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Voluntary informed consent, knowledge of the study and willingness to follow and has ability to complete all trial procedures |
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There is a histologically or cytologically confirmed, locally advanced or metastatic tumor by standard treatment failure or lack of standard treatment or inability to tolerate standard treatment |
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The eastern United States cooperative tumor group (ECOG) score was 0 or 1 |
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Expect to survive at least 3 months |
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Must have at least one assessable lesion as defined in RECIST v1.1 |
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Suitable organs and hematopoietic function should be available. Laboratory tests during screening should meet the appropriate criteria |
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Male and female subjects of childbearing age will agree to use effective, investigator-approved contraceptive methods from the date of the informed consent until 3 months after the last administration |
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Patients with symptoms of brain or pia meningeal metastases
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The lung metastasis of the tumor has a cavity, or the investigator judges that there is bleeding tendency or bleeding risk
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patients requiring local treatment or repeated drainage, the investigator identified poorly controlled effusion of the body cavity (pleural fluid, ascites, pericardial effusion, etc.)
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The adverse reactions of previous treatment did not recover to CTCAEv5.0 score 1 (excluding hair loss and anemia)
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Had received any previous systemic therapy targeting VEGF or VEGFR2 signaling pathway
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Drugs or chemotherapy or radiotherapy received in other clinical trials within 4 weeks prior to enrollment (mitomycin C and nitrosorea should be administered at least 6 weeks before the last dose)
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Patients who had major surgery within 4 weeks prior to screening (excluding needle biopsy) and who were expected to have major surgery during the study period (including the 28-day screening period) or had severe unhealed wounds, ulcers, or trauma
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Left ventricular ejection fraction 50%
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Heart failure patients with greater than or equal to levelNYHA
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Clinically significant arrhythmias (including frequent ventricular premature beats, symptomatic or treatable ventricular tachycardia, and asymptomatic persistent ventricular tachycardia)
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Uncontrolled hypertension or hypertension that requires two or more medications to control within the normal range (systolic > 150mmHg and/or diastolic > 90mmHg)
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There are currently venous thromboemboli that require treatment
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Myocardial infarction, stroke or other severe arterial thromboembolism events occurred within 6 months before enrollment
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Any grade 2 or more bleeding occurred within 6 months prior to enrollment
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Intraperitoneal abscess, or abdominal wall fistula, gastrointestinal perforation, or a history of poorly controlled/recurrent inflammatory bowel disease (including crohn's disease or ulcerative colitis) occurred within 6 months prior to enrollment
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The patient is receiving NSAIDS;Such as indomethacin, ibuprofen, naproxen or similar drugs) or antiplatelet drugs (such as clopidogrel, ticlopidine, dipyridamole or analgrel) for long-term treatment;Aspirin is permitted with a maximum dose of 325 mg per day;Celecoxib is permitted for analgesic treatment;However, low-dose aspirin (325mg/d) and celecoxib should not be used at the same time
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Patients are known to be allergic to MSB0254 or its excients, monoclonal antibodies, or any other therapeutic protein, such as fresh frozen plasma, human serum albumin (HSA), cytokines, or interleukin.If severe allergic reactions are suspected (CTCAE v5.0 grade 3), the patient should be excluded
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Urine protein concentration of patients according to dipstick or routine urine analysis (UA) is 1 +,The patients also had edema or serum albumin levels below the lower limit of the normal range (LLN).Alternatively, if the urine protein concentration of the patient is 2+ according to the dipstick or routine urine analysis, the urine protein concentration in the 24-hour urine protein analysis must be1g, accompanied by edema or serum albumin lower than LLN
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Patients with a known history of hepatitis c or chronic active hepatitis b. Except for HBV carriers, hepatitis b patients who are stable after drug treatment (hbv-dna titer must not be higher than 1000 copies [CPS]/mL or 200 IU/mL) and hepatitis c patients who are stable after drug treatment (hcv-rna negative)
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A known history of HIV infection or a positive test for human immunodeficiency virus (HIV)
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Positive treponema pallidum test
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A history of alcohol, drug or substance abuse in the past 1 year
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Has a clear history of neurological or mental disorders, such as epilepsy or dementia
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Poor compliance of the subject
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Women who are pregnant (confirmed by a urine or serum pregnancy test) or breast-feeding
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the investigators concluded that the study was not suitable for participants for other reasons
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