Study of Anlotinib in Non-squamous NSCLC Patients Who Failed First-Line(ALTER-L020)
Primary Purpose
Non-squamous NSCLC
Status
Unknown status
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
Anlotinib
Sponsored by

About this trial
This is an interventional treatment trial for Non-squamous NSCLC focused on measuring Non-squamous NSCLC, Anlotinib
Eligibility Criteria
Inclusion Criteria:
- Signed and dated informed consent
- Age:18~75 years;
- Subjects with histologically or cytologically confirmed locally advanced and/or advanced NSCLC
- at least two systematic chemotherapy with upwards of 1-line treatments or cannot suffer
- The negative patients in EGFR&ALK can participate or who positive in EGFR&ALK, have or have not drug tolerance after the treatment with relative targeted drugs
- Subjects with at least one measurable lesion as defined by RECIST (version 1.1)
- Expected Survival Time: Over 3 months
- ECOG PS:0-1,
- main organs function is normal
- The woman patients of childbearing age who must agree to take contraceptive methods (e.g. intrauterine device, contraceptive pill or condom) during the research and within another 6 months after it; who are not in the lactation period and examined as negative in blood serum test or urine pregnancy test within 7 days before the research; The man patients who must agree to take contraceptive methods during the research and within another 6 months after it
Exclusion Criteria:
- 1.Small Cell Lung Cancer (including small cell cancer and other kinds of cancer mixed with non-small cell cancer)
- lung squamous carcinoma
- Other active malignancies requiring treatment
- History of malignancy
- Have got non remissive toxic reactions derived from previous therapies, which is over level 1 in CTC AE (4.0), alopecia NOT included
- Abnormal coagulation (INR>1.5 or PT>ULN+4s or APTT >1.5 ULN); Patients with any physical signs of bleeding diathesis or receiving thrombolysis and anticoagulation
- take major surgical treatments or have serious trauma before grouping, or the impact of surgery or trauma has been eliminated for less than 14 days.
- Patients with active or unable to control serious infections;
- Patients with Grade II or higher myocardial ischemia, myocardial infarction or malignant arrhythmias(including QTc male ≥ 450 ms, female ≥ 470 ms) ; Patients with grade III to IV cardiac insufficiency, or left ventricular ejection fraction (LVEF) <50% (NYHA Classification)
- Patients with non-healing wounds or fractures
- with kinds of factors which affect oral medicine (e.g. failing to swallow, gastrointestinal tract getting resected, chronic diarrhea and ileus).
- get arterial/venous thrombosis within 12 months, such as cerebrovascular accidents (including temporary ischemic stoke), deevenous thrombosis, and pulmonary embolism
- plan to take systemic anti-tumor therapy within 4 weeks before grouping or during the medicine-taking period of this research, including Cytotoxic Therapy, Signal Transduction Inhibitor, and Immunotherapy
- Patients with cirrhosis, decompensated liver disease, or active hepatitis Have suffered from hemorrhagic disease or coagulation dysfunction
- diagnosed with disease which will severely endanger the security of patients or influence the completion of this research
Sites / Locations
- Shaanxi Provincial Cancer HospitalRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Anlotinib
Arm Description
Anlotinib p.o, qd and it should be continued until disease progress or toxicity cannot be tolerated or patients withdraw consent
Outcomes
Primary Outcome Measures
Duration of Progression-Free Survival (PFS) as Assessed by the Investigator Using RECIST v1.1
Progress free survival (PFS)
Secondary Outcome Measures
Duration of Overall Survival (OS) as Assessed by the Investigator Using RECIST v1.1
Overall Survival (OS)
Disease Control Rate (DCR)as Assessed by the Investigator Using RECIST v1.1
Disease Control Rate (DCR)
Objective Response Rate (ORR) as Assessed by the Investigator Using RECIST v1.1
Objective Response Rate (ORR)
Percentage of Participants with Adverse Events
Percentage of Participants with Adverse Events
Full Information
NCT ID
NCT03755869
First Posted
November 26, 2018
Last Updated
April 1, 2020
Sponsor
First Affiliated Hospital Xi'an Jiaotong University
Collaborators
Tang-Du Hospital, Yan'an University Affiliated Hospital
1. Study Identification
Unique Protocol Identification Number
NCT03755869
Brief Title
Study of Anlotinib in Non-squamous NSCLC Patients Who Failed First-Line(ALTER-L020)
Official Title
An Open, Single-arm, Multi-center Study of Anlotinib in Non-squamous NSCLC Patients Who Failed First-Line Chemotherapy
Study Type
Interventional
2. Study Status
Record Verification Date
April 2019
Overall Recruitment Status
Unknown status
Study Start Date
November 29, 2018 (Actual)
Primary Completion Date
November 2021 (Anticipated)
Study Completion Date
December 2021 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
First Affiliated Hospital Xi'an Jiaotong University
Collaborators
Tang-Du Hospital, Yan'an University Affiliated Hospital
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
5. Study Description
Brief Summary
Anlotinib is a multi-target receptor tyrosine kinase inhibitor in domestic research and development. It can inhibit the angiogenesis related kinase, such as VEGFR, FGFR, PDGFR, and tumor celltebiz related kinase -c-Kit kinase. In the phase III study, Patients who failed at least two kinds of systemic chemotherapy (third line or beyond) or drug intolerance were treated with anlotinib (12mg, po. qd. on day 1to14 of a 21-day cycle) or placebo, the anlotinib group PFS and OS were 5.37 months and 9.63 months, the placebo group PFS and OS were 1.4 months and 6.3 months.
