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Study of Anlotinib Hydrochloride Capsule in Subjects With Small Cell Lung Cancer

Primary Purpose

Small Cell Lung Cancer

Status
Unknown status
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Anlotinib
Placebos
Topotecan
Sponsored by
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Small Cell Lung Cancer

Eligibility Criteria

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

Inclusion Criteria:

  1. Small cell lung cancer patients.
  2. The clinical stage at baseline is extensive.
  3. A measurable lesion.
  4. Disease progression.
  5. ≥ 18 years old; Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1; Life expectancy ≥ 3 months.
  6. Adequate laboratory indicators.
  7. No pregnant or breastfeeding women, and a negative pregnancy test.
  8. Understood and signed an informed consent form.

Exclusion Criteria:

  1. Has used topotecan and anlotinib hydrochloride capsules.
  2. Has used other anti-angiogenic drugs and immunologically targeted drugs.
  3. Has other malignant tumors within 5 years.
  4. Symptomatic brain metastasis.
  5. Has a variety of factors affecting oral medications.
  6. Uncontrolled pleural effusion, pericardial effusion or ascites requiring repeated drainage.
  7. Spinal cord compression.
  8. Has received radiotherapy, chemotherapy, surgery less than 4 weeks before randomization.
  9. Adverse events caused by previous treatment did not recover to grade 1.
  10. Has received major surgical treatment within 4 weeks before randomization.
  11. Arteriovenous thrombosis occurred within 6 months.
  12. Has drug abuse history that unable to abstain from or mental disorders.
  13. Has severe or uncontrolled disease.
  14. Participated in other clinical trials within 4 weeks.
  15. Tumor invades the large blood vessels.
  16. Daily hemoptysis ≥2.5 mL within 1 month before the first dose.
  17. According to the investigators' judgement.

Sites / Locations

  • Beijing Cancer Hospital
  • Cancer Hospital Chinese Academy of Medical Sciences

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Experimental group

Placebo group

Arm Description

Anlotinib hydrochloride capsules given orally in fasting conditions , once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21) and topotecan 1.5mg/m2 IV d1-5.

Anlotinib hydrochloride placebo given orally in fasting conditions , once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21) and topotecan 1.5mg/m2 IV d1-5.

Outcomes

Primary Outcome Measures

Progression Free Survival (PFS) evaluated by IRC
PFS defined as the time from randomization until the first documented progressive disease (PD) or death from any cause; IRC defined as Independent Review Committee.

Secondary Outcome Measures

Progression Free Survival (PFS) evaluated by investigator
PFS defined as the time from randomization until the first documented progressive disease (PD) or death from any cause.
Overall survival (OS)
OS defined as the time from randomization to death from any cause. Participants who do not die at the end of the extended follow-up period, or were lost to follow-up during the study, were censored at the last date they were known to be alive.
Overall Response Rate (ORR)
Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR).
Disease Control Rate (DCR)
Percentage of participants achieving complete response (CR) and partial response (PR) and stable disease (SD).
Duration of Overall Response (DOR)
The time when the patient first achieved complete or partial remission to disease progression.
PFS rate at month 6
The percentage of PFS at month 6.
OS rate at month 6
The percentage of OS at month 6.
OS rate at month 12
The percentage of OS at month 12.
The efficacy of intracranial lesions
To evaluate the efficacy of of intracranial lesions.
Adverse Event (AE)
Safety data
Serious Adverse Event (SAE)
Safety data
Abnormal laboratory test index
Safety data

