Ovarian CancerPhase 2NCT03298074
Apatinib Plus Etoposide Versus Etoposide Alone for Platinum-resistant Recurrent Ovarian Cancer
A Phase 2 study testing Apatinib and Etoposide in people with Ovarian Cancer, run by Yang Zhijun.
Trial summary
It is a prospective multi-center trial, platinum-resistant ovarian cancer patients will be randomized in two groups, one group will be treated with Apatinib plus Etoposide, the other will be treated with Etoposide alone. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Ovarian Cancer
- What is being tested?
- Apatinib and Etoposide
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- No sites listed yet
- Study dates
- Oct 2017to Apr 2019
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- ECOG PS:0-2 points
- Platinum-resistant recurrent ovarian cancer patients with measurable recurrent focus
- The damage caused by other treatment has been restored (NCI-CTCAE 4.0 Graded ≤ 1 level), Other cytotoxic drugs treatment, radiotherapy or surgery≥ 4 week; EGFR TKI treatment ≥ 2 week
- Baseline routine blood test and biochemical indicators meet the following criteria:
- Hemoglobin ≥ 90g / L
- Neutrophil absolute count (ANC) ≥ 1.5 × 109 / L
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- Platelets ≥80 × 109 / L
- ALT, AST ≤ 2.5 × ULN or 5 × ULN (with liver metastases)
- Total Serum bilirubin ≤ 1.5 × ULN
- Serum creatinine≤1.5×ULN or endogenous creatinine clearance ≥ 45ml/min (according to Cockcroft-Gault formula);
- No blood and blood products transfusion in 14 Days
- Expected survival time≥3 month;
- Subjects volunteer to join the study, sign informed consent, cooperate with follow-up.
Who cannot join
- "biochemical recurrence " ovarian cancer patients
- Patients allergy to apatinib, etoposide and / or its excipients
- Patients with high blood pressure and who can not be reduced to normal range by antihypertensive therapy (systolic blood pressure> 140 mmHg, diastolic blood pressure> 90 mmHg), with grade I coronary heart disease, grade I arrhythmia (including QTc prolongation > 470 ms)
- According to NYHA standard, grade Ⅲ-Ⅳ heart failure, or cardiac color Doppler ultrasound examination shows left ventricular ejection fraction (LVEF) <50%
- Urine protein positive patients
- With a variety of factors that affect oral medication (such as can not swallow, nausea, vomiting, chronic diarrhea and intestinal obstruction, etc.)
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- Patients with definite gastrointestinal bleeding tendencies, including the following: localized ulcer lesions, and fecal occult blood (++); 2 months with black stool, hematemesis history
- Patients with coagulation dysfunction (INR> 1.5, APTT> 1.5 ULN), bleeding tendency
- Existing hereditary or acquired bleeding and thrombotic tendencies (such as hemophilia, coagulation disorders, thrombocytopenia, hypersplenism, etc.)
- Long untreated wound or fracture;major surgery or severe traumatic injury in 4 weeks, fracture or ulcer
- Accompanied by abdominal fistula, gastrointestinal perforation or abdominal abscess; active hepatitis B virus or hepatitis C patients
- Active brain metastases, cancer meningitis, spinal cord compression patients, Imaging CT or MRI examination found the brain or pia mater disease,( brain metastases patients who has complete treatment 21 days before and has stable symptoms can be enrolled , but the need for transcranial MRI, CT or intravenous angiography evaluation confirmed as no cerebral hemorrhage symptoms)
- Imaging (CT or MRI) shows tumor lesions from large vessels ≤ 5 mm, or lesions invade the Local large blood vessels
- Lactating women
- Patients with other malignancies in 5 years (except for cured skin basal cell carcinoma and in situ ovarian cancer)
- Patients with a history of psychiatric abuse and who can not quit or have mental disorders
- Patients who participated in other drug clinical trials within 4 weeks
- Patients who received VEGFR inhibitors such as sorafenib and sunitinib treatment
- Patients who received Etoposide treatment
- According to the researcher's judgment, there are serious illnesses that endanger the patient's safety or affect the completion of the study
- Patients that are not suitable for this trial in the investigator's opinions.
Trial locations and contacts
No sites are listed yet.
