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Study of Anlotinib Plus Irinotecan in Patients With Esophageal Squamous Cell Carcinoma

Primary Purpose

Esophageal Squamous Cell Carcinoma

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Anlotinib Plus Irinotecan
Irinotecan
Sponsored by
The First Affiliated Hospital of Zhengzhou University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Esophageal Squamous Cell Carcinoma focused on measuring Anlotinib

Eligibility Criteria

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

Inclusion Criteria:

  • Histological documentation of esophageal squamous cell carcinoma;
  • At least one measurable lesion (by RECIST1.1);
  • Patients who have failed to a chemoradiation treatment;
  • 18-75,ECOG PS:0-1,Life expectancy of more than 12 weeks;
  • No treated with molecular targeted drugs;
  • Main organs function is normal;
  • Patients should participate in the study voluntarily and sign informed consent;

Exclusion Criteria:

  • Allergic to anlotinib and/or its excipients;
  • Patients with any severe and/or unable to control diseases,including:

    1. Blood pressure unable to be controlled ideally(systolic pressure >140 mmHg,diastolic pressure>90 mmHg);
    2. Patients with Grade 2 or higher myocardial ischemia, myocardial infarction or malignant arrhythmias(including QT≥450ms for male, QT≥470ms for female) and patients with Grade 3 or higher congestive heart failure (NYHA Classification) or LVEF<50%;
  • Patients with a clear Gastrointestinal bleeding tendency include the following situations: Local active ulcer lesions, and fecal occult blood (+ +) ; The patient had a history of black and hematemesis within 2 months;
  • Patients with a bleeding tendency and INR>1.5,APTT>1.5 ULN ;
  • Patients with factors that could affect oral medication (such as dysphagia,chronic diarrhea, intestinal obstruction etc.);
  • Patients with active brain metastasis, cancerous meningitis, spinal cord compression patients or found in Screening stage;
  • Patients treated with VEGFR inhibitor;
  • Patients with drug abuse history and unable to get rid of or Patients with mental disorders;
  • Patients participated in other anticancer drug clinical trials within 4 weeks;
  • Patients with concomitant diseases which could seriously endanger their own safety or could affect completion of the study according to investigators' judgment;

Sites / Locations

  • The First Affiliated Hospital of Zhengzhou UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Anlotinib Plus Irinotecan

Irinotecan

Arm Description

Anlotinib QD po.and Irinotecan Day 1,8 ivgtt. Both should be continued until disease progression or intolerable toxicity or patients withdrawal of consent

Irinotecan Day 1,8 ivgtt and it should be continued until disease progression or intolerable toxicity or patients withdrawal of consent

Outcomes

Primary Outcome Measures

Progress free survival (PFS)
PFS was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm.
Disease Control Rate (DCR)
The proportion of patients with a best overall response of confirmed complete or partial response, or stable disease (CR + PR + SD)

Secondary Outcome Measures

Overall Survival (OS)
The time from treatment initiation until death from any reason
Objective Response Rate (ORR)
The proportion of patients with a confirmed complete response or partial response on two consecutive occasions≥4 weeks apart, as determined by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Quality of life score
Each 42 days up to intolerance the toxicity or PD
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Until initiation of new anticancer treatment
NGS(Next Generation Sequencing) detecting
The sample for NGS detecting can be gotten form storage tumor tissue specimens. It must be better collecting the new tumor tissue specimens after tumor progress

Full Information

First Posted
December 23, 2017
Last Updated
August 30, 2021
Sponsor
The First Affiliated Hospital of Zhengzhou University
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1. Study Identification

Unique Protocol Identification Number
NCT03387904
Brief Title
Study of Anlotinib Plus Irinotecan in Patients With Esophageal Squamous Cell Carcinoma
Official Title
A Randomized, Eploratory, Open Clinical Trial to Compare the Efficacy and Safety of Anlotinib Plus Irinotecan Versus Irinotecan in Patients With Esophageal Squamous Cell Carcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
August 2021
Overall Recruitment Status
Unknown status
Study Start Date
January 13, 2019 (Actual)
Primary Completion Date
December 1, 2021 (Anticipated)
Study Completion Date
December 1, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
The First Affiliated Hospital of Zhengzhou University

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
Data Monitoring Committee
No

