AIAC: Apatinib for Inoperable Advanced Chondrosarcoma
Study Details
Study Description
Brief Summary
Anti-angiogenesis Tyrosine kinase inhibitors (TKIs) have been proved to show promising effects on prolonging progression-free survival (PFS) for advanced chondrosarcoma after failure of standard multimodal Therapy. Methylsulfonic apatinib is one of those TKIs which specifically inhibits VEGFR-2. This study summarizes the experience of two Peking University affiliated hospitals in off-label use of apatinib in the treatment of extensively pre-treated chondrosarcoma.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Apatinib Arm
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Drug: Apatinib Mesylate
Apatinib orally 500mg once daily half an hour after meal
|
Outcome Measures
Primary Outcome Measures
- progression-free survival [6 months]
from initial treatment to date of recorded progression or death or last follow-up
Secondary Outcome Measures
- overall survival [5 years]
from initial treatment to death or last follow-up
- objective response rate [6 months]
CR+PR according to RECIST 1.1
- clinical benefit rate [6 months]
CR+PR+SD according to RECIST 1.1
Eligibility Criteria
Criteria
Inclusion Criteria:
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- histologically confirmed high-grade sarcoma;
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- initial treatment in the orthopedic oncology departments of the two affiliated hospitals of Peking University;
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- tumors not amenable to curative treatment or inclusion in clinical trials;
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- unresectable local advanced lesions or multiple metastatic lesions that could not be cured by local therapy;
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- measurable lesions according to Response Evaluation Criteria for Solid Tumors (RECIST1.1) ;
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- Eastern Cooperative Oncology Group performance status 0 or 1;
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- acceptable hematologic, hepatic, and renal function.
Exclusion Criteria:
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had central nervous system metastasis;
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had other kinds of malignant tumors at the same time; had cardiac insufficiency or arrhythmia;
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had uncontrolled complications such as diabetes mellitus, coagulation disorders, urine protein ≥ ++ and so on;
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had pleural or peritoneal effusion that needs to be handled by surgical treatment;
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combined with other infections or wounds;
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pregnant or breastfeeding.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Musculoskeletal Tumor Center of Peking University People's Hospital | Beijing | Beijing | China | 100044 |
2 | Peking Univresity Shougang Hospital | Beijing | Beijing | China | 100144 |
Sponsors and Collaborators
- Peking University People's Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Xie L, Guo W, Wang Y, Yan T, Ji T, Xu J. Apatinib for advanced sarcoma: results from multiple institutions' off-label use in China. BMC Cancer. 2018 Apr 6;18(1):396. doi: 10.1186/s12885-018-4303-z.
- Xie L, Xu J, Sun X, Tang X, Yan T, Yang R, Guo W. Apatinib for Advanced Osteosarcoma after Failure of Standard Multimodal Therapy: An Open Label Phase II Clinical Trial. Oncologist. 2019 Jul;24(7):e542-e550. doi: 10.1634/theoncologist.2018-0542. Epub 2018 Dec 17.
- CSSG-06