Clinical Study of Apatinib Combined With Temozolomide in the Treatment of Uncontrolled or Repeated High-grade Gliomas
1 other identifier
interventional
40
1 country
1
Brief Summary
Gliomas are the most common malignant tumors of the central nervous system and are highly invasive. Gliomas account for one-third of central nervous system tumors in adults and children. Interstitial astrocytomas and glioblastomas are also called high-grade gliomas, accounting for 77.5% of all gliomas.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Dec 2019
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
December 16, 2019
CompletedFirst Submitted
Initial submission to the registry
January 31, 2020
CompletedFirst Posted
Study publicly available on registry
February 5, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2022
CompletedFebruary 5, 2020
January 1, 2020
2 years
January 31, 2020
January 31, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
6-month PFS rate
Proportion of progression-free survival up to 6 months
up to 1 year
Secondary Outcomes (3)
Progression-free survival (PFS)
up to 1 year
Overall survival (OS)
up to 1 year
Objective response rate (ORR)
up to 1 year
Study Arms (1)
Apatinib mesylate + temozolomide
EXPERIMENTALApatinib mesylate tablets (0-14 days, 500 mg, qd), one week apart, then temozolomide (150mg/m2, 5 days);Every 28 days is a cycle, the drug until the disease progress, the toxicity of intolerable.
Interventions
Apatinib mesylate (0-14 days, 500 mg, qd), taken half an hour after a meal (the daily dose should be as much as possible), one week apart, and then given temozolomide (150mg/m2 for 5 Days); every 28 days is a cycle, medication to disease progression, intolerable toxicity, etc.
Eligibility Criteria
You may qualify if:
- \. Age: 18 \~ 70 years old, male or female; 2. ECOG score: 0-2 points; 3. Expected survival time ≥ 3 months; 4. Patients diagnosed with high-grade (WHO III, IV) gliomas by pathology, and patients whose disease recurrence is judged by contrast imaging, have at least one measurable lesion on the skull magnetic resonance; 5. Patients who have not been controlled or relapsed after previous first-line standard treatment; 6. The main organs function normally, that is, they meet the following standards:
- The blood routine examination standards must be met (no blood transfusion and blood products within 14 days, no correction using G-CSF and other hematopoietic stimulating factors)
- HB≥90 g / L;
- ANC≥1.5 × 109 / L;
- PLT≥80 × 109 / L;
- Biochemical inspection must meet the following standards:
- TBIL \<1.5ULN;
- ALT and AST \<2.5ULN, but \<5ULN for patients with liver metastases;
- Serum Cr≤1.25ULN or endogenous creatinine clearance rate\> 45 ml / min (Cockcroft-Gault formula); 7. Women of childbearing age must have taken reliable contraceptive measures or performed a pregnancy test (serum or urine) within 7 days before enrollment, with negative results, and be willing to use appropriate methods during the test and 8 weeks after the last dose contraception. For men, consent must be given to appropriate contraception or surgical sterilization during the trial and 8 weeks after the last test drug administration; 8. Participants voluntarily joined the study and signed informed consent, with good compliance and cooperation with follow-up.
You may not qualify if:
- \. Pregnant or lactating women; 13. Have previously used other anti-angiogenic drugs or preparations.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- WuHuilead
Study Sites (1)
Henan Cancer Hospital
Zhengzhou, Henan, 450008, China
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Hui Wu, archiater
Henan Cancer Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Doctor
Study Record Dates
First Submitted
January 31, 2020
First Posted
February 5, 2020
Study Start
December 16, 2019
Primary Completion
December 30, 2021
Study Completion
December 30, 2022
Last Updated
February 5, 2020
Record last verified: 2020-01