A Study of Apatinib in Patients With Advanced Hepatocellular Carcinoma
HCC
Randomized, Open-label, Multi-center, Phase II Study of Apatinib in Patients With Advanced Hepatocellular Carcinoma
1 other identifier
interventional
121
1 country
1
Brief Summary
This phase II trial will be studying how well Apatinib working in patients with Hepatocellular carcinoma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Jun 2010
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2010
CompletedFirst Submitted
Initial submission to the registry
August 30, 2010
CompletedFirst Posted
Study publicly available on registry
September 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2013
CompletedMarch 3, 2023
February 1, 2023
3.1 years
August 30, 2010
March 1, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
TTP (Time to Progression)
8 weeks
Secondary Outcomes (5)
Overall Survival
8 weeks
DCR (Disease control rate
8 weeks
ORR (objective response rate)
8 weeks
Serum alpha-fetoprotein (AFP) level
8 weeks
QoL (quality of life): EORTC QLQ-C30
8 weeks
Study Arms (2)
A: 850mg
EXPERIMENTALA: Experimental apatinib 850 mg qd p.o, and it should be continued until disease progression or intolerable toxicity or patients withdrawal of consent
B: 750mg
EXPERIMENTALB: Apatinib 750 qd p.o. and it should be continued until disease progression or intolerable toxicity or patients withdrawal of consent
Interventions
Eligibility Criteria
You may qualify if:
- Histologically or cytologic confirmed advanced hepatocellular carcinoma
- Patients who are unable to or unwilling to undergo surgery or interventional procedures via hepatic artery, or patients who have relapsed/progressed after surgery or interventional procedure via hepatic artery for ≥ 4 weeks and are unable to use sorafenib.
- Life expectancy of more than 12 weeks.
- ECOG performance scale 0 - 2.
- Child -Pugh score A,BCLC stage B or C.
- At least one therapy naïve measurable lesion (larger than 10 mm in diameter by spiral CT scan, conforming to RECIST 1.1).
- Have not received systemic chemotherapy or molecular targeted therapy. At least 4 weeks must have elapsed for patients who have previously underwent radiotherapy or surgery, and all the adverse drug reactions (ADRs) or wounds have completely healed. At least 6 months must have elapsed for patients who have received adjuvant chemotherapy.
- Adequate organ functions (hemoglobin≥ 90g/L ,platelets ≥80 × 109/L, neutrophil≥ 1.5 × 109/L, albumin ≥ 29 g/L, Plasma creatinine ≤ 1.5 × ULN , ALT and AST\< 5 × ULN; TBIL ≤ 1.5 × ULN.
- Signed and dated informed consent.Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedure.
You may not qualify if:
- Pregnant or lactating women.
- Patients with known intrahepatic cholangiocarcinoma, mixed hepatocellular carcinoma, and fibrolamellar hepatocellular carcinoma; other malignancies previously or currently, except for cured skin basal cell carcinoma and cervical carcinoma in situ.
- Dysphagia, chronic diarrhea, and intestinal obstruction, which significantly affect drug intake and absorption.
- Evidence of CNS metastasis.
- Subjects with hypertension which cannot be well controlled by antihypertensives; grade II or greater myocardial ischemia or myocardial infarction, poorly controlled arrhythmia, and cardiac insufficiency grades III to IV according to NYHA criteria; cardiac color Doppler ultrasound examination: LVEF (left ventricular ejection fraction) of \< 50%.
- Subjects with abnormal coagulation functions, and the tendency of bleeding or those who are currently treated by a thrombolytic or anticoagulant therapy.
- Definite concern of gastrointestinal hemorrhage, and history of gastrointestinal hemorrhage within 6 months.
- Patients with symptomatic ascites requiring therapeutic paracentesis or drainage, or with a Child-Pugh score of ≥ 2.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Nanjing Millitary Eighty-one Hosiptal
Nanjing, Jiangsu, 210002, China
MeSH Terms
Conditions
Interventions
Study Officials
- PRINCIPAL INVESTIGATOR
Shukui Qin, Dr
Nanjing Millitary Eighty-one Hosiptal
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 30, 2010
First Posted
September 1, 2010
Study Start
June 1, 2010
Primary Completion
July 1, 2013
Study Completion
July 1, 2013
Last Updated
March 3, 2023
Record last verified: 2023-02