Study of Apatinib in RET Fusion Positive Advanced Non-small Cell Lung Cancer
A Phase II Clinical Trial to Investigate Efficacy and Safety of Apatinib as a Single Agent in RET-fusion Gene Positive Non-small Cell Lung Cancer Who Failed to Previous Treatment.
1 other identifier
interventional
40
1 country
1
Brief Summary
RET fusions are present in 1% to 2% of unselected population of non-small cell lung cancer (NSCLC). Existing US Food and Drug Administration-approved inhibitors of RET tyrosine kinase show promising therapeutic effects in a non-small cell lung cancer patients. Apatinib is an oral multi-kinase inhibitors including RET fusions. This study is designed to evaluate the safety and tolerability of Apatinib in patients with RET fusion positive advanced NSCLC.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2 nonsmall-cell-lung-cancer
Started Jan 2015
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
January 1, 2015
CompletedFirst Submitted
Initial submission to the registry
August 29, 2015
CompletedFirst Posted
Study publicly available on registry
September 4, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2017
CompletedSeptember 4, 2015
September 1, 2015
1.9 years
August 29, 2015
September 3, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Objective Response Rate (ORR)
To evaluate ORR every 6-8 weeks after initiation of apatinib
change from baseline in tumor size every 6-8 weeks after the initiation of apatinib, up to 24 months
Secondary Outcomes (4)
Progression Free Survival (PFS)
24 months
overall survival (OS)
24 months
Safety and Tolerability as measured by adverse events
24 months
quality of life (QOL, measured by questionnaire)
24 months
Study Arms (1)
Apatinib single agent arm
EXPERIMENTALApatinib, single agent, 750mg once daily p.o until disease progression
Interventions
For RET-fusion positive advanced NSCLC patients who failed to previous treatment,treat with apatinib, single agent, 750mg once daily, p.o until disease progression
Eligibility Criteria
You may qualify if:
- Aged ≥18 and ≤80 years.
- ECOG performance status of 0 to 1.
- Life expectancy of more than 12 weeks.
- At least one measurable lesion exists.(RECIST 1.1)
- Histologically or cytologic confirmed RET fusion positive advanced Non-small cell lung cancer who failed to prior therapies.
- Required laboratory values including following parameters: ANC: ≥ 1.5 x 10\^9/L, Platelet count: ≥ 80 x 10\^9/L, Hemoglobin: ≥ 90 g/L, Total bilirubin: ≤ 1.5 x upper limit of normal, ULN, ALT and AST: ≤ 1.5 x ULN, BUN and creatine clearance rate: ≥ 50 mL/min LVEF: ≥ 50% QTcF: \< 470 ms
- Signed informed consent
- Females of child-bearing potential must have negative serum pregnancy test. Sexually active male and those having childbearing potential must practice contraception during the study.
You may not qualify if:
- Squamous carcinoma (including adeno-squamous carcinoma), small cell lung cancer
- Subjects with third space fluid that can not be controled by drainage or other methods.
- Obvious cavity or necrosis formed in the tumor
- Uncontrolled hypertension
- Hymoptysis, more than 2.5ml daily
- Thrombosis in 12 months, including pulmonary thrombosis, stroke, or deep venous thrombosis
- Received big surgery, had bone fracture or ulcer in 4 weeks
- Urine protein \>++, or urine protein in 24 hours\> 1.0g
- pregnant or lactating woman
- Receiving any other antitumor therapy.
- Known history of hypersensitivity to apatinib or any of it components.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Oncology, Shanghai pulmonary hospital
Shanghai, 200433, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Caicun Zhou, MD,PhD
Shanghai Pulmonary Hospital, Tongji University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
August 29, 2015
First Posted
September 4, 2015
Study Start
January 1, 2015
Primary Completion
December 1, 2016
Study Completion
December 1, 2017
Last Updated
September 4, 2015
Record last verified: 2015-09