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This study was designed as a single-center, open, non-randomized trial.
In this study, patients with locally advanced or metastatic solid tumors were enrolled for a tolerance test and a pharmacokinetic study. The dosage increment principle of 3+3 was adopted. At the end of the tolerance test, 3 dose groups (low, medium and high) were selected to conduct pharmacokinetic studies after evaluation by the researchers on the premise of good safety, and at least 8 patients were included in each group for PK study (at least 8 patients in each group could be evaluated for PK ).
After the end of the experimental drug tolerance and pharmacokinetics study, the safety and pharmacokinetics of single dose administration were compared with that of sodium norcantharidate for injection in the dose range of clinical use.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tolerance test | Experimental | The design is based on 3+3 dose escalation: three subjects were enrolled in each dose group, administered once a day for 2 weeks, and were observed for 7 days after withdrawal. If dose-limiting toxicity (DLT) was not observed, the dose was incresed to the next dose group. If dose-limiting toxicity (DLT) was found in 2 or more patients in a given dose group, the climbing test was terminated and the dose was reduced by 1 dose. If there were only three subjects, three more subjects were observed, so that the MTD dose group had at least six evaluable subjects.If DLT occurs in 1 patient in a given dose group, 3 more subjects should be added to that dose group. If DLT occurs in 1 or more of these 3 subjects, the climb will be stopped and the dose group will be reduced by 1 dose group. If there are only 3 subjects, 3 more subjects will be observed, so that at least 6 patients in the MTD dose group can be evaluated. |
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| Pharmacokinetic studies | Experimental | At the same time of tolerance test, blood PK sampling was performed. At the end of the tolerance test in each group, on the premise of good safety, and after evaluation by the researchers, additional cases were selected from the three dose groups (low, medium and high) for pharmacokinetic study, so as to ensure that at least 8 patients could be evaluated for PK in each group. |
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| Comparative Study | Active Comparator | It is planned to select the 20mg dose of norcantharidin sodium for injection to carry out pharmacokinetic study of 8 cases. The specific research design will be formulated after the tolerance and pharmacokinetic test of norcantharidin lipid microsphere injection is completed. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Norcantharidin Lipid Microsphere for Injection | Drug | The test drug was added to 5% glucose injection to a final volume of 250 mL,and administered by instillation at a rate of 200 mL/h. This product can be used alone or in combination with chemotherapy, and the dosage and time of administration vary with the chemotherapy regimen. |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax | Obtain directly according to the measured data of blood drug concentration-time. | ±1 minute |
| AUC 0-t | The area under the curve from the time of administration to the lowest detectable blood concentration: calculated by the linear trapezoidal rule. | ±1 minute |
| AUC 0-∞ | Area under the curve from administration to extrapolation to infinity: AUC0-∞=AUC0-t+Ct/λz, Ct is the last measurable concentration, and λz is the elimination rate constant. | ±1 minute |
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Inclusion Criteria:
Age 18-70 years old, regardless of gender.
Condition body mass index (BMI) = Weight (kg)/Height 2 (m2), the body mass index is in the range of 18-28 (Including the cut-off value).
Patients with locally advanced or metastatic solid tumors that have been clearly diagnosed by histology/cytology, patients whose condition is stable after standard treatment, or those who have failed standard treatment.
According to the Eastern Cooperative Oncology Group (ECOG) score of 0 to 2, the estimated survival time is ≥ 3 months.
It has sufficient organ and bone marrow functions, defined as follows:
Those who have used chemotherapeutics in the past need to stop the drug for more than 4 weeks (mitomycin or nitrosourea, need to stop for more than 6 weeks); have received surgery, molecular targeted therapy, and anti-tumor indications with Chinese medicine Those who need treatment should end at least 4 weeks, and those who have received palliative radiotherapy need more than 4 weeks of treatment.
Any toxicity associated with previous anti-tumor treatments must have been restored to ≤ Grade 1 (except for hair loss).
During the study period and within 3 months after the end of the administration, subjects with fertility (whether male or female) must receive effective contraceptive measures.
With my consent and signed an informed consent form by myself or my legal representative.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yunpeng Liu, Ph.D | Contact | 13898865122 | cmu_trial@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Yunpeng Liu, Ph.D | The First Affiliated Hospital, China Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital, China Medical University | Recruiting | Shenyang | Liaoning | 110001 | China |
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Single center, open, non-randomized trial design
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| Sodium Demethylcantharidate Injection | Drug | Dissolve the reference drug with appropriate amount of sterile water for injection, and add 250 mL of 5% glucose injection for slow dripping. |
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| ID | Term |
|---|---|
| D007267 | Injections |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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