A Prospective, Single-center, One-arm Clinical Study of Apatinib Combined With Chemotherapy for Pretreated Patients With Advanced Small Cell Lung Cancer

Exclusion Criteria

• •1. in the past or at the same time suffering from other malignant tumors,
• •2. participated in other drug clinical trials within four weeks;
• •3. has a variety of factors that affect oral medication (such as inability to swallow, chronic diarrhea, and intestinal obstruction);
• •4\. There is a history of bleeding, and any serious grading within 4 weeks prior to screening has reached 3 degrees or more in CTCAE 4.0;
• •5\. Pre-screening patients with symptomatic central nervous system metastasis or history of central nervous system metastasis;
• •6, patients who undergo chest radiotherapy during the first-line treatment can be enrolled in the group;
• •7\. People with high blood pressure who cannot be well controlled by single antihypertensive drugs (systolic blood pressure \> 140 mmHg, diastolic blood pressure\> 90 mmHg); patients with a history of unstable angina; newly diagnosed angina in the first 3 months before screening or myocardial infarction within 6 months prior to screening; arrhythmia (including QTcF: male ≥450 ms , ≥ 470 ms for females) long-term use of antiarrhythmic drugs and New York Heart Association grade ≥ grade II cardiac insufficiency;
• •8, urine prompts urinary protein ≥ ++ and confirmed 24-hour urinary protein quantification\> 1.0 g;
• •9, combined with anastomotic leakage, duodenal stump fistula, pancreatic fistula or anastomotic stenosis and other serious postoperative complications;
• •10\. Long-term unhealed wounds or incompletely-healed fractures;
• •11\. Imaging shows that the tumor has invaded an important blood vessel or the investigator judged that the patient's tumor had a high risk of invading vital blood vessels and causing fatal bleeding during treatment;
• •12, abnormal coagulation, bleeding tendency (14 days before randomization must meet: in the absence of resistance In the case of coagulants, the INR is within the normal range; Patients treated with anticoagulants or vitamin K antagonists such as warfarin, heparin, or the like; International normalized ratio (INR) ≤ 1.5 for prothrombin time Under the premise that small doses of warfarin (1 mg orally, once daily) or low dose aspirin (with daily dose not exceeding 100 mg) are allowed for prophylactic purposes;
• •13\. Incidence of arteriovenous/venous thromboembolism within the first year of screening, such as cerebrovascular accident (including transient ischemic attack), deep venous thrombosis (except for venous thrombosis due to venous catheterization in previous chemotherapy) ) and pulmonary embolism;
• •14\. For female subjects: Surgical sterilization, postmenopausal patients, or agree to use a medically approved contraceptive measure during study treatment and within 6 months of the end of the study treatment period; prior to study enrollment Serum or urine pregnancy tests must be negative within 7 days and must be non-lactating. Male subjects: Should be surgically sterilized, or agree to use a medically-accepted contraceptive treatment during study treatment and within 6 months of the end of the study treatment period;
• •15\. In the past, there was abnormal thyroid function. Even in the case of drug therapy, thyroid function could not be maintained within the normal range.
• •16\. Those who have a history of abuse of psychotropic substances and are unable to get rid of or have mental disorders;
• •17\. Has a history of immunodeficiency, or has other acquired, congenital immunodeficiency disorders, or has a history of organ transplantation.