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Anlotinib Combined With Nivolumab for Non-Small Cell Lung Cancer

Primary Purpose

Non Small Cell Lung Cancer

Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Anlotinib
Nivolumab
Sponsored by
The First Affiliated Hospital with Nanjing Medical University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non Small Cell Lung Cancer

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female patients aged 18-75 years old;
  2. ECOG PS:0-1,Expected Survival Time: Over 3 months;
  3. Subjects with histologically or cytologically confirmed locally advanced and/or advanced NSCLC, with measurable nidus(using RECIST 1.1);
  4. For local advanced or advanced NSCLC, disease progression occurred after first-line systemic treatment previously;
  5. 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;
  6. main organs function is normal;
  7. Signed and dated informed consent.

Exclusion Criteria:

  1. have used Anlotinib before;
  2. Small Cell Lung Cancer (including small cell cancer and other kinds of cancer mixed with non-small cell cancer);
  3. examined as positive in EGFR&ALK mutation detection and never take the treatment of TKIs;
  4. Previously (within 5 years) or presently suffering from other malignancies;
  5. Symptomatic or uncontrolled brain metastases;
  6. Unstable systemic disease, including active infection, uncontrolled hypertension, unstable angina, congestive heart failure, or myocardial infarction within 6 months or serious cardiac arrhythmia requiring medication;
  7. Pregnancy or lactation.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    anlotinib plus nivolumab

    Arm Description

    Outcomes

    Primary Outcome Measures

    Progression-Free Survival (PFS)
    PFS is defined as the time from the date of treatment to the first date of disease progression or death from any cause.

    Secondary Outcome Measures

    Objective Response Rate (ORR)
    Treatment response are defined as complete response (CR), partial response (PR), stable disease (SD) and progression disease (PD) according to Response Evaluation Criteria in Solid Tumor (RECISIT criteria, version 1.1). The percentage of patients who achieved CR and PR was defined as objective response rate (ORR)
    Disease control rate (DCR)
    Treatment response are defined as complete response (CR), partial response (PR), stable disease (SD) and progression disease (PD) according to Response Evaluation Criteria in Solid Tumor (RECISIT criteria, version 1.1) and the percentage of patients who achieved CR, PR and SD was defined as disease control rate (DCR).
    Overall Survival (OS)
    OS is calculated from diagnosis to death or last follow-up time.
    Number of Participants with Adverse Events as a Measure of Safety and Tolerability

    Full Information

    First Posted
    December 23, 2019
    Last Updated
    December 24, 2019
    Sponsor
    The First Affiliated Hospital with Nanjing Medical University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04211896
    Brief Title
    Anlotinib Combined With Nivolumab for Non-Small Cell Lung Cancer
    Official Title
    The Efficacy and Safety of Anlotinib Combined With Nivolumab as a Second-Line Treatment in Patients With Advanced Non-Small Cell Lung Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2019
    Overall Recruitment Status
    Unknown status
    Study Start Date
    January 1, 2020 (Anticipated)
    Primary Completion Date
    July 1, 2021 (Anticipated)
    Study Completion Date
    January 1, 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    The First Affiliated Hospital with Nanjing Medical University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    This study evaluates the safety and efficacy of anlotinib in combination with nivilumab as second-line treatment in advanced NSCLC patients. The primary endpoint of the study is progression-free survival (PFS);the secondary endpoints are disease control rate (DCR), objective response rate (ORR), overall survival (OS) and safety.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    70 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    anlotinib plus nivolumab
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    Anlotinib
    Intervention Description
    Anlotinib will be given at a dose of 12mg once daily on days 1-14 of a 21-day cycle.
    Intervention Type
    Drug
    Intervention Name(s)
    Nivolumab
    Intervention Description
    Nivolumab will be given at a dose of 240 mg every 2 weeks (Odd Cycles: Days 1 and 15 and Even Cycles Day 8) per 21 day Cycle.
    Primary Outcome Measure Information:
    Title
    Progression-Free Survival (PFS)
    Description
    PFS is defined as the time from the date of treatment to the first date of disease progression or death from any cause.
    Time Frame
    6 months
    Secondary Outcome Measure Information:
    Title
    Objective Response Rate (ORR)
    Description
    Treatment response are defined as complete response (CR), partial response (PR), stable disease (SD) and progression disease (PD) according to Response Evaluation Criteria in Solid Tumor (RECISIT criteria, version 1.1). The percentage of patients who achieved CR and PR was defined as objective response rate (ORR)
    Time Frame
    each 42 days up to intolerance the toxicity or PD (up to 12 months)
    Title
    Disease control rate (DCR)
    Description
    Treatment response are defined as complete response (CR), partial response (PR), stable disease (SD) and progression disease (PD) according to Response Evaluation Criteria in Solid Tumor (RECISIT criteria, version 1.1) and the percentage of patients who achieved CR, PR and SD was defined as disease control rate (DCR).
    Time Frame
    each 42 days up to intolerance the toxicity or PD (up to 12 months)
    Title
    Overall Survival (OS)
    Description
    OS is calculated from diagnosis to death or last follow-up time.
    Time Frame
    12 months
    Title
    Number of Participants with Adverse Events as a Measure of Safety and Tolerability
    Time Frame
    Until 30 day safety follow-up visit

    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: Male or female patients aged 18-75 years old; ECOG PS:0-1,Expected Survival Time: Over 3 months; Subjects with histologically or cytologically confirmed locally advanced and/or advanced NSCLC, with measurable nidus(using RECIST 1.1); For local advanced or advanced NSCLC, disease progression occurred after first-line systemic treatment previously; 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; main organs function is normal; Signed and dated informed consent. Exclusion Criteria: have used Anlotinib before; Small Cell Lung Cancer (including small cell cancer and other kinds of cancer mixed with non-small cell cancer); examined as positive in EGFR&ALK mutation detection and never take the treatment of TKIs; Previously (within 5 years) or presently suffering from other malignancies; Symptomatic or uncontrolled brain metastases; Unstable systemic disease, including active infection, uncontrolled hypertension, unstable angina, congestive heart failure, or myocardial infarction within 6 months or serious cardiac arrhythmia requiring medication; Pregnancy or lactation.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Renhua Guo, MD
    Phone
    025-68136360
    Email
    rhguo@njmu.edu.cn

    12. IPD Sharing Statement

    Learn more about this trial

    Anlotinib Combined With Nivolumab for Non-Small Cell Lung Cancer

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