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RecruitingNCT07443397Updated Mar 2, 2026

Anlotinib Plus Whole-Brain Radiotherapy for Brain Metastases in SCLC Patients.

A Phase 3 interventional study of Anlotinib and Whole-brain Radiotherapy in Whole-Brain Radiotherapy, sponsored by Cancer Institute and Hospital, Chinese Academy of Medical Sciences. Recruiting at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-03-02.

Sponsored by Cancer Institute and Hospital, Chinese Academy of Medical Sciences · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 5 months after the study started (first participant enrolled Aug 2025, registered Feb 2026).
  • Started Aug 2025; still recruiting 1 year 1 month later.
Phase
Phase 3
Study type
Interventional
Enrollment
134
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This study is a multicenter, randomized, prospective Phase III study to evaluate the efficacy and safety of anlotinib plus whole-brain radiotherapy (WBRT) compared with WBRT alone in small cell lung cancer (SCLC) patients with brain metastases. Additionally, by investigating the association between changes in circulating tumor cell (CTC) levels in peripheral blood and treatment response to the combination of targeted therapy and radiotherapy, we aim to identify a patient subgroup most likely to benefit from this regimen, as well as potential biomarkers predictive of treatment efficacy.

02

Conditions studied

  • Whole-Brain Radiotherapy
03

In context

Lead sponsor

Cancer Institute and Hospital, Chinese Academy of Medical Sciences is the lead sponsor of 373 studies on the registry; 270 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Small cell lung cancer confirmed by pathology, with brain metastases diagnosed either at initial presentation or during treatment, and measurable disease according to RECIST criteria.
  • The expected survival time is more than 3 months.
  • Intracranial metastases ≤10.
  • Adequate organ and bone marrow function.
  • Women of childbearing potential must agree to use effective contraception during the study and for 6 months after its completion.

Exclusion criteria

Exclusion Criteria:

  • Patients who have used antiangiogenic drugs within the previous 1 month.
  • Non-small cell lung cancer (including combined small cell carcinoma).
  • Small cell lung cancer with hilar invasion or hemoptysis.
  • Patients with intracranial acute, subacute cerebral infarction, intracranial lesions acute, subacute hemorrhage.
  • An unresolved acute toxic reaction period higher than grade 2 of CTC-AE(4.0) due to any prior treatment.
  • Advanced patients with severe symptoms, tumors that have spread to the internal organs, and a short-term risk of life-threatening complications.
  • Patients with life-threatening conditions of other severe and/or uncontrolled diseases.
  • History of prior brain radiotherapy.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
134 participants (estimated)

Study arms

  • Experimental
    Anlotinib+WBRT

    Oral Anlotinib plus whole-brain radiotherapy

    Drug: Anlotinib · Radiation: Whole-brain Radiotherapy

  • Other
    Control WBRT

    Only whole-brain radiotherapy

    Radiation: Whole-brain Radiotherapy

Interventions

  • DrugAnlotinib

    Oral anlotinib treatment was started 2 weeks before radiotherapy for brain metastases, stopped for 1 week after 2 weeks, and continued after radiotherapy until tumor progression

  • RadiationWhole-brain Radiotherapy

    Prescription dose: Whole-brain irradiation with a minimum of 30 Gy in 10 fractions or 36 Gy in 20 fractions. Lesions larger than 5 mm in diameter may receive a simultaneous or sequential boost.

06

What researchers measure

Primary outcomes

  1. Intracranial progression-free survival

    Time from enrollment to intracranial tumor progression or death

    Time frame: 1 year

Secondary outcomes

  1. Intracranial objective response rate (ORR) and disease control rate (DCR)

    ORR (Objective Response Rate): The proportion of patients whose tumors shrink significantly (either completely or partially) after treatment. DCR (Disease Control Rate): The proportion of patients whose tumors either shrink or remain stable (i.e., do not progress) after treatment.

    Time frame: 1 year

  2. Duration of intracranial response (DOR)

    The length of time from when a patient first achieves tumor response (CR or PR) until disease progression or death.

    Time frame: 1 year

  3. Overall Survival (OS)

    The time from enrollment to death from any cause was calculated as the time of death. For participants who were lost to follow-up, the time of death was usually the time of the last follow-up.

    Time frame: 2 year

  4. CTCs level

    Levels of circulating tumor cells (CTCs) in peripheral blood.

    Time frame: 1 year

07

Study locations

1 of 1 sites recruiting
  • National Cancer Center/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College
    Beijing, Beijing Municipality 100004, China
    • Lei Deng, MD · Contact · +86-010-87787625
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07443397
Lead sponsor
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Responsible party
Sponsor
First posted
Mar 2, 2026
Start date
Aug 29, 2025
Primary completion
Aug 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Mar 2, 2026

Study contacts

Lei Deng, MD
Contact
dengleipumc@163.com
+86-010-87787625
Lei Deng, MD
study chair · National Cancer Center/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College

Oversight

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

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