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CompletedNCT04188847Updated Mar 15, 2022

First-line Chemotherapy for Recurrent Cervical Cancer

A Phase 2 interventional study of Chemotherapy plus apatinib in Recurrent Cervical Carcinoma, Persistent Advanced Cervical Carcinoma and Chemotherapy, sponsored by Lei Li. Completed at 1 site in China. Open to female participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2022-03-15.

Sponsored by Lei Li · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
37
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
Female
01

Study summary

The response rate of traditional first-line chemotherapy for recurrent or persistent advanced cervical cancer was low. This single arm, open, phase II trial would recruit 37 eligible patients. A combination of cisplatin, paclitaxel and apatinib would be given for first 23 patients. If at least 13 patients achieved complete or partial remission, the same regimen would be given for rest patients. The primary end is overall response rate (ORR). The second ends include progression-free survival, overall survival, disease control rate, remission duration, and adverse events. A molecular testing, mainly consisting of genomic analysis, will be carried in the oncologic tissues.

02

Conditions studied

  • Recurrent Cervical Carcinoma
  • Persistent Advanced Cervical Carcinoma
  • Chemotherapy
  • Vascular Endothelial Growth Factor 2 Inhibitor
  • Apatinib
  • Targeted Therapy
03

In context

Uterine Cervical Neoplasms

1,927 studies on the registry are indexed under Uterine Cervical Neoplasms; 576 are open to participants now.

This study's enrollment of 37 is below the median of 100 across 1,411 interventional studies indexed under Uterine Cervical Neoplasms.

Browse Uterine Cervical Neoplasms studies →

Lead sponsor

Lei Li is the lead sponsor of 62 studies on the registry; 10 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
Female
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

  • Female of 18-75 years old
  • Eastern Cooperative Oncology Group score 0-1
  • Pathological confirmed of uterine cervical adenocarcinoma, squamous carcinoma, or adenosquamous carcinoma, with stage IA1 (with lymph-vascular space invasion) to IVB, which had accepted radical treatment for the purpose of cure
  • An interval of 3 months or more since the fulfilling of last treatment
  • At least one measurable lesion defined by Response Evaluation Criteria in Solid Tumors (RECIST) guideline 1.1
  • Anticipative survival period of 3 months or more
  • Lab testing within reference ranges
  • With appropriate contraception
  • Provided consents of participating the trial

Exclusion criteria

Exclusion Criteria:

  • With a history of exposure to other antiangiogenic agents
  • With other malignancies within past 3 years
  • With vital complications
  • With uncontrolled hypertension despite of medical treatment
  • With severe cardiac disease, coagulation disorders, bleeding disorders, vascular diseases, deep venous thrombosis
  • With brain metastasis
  • With addiction to psychiatric medications or with mental disorders
  • With severe open trauma, fracture or major surgery with past 4 weeks
  • With disorders which would hamper the absorption of oral drugs, or with intestinal perforation or ileus with past 6 months
  • Urine protein ≥++, or 24 hr urine protein ≥1.0 g
  • With potential allergy or intolerance to study regimens
  • Not eligible for the study judged by researchers
05

Study design

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

Study arms

  • Experimental
    Study group

    The patients would accept the regimen of apatinib combined with cisplatin and paclitaxel

    Drug: Chemotherapy plus apatinib

Interventions

  • DrugChemotherapy plus apatinib

    Drug page: Apatinib

    A combination of cisplatin, paclitaxel and apatinib would be given for all patients: * Cisplatin: 50 mg/m2 body surface area, on the first day, every 3 weeks. If the creatinine clearance rate was less than 40 ml/min, the cisplatin would be replace by carboplatin (area under ther curve = 5) * Paclitaxel: 50 mg/m2 body surface area, on the first day, every 3 weeks * Apatinib: 250 mg every day The total courses of cisplatin and paclitaxel would be no more than 6.

    Also known as: First line chemotherapy plus apatinib

06

What researchers measure

Primary outcomes

  1. Overall response rate

    The rates of complete and partial remission

    Time frame: One year

Secondary outcomes

  1. Progression-free survival

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

    Time frame: One year

  2. Overall survival

    The length of time from either the date of diagnosis or the start of treatment for the cancer, that patients diagnosed with the disease are still alive.

    Time frame: One year

  3. Disease control rate

    The rates of complete and partial remission, and stable disease

    Time frame: One year

  4. Adverse event rates

    The rates of adverse events judged by Common Terminology Criteria for Adverse Events

    Time frame: One years

07

Study locations

1 site
  • Lei Li
    Beijing, Beijing Municipality 100730, China
08

References and documents

Individual participant data

Plan to share: Yes — The individual participant data will be available by public reports.

Supporting information: Study protocol, Clinical study report

Time frame: Two year

Access criteria: Public reports

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 Dec 2019 to primary completion in Feb 2022, 26 months.

Of 132 non-industry phase 2 interventional studies under Uterine Cervical Neoplasms, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 34 and three quarters within 102. This study's 26 months is below that.

Counting every sponsor, half of 173 studies reached it within 42 months; a quarter within 29 and three quarters within 99.

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

Registered
Dec 4, 2019
First posted
Dec 6, 2019
StartActual
Dec 6, 2019
Primary completionActual
Feb 6, 2022
CompletionActual
Mar 13, 2022
Last update
Mar 15, 2022
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 Mar 15, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04188847
Lead sponsor
Lei Li
Responsible party
Lei Li (Professor, Peking Union Medical College Hospital) — Sponsor-investigator
First posted
Dec 6, 2019
Start date
Dec 6, 2019
Primary completion
Feb 6, 2022
Completion
Mar 13, 2022
Last update
Mar 15, 2022

Study contacts

Lei Li, M.D.
principal investigator · Peking Union Medical College Hospital

Oversight

Data monitoring committee
Yes
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 Mar 2022. 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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