ClinicalTrials.gg
CompletedNCT02711969Updated Jul 22, 2022

A Study of Apatinib Mesylate (YN968D1) 1,000mg in Gastric Cancer Patient Failed to Standard Treatment

A Phase 1 interventional study of Apatinib mesylate in Gastric Cancer, sponsored by Bukwang Pharmaceutical. Completed at 1 site in Korea, Republic of. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2022-07-22.

Sponsored by Bukwang Pharmaceutical · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
6
Allocation
Not applicable
Ages
19 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 57 studies testing apatinib in Stomach Neoplasms — 14 open to participants now, 15 under way, 4 of them phase 3. apatinib · Stomach Neoplasms.

Enrollment
56th of 57
6 · median 47
Started
2016
with 8 others
Phase 1
4 of 57
1 open now
Registered
10th of 57
by date

Among the 57 studies testing apatinib in Stomach Neoplasms, this one is the 56th largest by enrollment, is one of 9 that started in 2016, is one of 4 in phase 1, and was the 10th registered.

By phase

57 studies; the count open now beside each. This study's row is marked.

Phase 231 · 9 open
Phase 39 · 4 open
Phase 1this study4 · 1 open
Phase 2/34 · 0 open
No phase3 · 0 open
Phase 1/23 · 0 open
Phase 43 · 0 open

By the year they started

First in 2009; this study’s year is marked. 9 started in 2016.

Size and results

Median enrollment 47 across the 57 interventional studies. Of the 11 that completed or were terminated, 3 (27%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 57 studies testing apatinib in Stomach Neoplasms, or all of them as a file.
02

Study summary

An open study to evaluate the safety of apatinib mesylate (YN968D1) 1,000mg monotherapy in patients with unresectable locally advanced or metastatic Gastric cancer failed to standard therapy.

03

Conditions studied

  • Gastric Cancer

Browse trials for

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 19 years of age or older
  • Subjects with confirmed unresectable locally advanced or adenocarcinoma of the stomach or gastroesophageal junction
  • Failure or noncompliance of existing standard treatment without alternative treatment
  • measured by proper image examination defined by 1.1
  • ≥ 3 months
  • Subject must be suitable for oral administration of study medication
  • Subject who can submit a written consent form before participating in the test
  • Adequate bone marrow, renal, and liver function
  • Electrocorticography() performance status ≤ 2
  • Ability and willingness to comply with the study protocol for the duration of the study

Exclusion criteria

Exclusion Criteria:

  • Pregnant or lactating women
  • Therapy with systemic anticoagulant or antithrombotic agents within 7 days prior to first scheduled dose of YN968D1
  • Hemoptysis within 3 months prior to first scheduled dose of YN968D1
  • Cytotoxic chemotherapy, immunotherapy, radiotherapy or other targeted therapies within 4 weeks (6 weeks in cases of mitomycin C, nitrosourea, lomustine) prior to first scheduled dose of YN968D1
  • Surgery or within 28 days prior to first scheduled dose of YN968D1
  • Minor surgery within 7 days prior to first scheduled dose of YN968D1
  • Patients who have experience using YN968D1 before
  • Concomitant treatment with strong inhibitors or inducers of , CYP2C9 and CYP2C19
  • Known history of infection (HIV)
  • Medical history of other cancers (including blood cancer) in the 5 years
  • Radiology therapy to target lesion within 28 days, or diagnosis of other cancer within 14 days prior to first scheduled dose of YN968D1
  • History of bleeding diathesis or bleeding within 14 days prior to enrollment
  • Medical history of clinically significant thrombosis (bleeding or clotting disorder) within the past 3-months
  • History of non-malignant GI bleeding, gastric stress ulcerations, or peptic ulcer disease within the past 3-months
  • History of idiopathic or hereditary angioedema, sickle cell or any hemolytic anemia
  • History of uncontrolled hypertension that in the opinion of the investigator
  • Complete Left bundle branch block (LBBB) or bifascicular (RBBB and left anterior or posterior hemi-block)
  • Clinically significant S-T segment or T wave abnormality
  • Abnormal atrial fibrillation
  • History of or (LVEF) abnormality during last 3 months in the opinion of the investigator
  • Myocardial infarction or unstable angina pectoris within 6 months prior to starting study medication
  • Congestive heart failure ( class III-IV)
  • History of other significant cardiovascular disease or vascular disease within the last 6 months
  • History of clinically significant glomerulonephritis, biopsy proven tubulointerstitial nephritis, crystal nephropathy, or other renal insufficiencies Treatment with an agent within the longest time frame of either 5 half-lives or 30 days of initiating study drug
  • Half-life of other investigator drug is not passed over fivefold or 30 days prior to clinical trial
  • Known recreational substance use or psychiatric illness that, in the opinion of the Investigator, may affect compliance with scheduled visits
  • Known to YN968D1 or components of the formulation
Terms in these criteria, in plain language(14)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    Apatinib mesylate

    Drug: Apatinib mesylate

Interventions

06

What researchers measure

Primary outcomes

  1. Dose-limiting toxicities (DLTs) of Apatinib mesylate in patients with unresectable locally advanced or metastatic gastric cancer

    Graded and described using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v 4.03

    Time frame: First 28 days of dosing

Secondary outcomes

  1. Incidence of Adverse events (AEs), Serious AEs (SAEs), clinical laboratory abnormalities, and ECG abnormalities

    Incidence and severity of treatment-related adverse events reported and their relationship to Apatinib mesylate will be assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.3)

    Time frame: From date of registration to time of first progressive disease(PD) or death, an average of 1 year

  2. Duration of Response(Stable disease, partial response or Complete response)

    Tumor response and progression will be evaluated using RECIST v 1.1.

    Time frame: From date of registration to time of first progressive disease(PD) or death, an average of 1 year

07

Study locations

1 site
  • Asan medical center
    Seoul, Songpa-gu, Korea, Republic of
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 22, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02711969
Responsible party
Sponsor
First posted
Mar 17, 2016
Start date
Mar 2016
Primary completion
Nov 2016
Completion
Mar 2019
Last update
Jul 22, 2022

Study contacts

Yoon-Koo Kang, PhD
principal investigator · Seoul Asan Medical Center
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Apatinib

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