Detailed Description
It is an open, single-arm, multi-center clinical trial conducted in China, and plan to Recruiting103 patients who were progressed after first line systemic therapy and refused/can't tolerate chemotherapy. Patents receive 12mg anlotinib orally daily on day 1to 14 of a 21-day cycle until progression of disease, assess safety and efficacy of the drug.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-squamous NSCLC
Keywords
Non-squamous NSCLC, Anlotinib
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
103 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Anlotinib
Arm Type
Experimental
Arm Description
Anlotinib p.o, qd and it should be continued until disease progress or toxicity cannot be tolerated or patients withdraw consent
Intervention Type
Drug
Intervention Name(s)
Anlotinib
Other Intervention Name(s)
AL3818
Intervention Description
Anlotinib ( 12mg, QD, PO, d1-14, 21 days per cycle), take once when limosis in the morning. If patients cannot suffer from AEs, they can get declined dosage.
Primary Outcome Measure Information:
Title
Duration of Progression-Free Survival (PFS) as Assessed by the Investigator Using RECIST v1.1
Description
Progress free survival (PFS)
Time Frame
Baseline until PD or death, whichever occurs first (up to approximately 24 months)
Secondary Outcome Measure Information:
Title
Duration of Overall Survival (OS) as Assessed by the Investigator Using RECIST v1.1
Description
Overall Survival (OS)
Time Frame
Baseline until death from any cause (up to approximately 24 months)
Title
Disease Control Rate (DCR)as Assessed by the Investigator Using RECIST v1.1
Description
Disease Control Rate (DCR)
Time Frame
First occurrence of PR or CR until PD or death, whichever occurs first (up to 24 months)
Title
Objective Response Rate (ORR) as Assessed by the Investigator Using RECIST v1.1
Description
Objective Response Rate (ORR)
Time Frame
Baseline until partial response (PR) or complete response (CR), whichever occurs first (up to 24 months)
Title
Percentage of Participants with Adverse Events
Description
Percentage of Participants with Adverse Events
Time Frame
Baseline until up to 21 days after end of treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Signed and dated informed consent
Age:18~75 years;
Subjects with histologically or cytologically confirmed locally advanced and/or advanced NSCLC
at least two systematic chemotherapy with upwards of 1-line treatments or cannot suffer
The negative patients in EGFR&ALK can participate or who positive in EGFR&ALK, have or have not drug tolerance after the treatment with relative targeted drugs
Subjects with at least one measurable lesion as defined by RECIST (version 1.1)
Expected Survival Time: Over 3 months
ECOG PS:0-1,
main organs function is normal
The woman patients of childbearing age who must agree to take contraceptive methods (e.g. intrauterine device, contraceptive pill or condom) during the research and within another 6 months after it; who are not in the lactation period and examined as negative in blood serum test or urine pregnancy test within 7 days before the research; The man patients who must agree to take contraceptive methods during the research and within another 6 months after it
Exclusion Criteria:
1.Small Cell Lung Cancer (including small cell cancer and other kinds of cancer mixed with non-small cell cancer)
lung squamous carcinoma
Other active malignancies requiring treatment
History of malignancy
Have got non remissive toxic reactions derived from previous therapies, which is over level 1 in CTC AE (4.0), alopecia NOT included
Abnormal coagulation (INR>1.5 or PT>ULN+4s or APTT >1.5 ULN); Patients with any physical signs of bleeding diathesis or receiving thrombolysis and anticoagulation
take major surgical treatments or have serious trauma before grouping, or the impact of surgery or trauma has been eliminated for less than 14 days.
Patients with active or unable to control serious infections;
Patients with Grade II or higher myocardial ischemia, myocardial infarction or malignant arrhythmias(including QTc male ≥ 450 ms, female ≥ 470 ms) ; Patients with grade III to IV cardiac insufficiency, or left ventricular ejection fraction (LVEF) <50% (NYHA Classification)
Patients with non-healing wounds or fractures
with kinds of factors which affect oral medicine (e.g. failing to swallow, gastrointestinal tract getting resected, chronic diarrhea and ileus).
get arterial/venous thrombosis within 12 months, such as cerebrovascular accidents (including temporary ischemic stoke), deevenous thrombosis, and pulmonary embolism
plan to take systemic anti-tumor therapy within 4 weeks before grouping or during the medicine-taking period of this research, including Cytotoxic Therapy, Signal Transduction Inhibitor, and Immunotherapy
Patients with cirrhosis, decompensated liver disease, or active hepatitis Have suffered from hemorrhagic disease or coagulation dysfunction
diagnosed with disease which will severely endanger the security of patients or influence the completion of this research
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
enxiao li, professor
Phone
0086-13992819833
Email
doclienxiao@sina.com
First Name & Middle Initial & Last Name or Official Title & Degree
jingjing miao
Phone
0086-18392055301
Email
miaojing0403@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
enxiao li, professor
Organizational Affiliation
First Affiliated Hospital Xi'an Jiaotong University
Official's Role
Study Chair
Facility Information:
Facility Name
Shaanxi Provincial Cancer Hospital
City
Xian
State/Province
Shanxi
ZIP/Postal Code
710000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
minhui wu, doctor
Phone
13891825509
Email
wuminhui@126.com
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Study of Anlotinib in Non-squamous NSCLC Patients Who Failed First-Line(ALTER-L020)
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