About this study
Official title: Apatinib Plus Etoposide Versus Etoposide Alone for Platinum-resistant Recurrent Ovarian Cancer: A Randomized Controlled Trial
It is a prospective multi-center trial, platinum-resistant ovarian cancer patients will be randomized in two groups, one group will be treated with Apatinib plus Etoposide, the other will be treated with Etoposide alone. It is aimed to see the efficacy and safety of Apatinib plus Etoposide for the platinum-resistant ovarian cancer patients
Read the detailed description
It is a randomized controlled trial, the aim is to see the efficacy and safety of Apatinib plus Etoposide treating platinum-resistant ovarian cancer. The main primary end point is DCR (disease control rate), the secondary endpoint is Duration of response(DOR),overall survival (OS), time to progression (TTP),quality of life (QoL, according to EORTC QLQ-C30).The key safety indicators include the patients' vital signs, laboratory indicators, adverse events(AE),serious adverse events.
The data collection duration is from the day ICF assigned to the day(30 days after the end of the last medication).From the day ICF signed to the end of the study, all adverse events were recorded in the CRF. The severity of the adverse events will be evaluated according to the NCI CTCAE 4.0 standard.Each patient will receive a planned visit and specific data at different points will be recorded in the visit.
The patients will be followed up after quitting the trial because of disease progression or intolerance. The following parameters were recorded during follow-up: disease recurrence,metastasis,death time,SAE occurred during the study; survival (available with telephone follow-up, record required).
Adverse events that have not been recovered when the drug is discontinued should be tracked and finalized. All patients should undergo a 30-day follow-up after the last medication to find any new adverse events.
All cases should be recorded carefully and completely, the investigator should be responsible for the authenticity of the center's data.
During the clinical trial, the inspector should send the CRF to the data management unit (in batches), the data administrator will carry out the independent double entry, and carry out the double verification.
The trial as an exploratory test, using a small sample comparison, the test plans to enroll a total of 60 cases.
The statistical analysis plan includes case analysis,demographic data and baseline analysis,efficacy analysis and safety analysis.All statistical tests will be performed on both sides, the difference between the tests was considered statistically significant with a P value less than or equal to 0.05,
- Conditions
- Ovarian Cancer
- Keywords
- platinum-resistant, recurrent
- Medical subject headings
- Ovarian Neoplasms, Recurrence
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ApatinibDrug
Also called Aitan
Apatinib, 500mg,po qd for continuous administration
EtoposideDrug
Etoposide,100mg, PO.QD,D1-D10, Q3W
| Study group | Role | What they receive |
|---|---|---|
| Apatinib plus Etoposide | Experimental | Apatinib,500mg,PO.QD, continuous administration Etoposide,100mg, PO.QD,D1-D10, Q3W Receives: Drug: Apatinib; Drug: Etoposide |
| Etoposide | Active comparator | Etoposide,100mg, PO.QD,D1-D10, Q3W Receives: Drug: Etoposide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease Control Rate
the proportion of patients who had a best response rating of complete response, partial response, or stable disease
Measured: through study completion, an average of 1.5 years
Secondary outcomes (3)
Duration of Response
the time course from the first time tumor assessed as CR or PR to the first time tumor assessed as progressive disease or death
Measured: through study completion, an average of 1.5 years
Overall Survival
From the beginning of randomization to the cause of death for any reason
Measured: through study completion, an average of 3 years
Time to Progression
From randomization to the onset of disease progression or death
Measured: through study completion, an average of 1.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Sep 2017
- Study startOct 2017 (estimated)
- Primary completionOct 2018 (estimated)
- Study completionApr 2019 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Ovarian CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Yang Zhijun
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Yang Zhijun, Guangxi Medical University
- Investigators
- Zhijun Yang, Principal investigator, Affiliated Cancer Hospital & Institute of Guangzhou Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03298074
- Sponsor's protocol ID
- HRGX-001
- Status last verified
- Sep 2017
- First submitted
- 27 Sep 2017
- Last updated
- 29 Sep 2017
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 29 Sep 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Apatinib Plus Etoposide Versus Etoposide Alone for Platinum-resistant Recurrent Ovarian Cancer: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT03298074
- Acronym / sponsor ID
- HRGX-001
- Conditions
- Ovarian Cancer
- Keywords
- platinum-resistant, recurrent
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Yang ZhijunUniversity, hospital or other
- Study start
- Oct 2017 (estimated)
- Primary completion
- Oct 2018 (estimated)
- Study completion
- Apr 2019 (estimated)
- First posted
- 29 Sep 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
It is a prospective multi-center trial, platinum-resistant ovarian cancer patients will be randomized in two groups, one group will be treated with Apatinib plus Etoposide, the other will be treated with Etoposide alone. It is aimed to see the efficacy and safety of Apatinib plus Etoposide for the platinum-resistant ovarian cancer patients
Detailed description
It is a randomized controlled trial, the aim is to see the efficacy and safety of Apatinib plus Etoposide treating platinum-resistant ovarian cancer. The main primary end point is DCR (disease control rate), the secondary endpoint is Duration of response(DOR),overall survival (OS), time to progression (TTP),quality of life (QoL, according to EORTC QLQ-C30).The key safety indicators include the patients' vital signs, laboratory indicators, adverse events(AE),serious adverse events.
The data collection duration is from the day ICF assigned to the day(30 days after the end of the last medication).From the day ICF signed to the end of the study, all adverse events were recorded in the CRF. The severity of the adverse events will be evaluated according to the NCI CTCAE 4.0 standard.Each patient will receive a planned visit and specific data at different points will be recorded in the visit.
The patients will be followed up after quitting the trial because of disease progression or intolerance. The following parameters were recorded during follow-up: disease recurrence,metastasis,death time,SAE occurred during the study; survival (available with telephone follow-up, record required).
Adverse events that have not been recovered when the drug is discontinued should be tracked and finalized. All patients should undergo a 30-day follow-up after the last medication to find any new adverse events.
All cases should be recorded carefully and completely, the investigator should be responsible for the authenticity of the center's data.
During the clinical trial, the inspector should send the CRF to the data management unit (in batches), the data administrator will carry out the independent double entry, and carry out the double verification.
The trial as an exploratory test, using a small sample comparison, the test plans to enroll a total of 60 cases.
The statistical analysis plan includes case analysis,demographic data and baseline analysis,efficacy analysis and safety analysis.All statistical tests will be performed on both sides, the difference between the tests was considered statistically significant with a P value less than or equal to 0.05,
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Apatinib plus Etoposide | Experimental | Drug: Apatinib, Drug: EtoposideApatinib,500mg,PO.QD, continuous administration Etoposide,100mg, PO.QD,D1-D10, Q3W |
| Etoposide | Active comparator | Drug: EtoposideEtoposide,100mg, PO.QD,D1-D10, Q3W |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- ECOG PS:0-2 points
- Platinum-resistant recurrent ovarian cancer patients with measurable recurrent focus
- The damage caused by other treatment has been restored (NCI-CTCAE 4.0 Graded ≤ 1 level), Other cytotoxic drugs treatment, radiotherapy or surgery≥ 4 week; EGFR TKI treatment ≥ 2 week
- Baseline routine blood test and biochemical indicators meet the following criteria:
- No blood and blood products transfusion in 14 Days
Key exclusion criteria (21 listed)
- "biochemical recurrence " ovarian cancer patients
- Patients allergy to apatinib, etoposide and / or its excipients
- Patients with high blood pressure and who can not be reduced to normal range by antihypertensive therapy (systolic blood pressure> 140 mmHg, diastolic blood pressure> 90 mmHg), with grade I coronary heart disease, grade I arrhythmia (including QTc prolongation > 470 ms)
- According to NYHA standard, grade Ⅲ-Ⅳ heart failure, or cardiac color Doppler ultrasound examination shows left ventricular ejection fraction (LVEF) <50%
- Urine protein positive patients
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ApatinibAlso: AitanApatinib, 500mg,po qd for continuous administration | Drug | Apatinib plus Etoposide |
| EtoposideEtoposide,100mg, PO.QD,D1-D10, Q3W | Drug | Apatinib plus Etoposide, Etoposide |
Primary outcome
Disease Control Rate
Time frame: through study completion, an average of 1.5 years
the proportion of patients who had a best response rating of complete response, partial response, or stable disease
3 secondary outcomes
Duration of Response
Time frame: through study completion, an average of 1.5 years
Overall Survival
Time frame: through study completion, an average of 3 years
Time to Progression
Time frame: through study completion, an average of 1.5 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Sep 2017.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Zhijun Yang principal investigator
Affiliated Cancer Hospital & Institute of Guangzhou Medical University
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Apatinib and Etoposide in people with Ovarian Cancer, run by Yang Zhijun.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 13 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 29 Sep 2017. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Zhijun Yang (8618994127461, 18994127461@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Disease Control Rate (time frame: through study completion, an average of 1.5 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Sep 2017.