CClinicalTrials.gg
CompletedNCT03129256EASEUpdated Dec 10, 2019

An Exploration of Apatinib Combined With S-1 in Patients With Advanced Non-small Cell Lung Cancer

A Phase 2 interventional study of Apatinib Mesylate tablet combined with S-1 capsules in Non-small Cell Lung Cancer, sponsored by Changzhou Cancer Hospital of Soochow University. Completed at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2019-12-10.

Sponsored by Changzhou Cancer Hospital of Soochow University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Dec 2016, registered Apr 2017).
Phase
Phase 2
Study type
Interventional
Enrollment
52
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study is to explore the potential efficacy and safety of low-dose Apatinib combined with S-1 in patients with advanced lung cancer. Patients with advanced NSCLC will be treated with oral apatinib and S-1 after treatment failure of standard regimen.

Read the detailed description

Apatinib is a tyrosine kinase inhibitor which selectively inhibits the vascular endothelial growth factor receptor-2 (VEGFR-2). The anti-angiogenesis effect of apatinib has been proved in preclinical tests. Phase II study has showed an improvement of progression free survival in pretreated patients. S-1, an oral fluoropyrimidine has considerable effectiveness with mild side effect in patients failed to standard treatments. The purpose of this study is to evaluate the potential efficacy and safety of low-dose Apatinib combined with S-1 in heavily pretreated patients with advanced lung cancer. And to explore the biomarkers of antiangiogenesis therapy and the possible mechanisms of treatment resistance on the basis of next generation sequencing.

02

Conditions studied

  • Non-small Cell Lung Cancer

Keywords

  • non-small cell lung cancer
  • Apatinib
  • S1
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's enrollment of 52 is below the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Changzhou Cancer Hospital of Soochow University is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Pathologically confirmed Non-small cell lung cancer
  • Patients with extracranial measurable lesions
  • Patients with NSCLC failed for standard treatments
  • Eastern Cooperative Oncology Group performance status score: 0\~2 and life expectancy of more than 3 months
  • Major organs functioning properly
  • Compliance is good and agreed to cooperate with the survival of follow-up
  • Informed consent

Exclusion criteria

Exclusion Criteria:

  • Contraindications for investigational agents
  • Patients with clinical symptoms of brain metastases or meningeal metastasis
  • Tumor invade big vessels or close to big vessels
  • Uncontrolled hypertension
  • Abnormal coagulation (INR>1.5 or Prothrombin Time>ULN+4, or Activated Partial Thromboplastin Time>1.5 ULN), bleeding tendency or receiving coagulation therapy
  • Hemoptysis, more than 2.5ml daily
  • Thrombosis in 12 months, including pulmonary thrombosis, stoke, or deep venous thrombosis.
  • Myocardial ischemia or infarction more than stage II, cardiac insufficiency.
  • Received big surgery, had bone fracture or ulcer in 4 weeks.
  • Urine protein≥++, or urine protein in 24 hours≥1.0g
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
52 participants (actual)

Study arms

  • Experimental
    Apatinib & S-1

    Apatinib Mesylate tablet combined with S-1 Capsules Apatinib Mesylate tablet 250mg once daily combined with S-1(Tegafur,Gimeracil and Oteracil Potassium Capsules) 40mg\~60mg twice daily by mouth, d1-14, repeated every 3 weeks.

    Drug: Apatinib Mesylate tablet combined with S-1 capsules

Interventions

  • DrugApatinib Mesylate tablet combined with S-1 capsules

    Oral use with low-dose Apatinib combined with S-1 until disease progression

    Also known as: Ai Tan combined with S-1, Apatinib combined with S-1

06

What researchers measure

Primary outcomes

  1. Progression Free Survival(PFS)

    PFS is defined as the length of time from random assignment to disease progression or to death resulting from any cause other than the progress.

    Time frame: 2 years

Secondary outcomes

  1. Overall Survival(OS)

    Overall Survival is defined as the length of time from random assignment to death or to last contact.

    Time frame: 2 years

  2. Objective response rate(ORR)

    Objective response rate is defined as the percentage of subjects having achieved confirmed Complete Response + Partial Response according to Response Evaluation Criteria in Solid Tumors 1.1(RECIST1.1)

    Time frame: 2 years

  3. Disease Control Rate(DCR)

    Disease Control Rate is defined as the percentage of subjects having achieved confirmed Complete Response + Partial Response + Stable Disease according to radiological assessments.

    Time frame: 2 years

  4. Adverse Events(AEs)

    AEs are evaluated according to National Cancer Institute Common Terminology Criteria for Adverse Events v4.0.

    Time frame: 2 years

07

Study locations

1 site
  • Changzhou Cancer Hospital of Soochow University
    Changzhou, Jiangsu 213000, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 10, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03129256
Lead sponsor
Changzhou Cancer Hospital of Soochow University
Responsible party
Sponsor
First posted
Apr 26, 2017
Start date
Dec 1, 2016
Primary completion
Dec 30, 2018
Completion
Dec 30, 2018
Last update
Dec 10, 2019

Study contacts

Tong Zhou, Dr.
principal investigator · Changzhou Cancer Hospital of Soochow University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2019. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

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.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion