating women; Patients with fertility unwilling or unable to take effective contraceptive measures; 21. Other conditions regimented at investigators' discretion.

Design outcomes

Primary

MeasureTime frame
Circulating tumor cells;

Secondary

MeasureTime frame
PFS;OS;ORR;DCR;safety;

Countries

China

Contacts

Public ContactHaizhou Lou

Sir Run Run Shaw Hospital School of Medicine, Zhejiang University

louhz09@163.com+86 13588054124

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026