Anlotinib Hydrochloride Versus Imatinib Mesylate in Locally Advanced, Unresectable or Metastatic Chordoma
CSSG-03
A Prospective, Multicentre, Open-label, Randomised Phase 2 Trial to Study the Efficacy and Safety of Anlotinib Hydrochloride Versus Imatinib Mesylate in Locally Advanced, Unresectable or Metastatic Chordoma
1 other identifier
interventional
60
1 country
1
Brief Summary
For local relapse not amenable to reasonable curative surgery or for those with metastatic chordoma, chemotherapy is recognised as inactive. The major study drug is the small molecular tyrosine kinase inhibitors targeted at the stem cell factor receptor (KIT) and the platelet-derived growth factor receptors (PDGFRA and PDGFRB), eg. imatinib. Anlotinib is a novel tyrosine kinase inhibitor targeting both at VEGFR-2, -3 and PDGFRA and PDGFRB with high affinity, which also showed broad antitumor activity against EGFR and so on. Thus this multicenter, two-armed phase II trial of PKUPH-sarcoma 05 intended to investigate the efficacy and safety of anlotinib versus imatinib on advanced chordoma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jul 2019
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
July 18, 2019
CompletedFirst Submitted
Initial submission to the registry
July 31, 2019
CompletedFirst Posted
Study publicly available on registry
August 2, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 30, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2021
CompletedAugust 5, 2019
August 1, 2019
2.3 years
July 31, 2019
August 1, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Objective response rate, ORR
CR+PR in the intent-to-treat population according to RECIST, version 1.1
6 months
Progression-free Survival, PFS
Progression-free survival is defined as time from randomisation to the first occurrence of progression of disease or death from any cause within 63 days of last response assessment or randomisation
2 years
Secondary Outcomes (1)
Overall Survival, OS
5 years
Study Arms (2)
Arm A: anlotinib arm
EXPERIMENTALanlotinib was given at a fixed dose of 12mg D1-14 every 21 days
Arm B: imatinib arm
ACTIVE COMPARATORImatinib was given at dose of 400 mg twice daily continuously
Interventions
anlotinib was given at a fixed dose of 12mg D1-14 every 21 days
Eligibility Criteria
You may qualify if:
- years and older;
- histologically proven metastatic or locally advanced chordoma, reviewed by the Pathology Committee of Peking University People's Hospital;
- not amenable to curative-intent surgery;
- measurable with computed tomography scan or magnetic resonance imaging, per RECIST, version 1.1.
You may not qualify if:
- Eastern Cooperative Oncology Group (ECOG)30 performance status more than 2 ;
- life expectancy less than 12 weeks;
- with severe or uncontrolled medical disorders (≥grade 2 of Common Terminology Criteria for Adverse Events version 4.03 \[CTCAE version 4.03\]) that could jeopardise the outcomes of the study, for example, cardiac clinical symptom or disease with LVEF (left ventricular ejection fraction) \<50%, hypertension that could not be well controlled through antihypertensive drugs and so on;
- weight loss of 20% or more before illness;
- brain or leptomeningeal metastasis;
- surgical procedure or radiotherapy within 4 weeks of enrollment;
- active gastroduodenal ulcer, previous condition associated with risk of bleeding or requiring anticoagulation;
- proteinuria or hematuria;
- denutrition with albuminemia less than 25 g/L;
- pregnant or breastfeeding status;
- other malignancy, positive HBV/HCV/HIV serology;
- known allergy to the experimental agents;
- had ever used anti-angiogenesis TKIs.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Peking University People's Hospitallead
- Peking University Shougang Hospitalcollaborator
- Peking University Third Hospitalcollaborator
- Peking University First Hospitalcollaborator
- Beijing Jishuitan Hospitalcollaborator
- Chinese PLA General Hospitalcollaborator
- Peking University Cancer Hospital & Institutecollaborator
- Cancer Institute and Hospital, Chinese Academy of Medical Sciencescollaborator
Study Sites (1)
Peking University People's Hospital
Beijing, Beijing Municipality, 100044, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Wei Guo, M.D. and Ph.D.
Musculoskeletal Tumor Center of Peking University People's Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 31, 2019
First Posted
August 2, 2019
Study Start
July 18, 2019
Primary Completion
October 30, 2021
Study Completion
December 31, 2021
Last Updated
August 5, 2019
Record last verified: 2019-08
Data Sharing
- IPD Sharing
- Will not share