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CompletedNCT03491371Updated Apr 10, 2018

Apatinib for Advanced Sarcoma: Results From Multiple Institutions' Off-label Use

An interventional study of Methylsulfonic apatinib in Efficacy and Toxicity, sponsored by Peking University People's Hospital. Completed at 2 sites in China. Per ClinicalTrials.gov, last updated 2018-04-10.

Sponsored by Peking University People's Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 9 months after the study started (first participant enrolled Jun 2015, registered Mar 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
56
Allocation
Non-randomized
Sex
All
01

Study summary

Anti-angiogenesis Tyrosine kinase inhibitors (TKIs) have been proved to show promising effects on prolonging progression-free survival (PFS) for advanced sarcoma after failure of standard multimodal Therapy. Methylsulfonic apatinib is one of those TKIs which specifically inhibits VEGFR-2. This study summarizes the experience of three Peking University affiliated hospitals in off-label use of apatinib in the treatment of extensively pre-treated sarcoma.

Read the detailed description

The investigators retrospectively analysed files of patients with advanced sarcoma not amenable to curative treatment, who were receiving an apatinib-containing regimen between June 1, 2015 and December 1, 2016. Fifty-six patients were included: 22 osteosarcoma, 10 Ewing's sarcoma, 3 chondrosarcoma and 21 soft tissue sarcoma.

02

Conditions studied

  • Efficacy
  • Toxicity

Keywords

  • apatinib
  • tyrosine-kinase inhibitors
  • osteosarcoma
  • Ewing sarcoma
  • chondrosarcoma
  • soft-tissue sarcoma
03

In context

Osteosarcoma

488 studies on the registry are indexed under Osteosarcoma; 124 are open to participants now.

This study's enrollment of 56 is above the median of 40 across 354 interventional studies indexed under Osteosarcoma.

Browse Osteosarcoma studies →

Lead sponsor

Peking University People's Hospital is the lead sponsor of 609 studies on the registry; 247 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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

    1. confirmed high-grade sarcoma;
    1. initial treatment in the orthopedic oncology departments of the three affiliated hospitals of Peking University;
    1. tumors not amenable to curative treatment or inclusion in clinical trials;
    1. unresectable local advanced lesions or multiple lesions that could not be cured by local therapy;
    1. according to Response Evaluation Criteria for Solid Tumors (RECIST1.1) [8];
    1. performance status 0 or 1 [9]; and 7) acceptable hematologic, hepatic, and renal function.

Exclusion criteria

Exclusion Criteria:

  • had been previously exposed to other TKIs;
  • had central nervous system ;
  • had other kinds of malignant tumors at the same time; had cardiac insufficiency or arrhythmia;
  • had uncontrolled complications such as diabetes mellitus, coagulation disorders, urine protein ≥ ++ and so on;
  • had pleural or peritoneal effusion that needs to be handled by surgical treatment;
  • combined with other infections or wounds
  • were pregnant or breastfeeding.
Terms in these criteria, in plain language(4)

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
56 participants (actual)

Study arms

  • Experimental
    osteosarcoma

    all patients had been given apatinib alone

    Drug: Methylsulfonic apatinib

  • Experimental
    Ewing sarcoma

    Some of patients had been given apatinib alone while some of them had been given apatinib+everolimus

    Drug: Methylsulfonic apatinib

  • Experimental
    soft tissue sarcoma

    Some of the patients had been given apatinib alone while some of the patients had been given apatinib together with GT chemotherapy, which was gemcitabine 1000 mg/m2 d1,8 and docetaxel 75 mg/m2 d8 once every 21 day.

    Drug: Methylsulfonic apatinib

  • Experimental
    Chondrosarcoma

    Patients were given apatinib alone

    Drug: Methylsulfonic apatinib

Interventions

  • DrugMethylsulfonic apatinib

    Anti-angiogenesis Tyrosine kinase inhibitor which specifically inhibits VEGFR-2.

06

What researchers measure

Primary outcomes

  1. objective response rate

    CR+PR accroding to RECIST 1.1

    Time frame: 3 month

Secondary outcomes

  1. progression-free survival, PFS

    PFS was defined as time from the start of using apatinib until disease progression or death, whichever occurred first.

    Time frame: 4 months and 6 months

  2. duration of response, DOR

    The time from appearance of response or stable disease to progression or death was thus considered the DOR

    Time frame: 4 months

  3. Overall Survival,OS

    OS was defined as time from the start of using apatinib until death.

    Time frame: 12 months

  4. toxicity

    accroding to the Common Terminology Criteria for Adverse Events 4.0

    Time frame: 12 months

07

Study locations

2 sites
  • Musculoskeletal Tumor Center of Peking University People's Hospital
    Beijing, 100044, China
  • Peking University Shougang Hospital
    Beijing, 100144, China
08

References and documents

Individual participant data

Plan to share: No

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

Ran from Jun 2015 to primary completion in Dec 2016, 18 months.

Of 22 interventional studies with no phase under Osteosarcoma, half reached primary completion within 53 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 114. This study's 18 months is below that.

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

Registered
Mar 31, 2018
First posted
Apr 9, 2018
StartActual
Jun 1, 2015
Primary completionActual
Dec 31, 2016
CompletionActual
Feb 1, 2017
Last update
Apr 10, 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 Apr 10, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03491371
Collaborators
Peking University Shougang Hospital, Peking University International Hospital
Responsible party
Sponsor
First posted
Apr 9, 2018
Start date
Jun 1, 2015
Primary completion
Dec 31, 2016
Completion
Feb 1, 2017
Last update
Apr 10, 2018

Oversight

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

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

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