5. Study Description

Brief Summary
To compare the effects and safety of Anlotinib Plus Irinotecan versus Irinotecan in patients with esophageal squamous cell carcinoma(ESCC).
Detailed Description
In recent years, anti-angiogenic therapy has made some progress in the treatment of advanced esophageal squamous cell carcinoma.In clinical use, the efficacy of antiangiogenic monotherapy was low, with a median progression-free survival (PFS) of only 3 to 4 months.We conducted a randomized, open clinical Trial to evaluate efficacy and safety of anlotinib hydrochloride combined with irinotecan versus irinotecan monotherapy in patients with advanced esophageal squamous cell carcinoma.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Esophageal Squamous Cell Carcinoma
Keywords
Anlotinib

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
120 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Anlotinib Plus Irinotecan
Arm Type
Experimental
Arm Description
Anlotinib QD po.and Irinotecan Day 1,8 ivgtt. Both should be continued until disease progression or intolerable toxicity or patients withdrawal of consent
Arm Title
Irinotecan
Arm Type
Active Comparator
Arm Description
Irinotecan Day 1,8 ivgtt and it should be continued until disease progression or intolerable toxicity or patients withdrawal of consent
Intervention Type
Drug
Intervention Name(s)
Anlotinib Plus Irinotecan
Intervention Description
Anlotinib QD po.and Irinotecan Day 1,8 ivgtt.
Intervention Type
Drug
Intervention Name(s)
Irinotecan
Intervention Description
Irinotecan Day 1,8 ivgtt
Primary Outcome Measure Information:
Title
Progress free survival (PFS)
Description
PFS was defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurred first. Per RECIST 1.1, PD was defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also have demonstrated an absolute increase of ≥5 mm.
Time Frame
up to 24 months
Title
Disease Control Rate (DCR)
Description
The proportion of patients with a best overall response of confirmed complete or partial response, or stable disease (CR + PR + SD)
Time Frame
up to 24 months
Secondary Outcome Measure Information:
Title
Overall Survival (OS)
Description
The time from treatment initiation until death from any reason
Time Frame
up to 24 months
Title
Objective Response Rate (ORR)
Description
The proportion of patients with a confirmed complete response or partial response on two consecutive occasions≥4 weeks apart, as determined by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Time Frame
up to 24 months
Title
Quality of life score
Description
Each 42 days up to intolerance the toxicity or PD
Time Frame
up to 24 months
Title
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Description
Until initiation of new anticancer treatment
Time Frame
up to 24 months
Title
NGS(Next Generation Sequencing) detecting
Description
The sample for NGS detecting can be gotten form storage tumor tissue specimens. It must be better collecting the new tumor tissue specimens after tumor progress
Time Frame
up to 12 months

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: Histological documentation of esophageal squamous cell carcinoma; At least one measurable lesion (by RECIST1.1); Patients who have failed to a chemoradiation treatment; 18-75,ECOG PS:0-1,Life expectancy of more than 12 weeks; No treated with molecular targeted drugs; Main organs function is normal; Patients should participate in the study voluntarily and sign informed consent; Exclusion Criteria: Allergic to anlotinib and/or its excipients; Patients with any severe and/or unable to control diseases,including: Blood pressure unable to be controlled ideally(systolic pressure >140 mmHg,diastolic pressure>90 mmHg); Patients with Grade 2 or higher myocardial ischemia, myocardial infarction or malignant arrhythmias(including QT≥450ms for male, QT≥470ms for female) and patients with Grade 3 or higher congestive heart failure (NYHA Classification) or LVEF<50%; Patients with a clear Gastrointestinal bleeding tendency include the following situations: Local active ulcer lesions, and fecal occult blood (+ +) ; The patient had a history of black and hematemesis within 2 months; Patients with a bleeding tendency and INR>1.5,APTT>1.5 ULN ; Patients with factors that could affect oral medication (such as dysphagia,chronic diarrhea, intestinal obstruction etc.); Patients with active brain metastasis, cancerous meningitis, spinal cord compression patients or found in Screening stage; Patients treated with VEGFR inhibitor; Patients with drug abuse history and unable to get rid of or Patients with mental disorders; Patients participated in other anticancer drug clinical trials within 4 weeks; Patients with concomitant diseases which could seriously endanger their own safety or could affect completion of the study according to investigators' judgment;
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Feng Wang, doctor
Phone
860013938244776
Email
fengw010@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Feng Wang, doctor
Organizational Affiliation
The First Affiliated Hospital of Zhengzhou University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The First Affiliated Hospital of Zhengzhou University
City
Zhengzhou
State/Province
Henan
ZIP/Postal Code
450052
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Feng Wang, doctor
First Name & Middle Initial & Last Name & Degree
Qingxia Fan, doctor

12. IPD Sharing Statement

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Study of Anlotinib Plus Irinotecan in Patients With Esophageal Squamous Cell Carcinoma

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