Full Information

First Posted
August 27, 2019
Last Updated
August 27, 2019
Sponsor
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04073550
Brief Title
Study of Anlotinib Hydrochloride Capsule in Subjects With Small Cell Lung Cancer
Official Title
A Randomized, Double-Blind, Multicenter, Phase Ⅲ Study of Anlotinib Hydrochloride Capsule Combined With Topotecan Versus Placebo Combined With Topotecan in Subjects With Small Cell Lung Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Unknown status
Study Start Date
October 31, 2019 (Anticipated)
Primary Completion Date
July 31, 2021 (Anticipated)
Study Completion Date
July 31, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Anlotinib hydrochloride is a multi-targeted receptor tyrosine kinase inhibitor that targets angiogenesis-related kinases such as VEGFR1/2/3, FGFR1/2/3, and other tumor-associated kinases involved in cell proliferation such as PDGFRα/β, c-Kit, and Ret have significant inhibitory activities.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Small Cell Lung Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
184 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Experimental group
Arm Type
Experimental
Arm Description
Anlotinib hydrochloride capsules given orally in fasting conditions , once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21) and topotecan 1.5mg/m2 IV d1-5.
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
Anlotinib hydrochloride placebo given orally in fasting conditions , once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21) and topotecan 1.5mg/m2 IV d1-5.
Intervention Type
Drug
Intervention Name(s)
Anlotinib
Intervention Description
A multi-target receptor tyrosine kinase inhibitor.
Intervention Type
Drug
Intervention Name(s)
Placebos
Intervention Description
Anlotinib blank analog capsule.
Intervention Type
Drug
Intervention Name(s)
Topotecan
Intervention Description
A topoisomerase I inhibitor.
Primary Outcome Measure Information:
Title
Progression Free Survival (PFS) evaluated by IRC
Description
PFS defined as the time from randomization until the first documented progressive disease (PD) or death from any cause; IRC defined as Independent Review Committee.
Time Frame
up to 24 months
Secondary Outcome Measure Information:
Title
Progression Free Survival (PFS) evaluated by investigator
Description
PFS defined as the time from randomization until the first documented progressive disease (PD) or death from any cause.
Time Frame
up to 24 months
Title
Overall survival (OS)
Description
OS defined as the time from randomization to death from any cause. Participants who do not die at the end of the extended follow-up period, or were lost to follow-up during the study, were censored at the last date they were known to be alive.
Time Frame
up to 24 months
Title
Overall Response Rate (ORR)
Description
Percentage of Participants Achieving Complete Response (CR) and Partial Response (PR).
Time Frame
up to 24 months
Title
Disease Control Rate (DCR)
Description
Percentage of participants achieving complete response (CR) and partial response (PR) and stable disease (SD).
Time Frame
up to 24 months
Title
Duration of Overall Response (DOR)
Description
The time when the patient first achieved complete or partial remission to disease progression.
Time Frame
up to 24 months
Title
PFS rate at month 6
Description
The percentage of PFS at month 6.
Time Frame
up to 6 months
Title
OS rate at month 6
Description
The percentage of OS at month 6.
Time Frame
up to 6 months
Title
OS rate at month 12
Description
The percentage of OS at month 12.
Time Frame
up to 12 months
Title
The efficacy of intracranial lesions
Description
To evaluate the efficacy of of intracranial lesions.
Time Frame
up to 24 months
Title
Adverse Event (AE)
Description
Safety data
Time Frame
up to 24 months
Title
Serious Adverse Event (SAE)
Description
Safety data
Time Frame
up to 24 months
Title
Abnormal laboratory test index
Description
Safety data
Time Frame
up to 24 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Small cell lung cancer patients. The clinical stage at baseline is extensive. A measurable lesion. Disease progression. ≥ 18 years old; Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1; Life expectancy ≥ 3 months. Adequate laboratory indicators. No pregnant or breastfeeding women, and a negative pregnancy test. Understood and signed an informed consent form. Exclusion Criteria: Has used topotecan and anlotinib hydrochloride capsules. Has used other anti-angiogenic drugs and immunologically targeted drugs. Has other malignant tumors within 5 years. Symptomatic brain metastasis. Has a variety of factors affecting oral medications. Uncontrolled pleural effusion, pericardial effusion or ascites requiring repeated drainage. Spinal cord compression. Has received radiotherapy, chemotherapy, surgery less than 4 weeks before randomization. Adverse events caused by previous treatment did not recover to grade 1. Has received major surgical treatment within 4 weeks before randomization. Arteriovenous thrombosis occurred within 6 months. Has drug abuse history that unable to abstain from or mental disorders. Has severe or uncontrolled disease. Participated in other clinical trials within 4 weeks. Tumor invades the large blood vessels. Daily hemoptysis ≥2.5 mL within 1 month before the first dose. According to the investigators' judgement.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
YuanKai Shi, Master
Phone
010-87788293
Email
syuankaipumc@126.com
Facility Information:
Facility Name
Beijing Cancer Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100083
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ziping Wang, Doctor
Phone
010-88196456
Email
wangzp2007@126.com
First Name & Middle Initial & Last Name & Degree
Ziping Wang, Doctor
Facility Name
Cancer Hospital Chinese Academy of Medical Sciences
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100083
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yuankai Shi, Master
Phone
010-87788293
Email
syuankaipumc@126.com
First Name & Middle Initial & Last Name & Degree
Yuankai Shi, Master

12. IPD Sharing Statement

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Study of Anlotinib Hydrochloride Capsule in Subjects With Small Cell Lung Cancer

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