ClinicalTrials.gg
Status unknownNCT03389256Updated Jan 3, 2018

Apatinib in the Treatment of Patients With EGFR T790M-Negative NSCLC

A Phase 2 interventional study of Apatinib and EGFR-TKI in Lung Diseases, Neoplasms and Respiratory Tract Diseases, sponsored by Sichuan Cancer Hospital and Research Institute. Status unknown at 3 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-01-03.

Sponsored by Sichuan Cancer Hospital and Research Institute · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2017), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
144
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

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

Among 68 studies in Lung Diseases with a site in China — 27 open to participants now, 34 under way, 9 of them phase 3. Lung Diseases · China.

Planned enrollment
30th of 50
144 · median 217
Started
2018
with 3 others
Phase 2
9 of 68
5 open now
Registered
19th of 68
by date
Lead sponsor
3 of 68
Sichuan Cancer Hospital and Research Institute

Among the 68 studies in Lung Diseases with a site in China, this one is the 30th largest by planned enrollment of the 50 interventional ones that give a count, is one of 4 that started in 2018, is one of 9 in phase 2, and was the 19th registered.

Lung Diseases

1,158 studies on the registry are indexed under Lung Diseases; 182 are open to participants now.

Browse Lung Diseases studies →

Open to participants now

27 of the 68 studies in Lung Diseases with a site in China are open now. Recruiting first, the newest first:

22 more — sign in →

All 27 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 140 Lung Diseases studies recruiting now, 76 (54%) set no upper age limit and 28 (20%) stop at 75 or younger; 16 take children under 18; 27 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

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02

Study summary

This phase 2 study is designed to evaluate the safety and activity of apatinib,a tyrosine kinase inhibitor that selectively inhibits the vascular endothelial growth factor receptor-2, in combination with EGFR-TKI in NSCLC with T790M-negative after the failure of EGFR-TKI therapy.

03

Conditions studied

  • Lung Diseases
  • Neoplasms
  • Respiratory Tract Diseases
  • Thoracic Neoplasms
  • Non-Small-Cell Lung

Keywords

  • apatinib
  • T790 negative
  • NSCLC
04

Who can participate

Ages eligible
18 Years to 75 Years
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

  • confirmed stage IIIB, IV non-squamous non-small cell lung cancer, with (the long axis of tumor lesions ≥ 10mm with CT, the short axis of lymph node lesions ≥ 15mm with CT, the lesions not receive radiotherapy, frozen or other local treatment);
  • Patients with slow progression on EGFR TKI(erlotinib / icotinib / gefitinib) treatment;
  • No T790M mutation including an assessment from tumor obtained while on or subsequent to the most recent EGFR TKI therapy;
  • (ECOG) performance status 0-2;
  • of more than 3 months;
  • Adequate bone marrow function: WBC ≥ 3.0 ×10 E+9/L, neutrophil ≥ 1.5 × 10 E+9/L, ≥ 80 × 10E+9/L, ≥ 10.0g/dL;a total (TBil) of ≤1.5 upper normal limitation (UNL), a (ALAT) and aspartate aminotransferase (ASAT) of ≤3UNL or ≤5UNL in case of liver , a creatinine (Cr) of ≤ 1.5 UNL; a rate ≥ 50ml/min (Cockcroft-Gault);
  • Female subjects of must agree to use measures starting 1 week before the administration of the first dose of apatinib until 8 weeks after discontinuing study drug. Male subjects must agree to use contraceptive measures during the study and 8 weeks after last dose of study drug;
  • the participants volunteered to join this study should sign the forms, have better compliance in the follow-up;

Exclusion criteria

Exclusion Criteria:

