Status:

RECRUITING

Phase II Clinical Study of Leflunomide in the Treatment of MEN-1 Neuroendocrine Tumor

Lead Sponsor:

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Conditions:

Neuroendocrine Tumors

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

This phase II trial studies aim to evaluate the initial efficacy of leflunomide tablets in second-line treatment of advanced MEN-1 neuroendocrine tumors, and to provide evidence for phase III clinical...

Detailed Description

1. Treatment methods Eligible patients will receive leflunomide tablets (20 mg orally, once a day, before bed) every 28 days until the disease progresses or adverse reactions become intolerable. 2. Fo...

Eligibility Criteria

Inclusion

  • Age 18-75 years, gender unlimited
  • Pathological diagnosis of neuroendocrine tumor
  • MEN-1 germ line mutation (MEN-1 syndrome), or tumor with somatic MEN-1 mutation
  • Unresectable neuroendocrine tumors that have failed standard first-line systemic therapy
  • At least one evaluable lesion according to the RECIST criteria
  • ECOG physical condition score: 0-1
  • Voluntarily joined the study, signed the informed consent, complied well, and cooperated with the follow-up.
  • Must meet the following requirements: Bone marrow: leukocyte \> 4.0×109/L, neutrophils ≥1.5×109/L, platelets ≥100×109/L, hemoglobin ≥10g/dL; Liver: total bilirubin \< 1.5 times the upper limit of normal, AST/ALT≤1.5 times the upper limit of normal value, Lactate dehydrogenase ≤1.5 times the upper limit of normal value, Alkaline phosphatase ≤5 times the upper limit of normal value; Kidney: serum creatinine ≤1.5 times the upper limit of normal value or creatinine clearance ≥60ml/min

Exclusion

  • Received any antitumor therapy within 4 weeks
  • Participated in or are participating in clinical trials of other drugs/therapies within 4 weeks prior to the initial use of the study drug
  • Underwent/received major surgery or has not recovered from the side effects of the surgery within 4 weeks prior to the initial use of the study drug
  • Subjects of other malignant tumors unless complete remission was achieved at least 2 years prior to study inclusion and not required other treatment during the study period
  • Persistent or active (serious) infection
  • Hypertension that is difficult to control with medication (continuous blood pressure is greater than 150/90 MMHG
  • Poorly controlled diabetes
  • Grade II/IV congestive heart failure or heart block
  • Within 6 months prior to use for the first time seen in the following situations:
  • Deep vein thrombosis; Pulmonary embolism; Myocardial infarction; Serious arrhythmia; Instability or angina pectoris; Percutaneous coronary intervention; Acute coronary syndrome; Coronary artery bypass grafting
  • Be allergic to leflunomide tablets and their metabolites
  • Severe liver damage
  • Other severe acute or chronic medical conditions or abnormalities in laboratory tests that may increase the risks associated with study participation or may interfere with the interpretation of study results
  • Poor compliance, or other conditions unsuitable for participation in this trial

Key Trial Info

Start Date :

July 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 30 2024

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT06540937

Start Date

July 1 2020

End Date

December 30 2024

Last Update

August 7 2024

Active Locations (1)

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1

National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

Beijing, China, 100021