Study of Anlotinib in Patients With Small Cell Lung Cancer (ALTER1202)

Inclusion criteria

• Histological documentation of small cell lung cancer
• Advanced small cell lung cancer who had at least two chemotherapy regimens,at least one measurable lesion (by RECIST1.1)
• 18-75 years,ECOG PS:0-2,Life expectancy of more than 3 months
• Main organs function is normal
• Women of childbearing potential should agree to use and utilize an adequate method of contraception (such as intrauterine device，contraceptive and condom) throughout treatment and for at least 6 months after study is stopped；the result of serum or urine pregnancy test should be negative within 7 days prior to study enrollment，and the patients required to be non-lactating；Man participants should agree to use and utilize an adequate method of contraception throughout treatment and for at least 6 months after study is stopped
• Patients should participate in the study voluntarily and sign informed consent

Exclusion criteria

• Patients who have been used anlotinib
• Patients who have been used targeted drugs(such as sunitinib,bevacizumab,endostar),Immune targeted drugs
• 4 weeks or less from the last cytotoxic therapy, radiation therapy or surgery
• Patients whose primary lesion with active bleeding within 4 months
• Carcinomatous meningitis
• Patients who known to the central nervous system
• Patients with factors that could affect oral medication (such as dysphagia，chronic diarrhea, intestinal obstruction etc.)
• Patients with any severe and/or unable to control diseases，including：

• Blood pressure unable to be controlled ideally(systolic pressure≥150 mmHg，diastolic pressure≥100 mmHg);
• Patients with Grade 1 or higher myocardial ischemia, myocardial infarction or malignant arrhythmias(including QTc≥450ms(male),QTc≥470ms（female）) and patients with Grade 1 or higher congestive heart failure (NYHA Classification);
• Patients with active or unable to control serious infections;
• Patients with cirrhosis, decompensated liver disease, or active hepatitis;
• Patients with poorly controlled diabetes (fasting blood glucose(FBG)>10mmol/L)
• Urine protein ≥ ++，and 24-hour urinary protein excretion>1.0 g confirmed;
• Patients with non-healing wounds or fractures
• Patients with arterial or venous thromboembolic events occurred within 6 months, such as cerebrovascular accident (including transient ischemic attack), deep vein thrombosis and pulmonary embolism
• Patients with drug abuse history and unable to get rid of or Patients with mental disorders
• Imaging showed tumors have involved important blood vessels or by investigators determine likely during the follow-up study and cause fatal hemorrhage
• History of immunodeficiency
• Patients with concomitant diseases which could seriously endanger their own safety or could affect completion of the study according to investigators' judgment