A Study of Famitinib in Patients With Advanced Colorectal Cancer
A Randomized, Placebo-controlled, Double-blind, Multicenter, Phase IIb Study of Famitinib as Third Line Treatment in Patients With Advanced Colorectal Cancer
1 other identifier
interventional
154
1 country
2
Brief Summary
Famitinib is a tyrosin-inhibitor agent targeting at c-Kit, VEGFR2, PDGFR, VEGFR3, Flt1 and Flt3, and it's anti-angiogenesis effect has been viewed in preclinical tests. Phase I study has shown that the toxicity is manageable. The purpose of this study is to determine whether Famitinib can improve progression free survival compared with placebo in patients with advanced colorectal cancer who failed in previous at least two lines of chemotherapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 colorectal-cancer
Started Apr 2012
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2012
CompletedFirst Submitted
Initial submission to the registry
January 4, 2013
CompletedFirst Posted
Study publicly available on registry
January 7, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2014
CompletedApril 18, 2018
January 1, 2013
2.4 years
January 4, 2013
April 16, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Progression Free Survival(PFS)
3 years
Secondary Outcomes (5)
Objective response rate(ORR)
12 weeks
Disease Control Rate(DCR)
12 weeks
Overall Survival(OS)
3 years
Quality of Life
42-day cycle visit until disease progress
Number of Participants with Adverse Events as a Measure of Safety
3 years
Other Outcomes (1)
body vitals, laboratory parameters
3 years
Study Arms (2)
Famitinib
EXPERIMENTALFamitinib 25 mg qd p.o. and the medication continued until disease progression or intolerable toxicity or patients withdrawal of consent
Placebo
PLACEBO COMPARATORPlacebo qd p.o., and the medication continued until disease progression or intolerable toxicity or patients withdrawal of consent
Interventions
Eligibility Criteria
You may qualify if:
- Histologically or cytologic confirmed recurrent and/or metastatic CRC and previously received at least two lines of standard therapy failure(must include 5-Fu,irinotecan and oxaliplatin)
- At least one measurable lesion, larger than 10 mm in diameter by spiral CT scan(scanning layer ≤ 5 mm )
- age ≥ 18 and ≤ 70
- ECOG 0-1
- Life expectancy of more than 3 months
- More than 4 weeks after operation, chemotherapy, radiotherapy, cytotoxic agents or tyrosine kinase inhibitors
- 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:
- Before or at the same time any, second malignancies except cured basal cell carcinoma of skin and carcinoma in-situ of uterine cervix
- Prior therapy with tyrosine kinase -inhibitor agent targeting at VEGFR, PDGFR and c-Kit(e.g sorafenib,sunitinib,regorafenib)
- Any factors that influence the usage of oral administration
- Having obvious gastrointestinal hemorrhagic tendency
- Known Spinal Cord compression or diseases of brain or pia mater by CT /MRI screening
- Organ tumor overloading
- Inadequate hepatic, renal, heart, and hematologic functions (hemoglobin ≤ 90g/L, platelets ≤ 100×10\^9/L, neutrophils ≤ 1.5×10\^9/L, total bilirubin ≥ 1.25×the upper limit of normal(ULN), and serum transaminase ≥ 1.5×ULN (If liver metastases, serum transaminase≥ 2.5×ULN), creatinine clearance rate ≤ 60ml/min, cholesterol ≥ 1.5×ULN and triglyceride≥ 2.5 x ULN, LVEF: \< 50%
- Preexisting uncontrolled hypertension defined as more than 140/90 mmHg despite using single medical therapy, more than cla ss I (NCI CTCAE 3.0 ) myocardial ischemia, arrhythmia, or cardiac insufficiency
- urinary protein≥ ++ or 24-hour urinary protein ≥ 1.0 g
- Long-term untreated wounds or fractures
- Blood coagulation abnormal, having hemorrhagic tendency
- Within 1 year before the first treatment occurs artery / venous thromboembolic events, such as cerebral vascular accident (including transient ischemic attack), deep vein thrombosis and pulmonary embolism, etc.
- Application of anticoagulants or vitamin K antagonists such as warfarin, heparin or its analogues; If the prothrombin time international normalized ratio (INR) ≤ 1.5, with the purpose of prevention, the use of small doses of warfarin (1mg orally, once daily) or low-dose aspirin (between 80mg to 100mg daily) is allowed
- Female: All subjects who are not surgically sterile or postmenopausal must agree and commit to the use of a reliable method of birth control for the duration of the study and for 6 months after the last dose of test article. Child bearing potential, a negative urine or serum pregnancy test result before initiating Famitinib. Male: All subjects who are not surgically sterile or postmenopausal must agree and commit to the use of a reliable method of birth control for the duration of the study and for 6 months after the last dose of test article.
- Preexisting thyroid dysfunction, even using medical therapy, thyroid function cannot maintain in the normal range
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Jiangsu HengRui Medicine Co., Ltd.lead
- Peking University Cancer Hospital & Institutecollaborator
- Sun Yat-sen Universitycollaborator
Study Sites (2)
Cancer center, Sun Yet-sen University
Guangzhou, Guangdong, China
Beijing Cancer Hospital, Peking University
Beijing, China
Related Publications (1)
Xu RH, Shen L, Wang KM, Wu G, Shi CM, Ding KF, Lin LZ, Wang JW, Xiong JP, Wu CP, Li J, Liu YP, Wang D, Ba Y, Feng JP, Bai YX, Bi JW, Ma LW, Lei J, Yang Q, Yu H. Famitinib versus placebo in the treatment of refractory metastatic colorectal cancer: a multicenter, randomized, double-blinded, placebo-controlled, phase II clinical trial. Chin J Cancer. 2017 Dec 22;36(1):97. doi: 10.1186/s40880-017-0263-y.
PMID: 29273089DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Shen Lin, M.D
Beijing Cancer Hospital, Peking University
- PRINCIPAL INVESTIGATOR
Ruihua Xu, M.D
Cancer Center, Sun Yet-sen University
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 4, 2013
First Posted
January 7, 2013
Study Start
April 1, 2012
Primary Completion
September 1, 2014
Study Completion
October 1, 2014
Last Updated
April 18, 2018
Record last verified: 2013-01