  • Squamous cell carcinoma (including adenosquamous carcinoma); Small cell lung carcinoma (including small cell carcinoma and non-small cell mixed lung carcinoma);
  • Active , cancerous meningitis, patients with spinal cord compression;
  • Rapid progression of the disease or cancer invades vital organs;
  • The distance between the tumor lesion and the large blood vessel is less than 5 mm, or there is a central tumor invading local macrovascular;
  • obvious pulmonary cavity or tumor necrosis;
  • Uncontrollable high blood pressure;
  • Grade Ⅱ or above myocardial ischemia or myocardial infarction or arrhythmia control is not good,Ⅲ \~ Ⅳ grade cardiac insufficiency, or cardiac ultrasonography showed (LVEF) \<50% according to the standard;
  • Have a history of interstitial lung disease or patients with interstitial lung disease;
  • Coagulation abnormalities (> 1.5 or PT> + 4s or APTT> 1.5 ULN) with bleeding tendency or undergoing thrombolytic or anticoagulant therapy;
  • There was significant hemoptysis within 2 months prior to enrollment, or a daily hemoptysis volume is 2.5 ml or above;
  • A bleeding symptom or bleeding tendencies such as gastrointestinal bleeding, hemorrhagic gastric ulcer, fecal occult blood ++ and above, or vasculitis that occurred within 3 months prior to enrollment;
  • Aneurysm / venous thrombotic events such as cerebrovascular accident (including , cerebral hemorrhage, cerebral infarction), deep vein thrombosis and pulmonary embolism;
  • Arterial / venous thrombotic events such as cerebrovascular accidents (including transient ischemic attack, cerebral hemorrhage, cerebral infarction), deep vein thrombosis and pulmonary embolism within 12 months prior to enrollment;
  • Hereditary or acquired bleeding and thrombophilia, such as hemophilia, coagulopathy, thrombocytopenia, hypersplenism;
  • Long-term unhealed wounds or fractures;
  • Major surgery or severe traumatic injury, fracture or ulcer within 4 weeks prior to enrollment;
  • Unable to swallow, chronic diarrhea or intestinal obstruction;
  • Abdominal fistula, gastrointestinal perforation or abdominal abscess within 6 months prior to enrollment;
  • Urinary protein ≥ ++, 24-hour urinary protein ≥ 1.0 g;
  • Active infections require antimicrobial treatment;
  • ALK gene abnormalities (gene fusion or mutation occurred);
  • Pregnant or lactating women, or women unwilling or unable to take effective ;
Terms in these criteria, in plain language(22)

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.

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.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

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.

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.

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Metastases

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

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

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.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
144 participants (estimated)

Study arms

  • Experimental
    apatinib combine with EGFR-TKI

    Every 4 weeks 1 cycle, evaluated the efficacy and safety once every 2 cycles, treat until disease progression or intolerable toxicity

    Drug: Apatinib · Drug: EGFR-TKI

  • Active comparator
    EGFR-TKI

    Every 4 weeks 1 cycle, evaluated the efficacy and safety once every 2 cycles, treat until disease progression or intolerable toxicity

    Drug: EGFR-TKI

Interventions

  • Apatinib mesylate tablets 250 mg qd po, if the patient can tolerate the toxic side effects, adjust the dose to 500mg qd po after 1 week.

    Also known as: apatinib tablets

  • DrugEGFR-TKI

    Imatinib tablets, 125 mg tid po; gefitinib tablets, 250 mg qd po; erlotinib tablets, 150 mg qd po

    Also known as: Imatinib、Gefitinib or Erlotinib

06

What researchers measure

Primary outcomes

  1. Progression-free survival (PFS)

    the length of time during and after the treatment of a disease that a patient lives with the disease but it does not get worse

    Time frame: up to 24 months

Secondary outcomes

  1. Overall survival (OS)

    The length of time from either the date of diagnosis or the start of treatment that half of the patients in a group of patients diagnosed with the disease are still alive.

    Time frame: up to 36 months

  2. Duration of response (DOR)

    From first response to the date of first documented disease progression

    Time frame: up to 24 months

  3. Disease Control Rate (DCR)

    the proportion of patients with a best overall response of CR, PR or SD in the whole body, as assessed per RECIST 1.1 by the investigator.

    Time frame: 24 weeks

  4. Overall response rate (ORR)

    the proportion of patients with a best overall confirmed response of CR or PR in the whole body as assessed per RECIST 1.1 by the investigator

    Time frame: 24 weeks

  5. the quality of life (QoL)

    Analysis of changes from baseline using the quality of life (QoL) instrument

    Time frame: up to 36 months

07

Study locations

3 sites
  • Sichuan Cancer Hospital
    Chengdu, Sichuan 610041, China
  • West China Hospital, Sichuan University
    Chengdu, Sichuan 610041, China
    • Panwen Tian, MD · Contact+8618036675920
  • Sichuan Provincial People's Hospital
    Chengdu, Sichuan 610071, China
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Dec 2018; primary completion for Dec 2020, 24 months later.

Of 51 phase 2 interventional studies under Lung Diseases, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 56. This study's planned 24 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 26, 2017
First posted
Jan 3, 2018
StartEst.
Dec 30, 2018
Primary completionEst.
Dec 30, 2020
CompletionEst.
Aug 30, 2022
Last update
Jan 3, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 3, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03389256
Lead sponsor
Sichuan Cancer Hospital and Research Institute
Responsible party
Juan LI, MD (MD, Sichuan Cancer Hospital and Research Institute) — Principal investigator
First posted
Jan 3, 2018
Start date
Dec 30, 2018 (estimated)
Primary completion
Dec 30, 2020 (estimated)
Completion
Aug 30, 2022 (estimated)
Last update
Jan 3, 2018

Study contacts

Juan Li, MD
Contact
dr.lijuan@gmail.com
+8613880276636
Rui Shi, MD
Contact
shirui729@hotmail.com
+8613880898008

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 status unknown, as verified in Dec 2017. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Apatinib

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