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Chemotherapy Combined With Yangzhengxiaoji Capsule in Patients With Advanced Non-Small Cell Lung Cancer

Primary Purpose

Non-Small Cell Lung Cancer

Status
Unknown status
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Yangzhengxiaoji Capsule
Placebo Capsule
Sponsored by
Shandong Cancer Hospital and Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Small Cell Lung Cancer focused on measuring Non-small cell lung cancer, FACT-L scale, Yangzhengxiaoji

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  1. Histology and/or cytology confirmed stage Ⅳ NSCLC patients;
  2. With at least one measurable solid tumor (RECIST standard version 1.1): tumor >=10 mm in diameter on CT or MRI images, or lymph node >=15 mm in diameter on CT or MRI images;
  3. Eastern Cooperative Oncology Group(ECOG) score 0-1, expectant survival > 3 months;
  4. Age: 18-70 years;
  5. Normal organ function:

    Bone marrow: neutrophils (ANC) count>=1.5×10^9/L, Platelets count>=100×10^9/L, hemoglobin>=90g/L;Renal function, serum creatinine<=1.5 mg/dl, and/or creatinine clearance or>=60 ml/min; Liver function: total serum bilirubin levels <= 1.5 times the upper limit of normal (ULN), serum aspartate aminotransferase (AST) or serum alanine aminotransferase (ALT)<=2.5 times the ULN, if abnormal liver function caused by the underlying malignancy, the AST and ALT >=5 times ULN;

  6. For patients with brain metastases, bone metastases or pleural effusion, systemic chemotherapy is proposed after the effective local treatment to control symptoms;
  7. Informed consent.

Exclusion criteria:

  1. Clinically significant hepatic dysfunction: AST or ALT > 2.5 times the ULN, total serum bilirubin levels > 1.5 times the ULN; clinically significant renal insufficiency: serum creatinine > 1.5 times the ULN;
  2. Severe heart disease: New York Heart Association class Ⅲ-IV class of heart failure, unstable angina, myocardial infarction, coronary revascularization six months before randomization;
  3. Spleen resection or combined with other severe hematopoietic system diseases;
  4. Uncontrolled diabetes, hypertension (above 180/120mmHg), infection or severe gastrointestinal ulcers;
  5. History or present with other cancer, except for non melanoma skin cancer, cervical cancer in situ and other cured cancer for at least 5 years;
  6. Mental illness, without legal capacity or limited capacity;
  7. Pregnancy, lactation or patients with pregnancy plan;
  8. Participated in other clinical trail in the past 1 months or participating in other trail now;
  9. Other unsuitable condition decided by the investigator.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Yangzhengxiaoji Capsule

    Placebo Capsule

    Arm Description

    Gemcitabine or Pemetrexed Cisplatin Yangzhengxiaoji Capsule four granules t.i.d po

    Gemcitabine or Pemetrexed Cisplatin Placebo Capsule four granules t.i.d po

    Outcomes

    Primary Outcome Measures

    Functional Assessment of Cancer Therapy-Lung scale
    Lung Cancer Symptom Scale

    Secondary Outcome Measures

    Anti-cancer drugs common grading evaluation of adverse reaction
    Completion of chemotherapy
    Objective response rate
    Progression-free survival

    Full Information

    First Posted
    July 7, 2014
    Last Updated
    July 17, 2014
    Sponsor
    Shandong Cancer Hospital and Institute
    Collaborators
    Peking University Cancer Hospital & Institute
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02195453
    Brief Title
    Chemotherapy Combined With Yangzhengxiaoji Capsule in Patients With Advanced Non-Small Cell Lung Cancer
    Official Title
    A Randomized,Double-blind,Placebo-Controlled,Multicenter Clinical Trail of Chemotherapy Combined With Yangzhengxiaoji Capsule in Patients With Advanced Non-Small Cell Lung Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2014
    Overall Recruitment Status
    Unknown status
    Study Start Date
    August 2014 (undefined)
    Primary Completion Date
    September 2016 (Anticipated)
    Study Completion Date
    December 2016 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Shandong Cancer Hospital and Institute
    Collaborators
    Peking University Cancer Hospital & Institute

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to observe quality of life and treatment side effects in patients with advanced non small cell lung cancer (NSCLC) receive chemotherapy and Yangzhengxiaoji capsule.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Non-Small Cell Lung Cancer
    Keywords
    Non-small cell lung cancer, FACT-L scale, Yangzhengxiaoji

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    520 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Yangzhengxiaoji Capsule
    Arm Type
    Experimental
    Arm Description
    Gemcitabine or Pemetrexed Cisplatin Yangzhengxiaoji Capsule four granules t.i.d po
    Arm Title
    Placebo Capsule
    Arm Type
    Placebo Comparator
    Arm Description
    Gemcitabine or Pemetrexed Cisplatin Placebo Capsule four granules t.i.d po
    Intervention Type
    Drug
    Intervention Name(s)
    Yangzhengxiaoji Capsule
    Intervention Description
    Gemcitabine 1000mg/m² or Pemetrexed 500mg/m² IV drip on D1 and D8,21 days for a cycle. Cisplatin 75mg/m² IV drip for one day or two-three days total injection,21 days for a cycle. Yangzhengxiaoji Capsule four granules t.i.d po.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo Capsule
    Intervention Description
    Gemcitabine 1000mg/m² or Pemetrexed 500mg/m²IV drip on D1 and D8,21 days for a cycle. Cisplatin 75mg/m² IV drip for one day or two-three days total injection, 21 days for a cycle. Placebo Capsule four granules t.i.d po.
    Primary Outcome Measure Information:
    Title
    Functional Assessment of Cancer Therapy-Lung scale
    Time Frame
    84day
    Title
    Lung Cancer Symptom Scale
    Time Frame
    84day
    Secondary Outcome Measure Information:
    Title
    Anti-cancer drugs common grading evaluation of adverse reaction
    Time Frame
    84day
    Title
    Completion of chemotherapy
    Time Frame
    84 day
    Title
    Objective response rate
    Time Frame
    84day
    Title
    Progression-free survival
    Time Frame
    84 day

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion criteria: Histology and/or cytology confirmed stage Ⅳ NSCLC patients; With at least one measurable solid tumor (RECIST standard version 1.1): tumor >=10 mm in diameter on CT or MRI images, or lymph node >=15 mm in diameter on CT or MRI images; Eastern Cooperative Oncology Group(ECOG) score 0-1, expectant survival > 3 months; Age: 18-70 years; Normal organ function: Bone marrow: neutrophils (ANC) count>=1.5×10^9/L, Platelets count>=100×10^9/L, hemoglobin>=90g/L;Renal function, serum creatinine<=1.5 mg/dl, and/or creatinine clearance or>=60 ml/min; Liver function: total serum bilirubin levels <= 1.5 times the upper limit of normal (ULN), serum aspartate aminotransferase (AST) or serum alanine aminotransferase (ALT)<=2.5 times the ULN, if abnormal liver function caused by the underlying malignancy, the AST and ALT >=5 times ULN; For patients with brain metastases, bone metastases or pleural effusion, systemic chemotherapy is proposed after the effective local treatment to control symptoms; Informed consent. Exclusion criteria: Clinically significant hepatic dysfunction: AST or ALT > 2.5 times the ULN, total serum bilirubin levels > 1.5 times the ULN; clinically significant renal insufficiency: serum creatinine > 1.5 times the ULN; Severe heart disease: New York Heart Association class Ⅲ-IV class of heart failure, unstable angina, myocardial infarction, coronary revascularization six months before randomization; Spleen resection or combined with other severe hematopoietic system diseases; Uncontrolled diabetes, hypertension (above 180/120mmHg), infection or severe gastrointestinal ulcers; History or present with other cancer, except for non melanoma skin cancer, cervical cancer in situ and other cured cancer for at least 5 years; Mental illness, without legal capacity or limited capacity; Pregnancy, lactation or patients with pregnancy plan; Participated in other clinical trail in the past 1 months or participating in other trail now; Other unsuitable condition decided by the investigator.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Ligang Xing, M.D.
    Phone
    18053100188
    Email
    xinglg@gmail.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Jinming Yu, PhD
    Organizational Affiliation
    Shandong Cancer Hospital and Institute
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Jie Wang, PhD
    Organizational Affiliation
    Biejing Cancer Hospital
    Official's Role
    Study Chair

    12. IPD Sharing Statement

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    Chemotherapy Combined With Yangzhengxiaoji Capsule in Patients With Advanced Non-Small Cell Lung Cancer

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