A Multicenter Trial Comparing Induction C/T Followed by CCRT v.s. CCRT Alone in Stage IV Nasopharyngeal Carcinoma
A Multicenter Phase III Trial Comparing Induction Chemotherapy Followed by Concurrent Chemoradiotherapy Versus Concurrent Chemoradiotherapy Alone in Stage IV Nasopharyngeal Carcinoma (NPC)
1 other identifier
interventional
480
1 country
4
Brief Summary
Investigate the effect of induction MEPFL chemotherapy followed by concurrent chemoradiotherapy (CCRT) on the disease control and survival in treatment of patients with advanced NPC.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Aug 2003
Longer than P75 for phase_3
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2003
CompletedFirst Submitted
Initial submission to the registry
September 13, 2005
CompletedFirst Posted
Study publicly available on registry
September 20, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2011
CompletedFebruary 25, 2015
May 1, 2006
6 years
September 13, 2005
February 23, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The primary endpoint is the disease-free survival.
follow up for 2 years after off study treatment
10 years
Secondary Outcomes (1)
Secondary endpoints include overall survival and tumor response rate.
10 years
Study Arms (2)
A arm
ACTIVE COMPARATORCCRT
B arm
EXPERIMENTALInduction/CCRT
Interventions
Eligibility Criteria
You may qualify if:
- Histologically proved nasopharyngeal carcinoma.
- T4NxM0 or TxN3M0 disease by UICC/AJCC 1997 staging system. (30)
- Eastern Cooperative Oncology Group performance status \< 2.
- A leukocyte count ≥3750/mL, Hb ≥ 10 g/dL, and a platelet count ≥100,000/mL.
- A serum bilirubin level \< 1.5 mg/dL, serum creatinine level \< 1.6 mg/dL or creatinine clearance \> 60 mL/min.
- Age less than 70 years old
- An informed consent signed.
You may not qualify if:
- Evidence of metastatic disease.
- Presence of another malignancy other than treated squamous/basal cell carcinoma of the skin.
- Presence of uncontrolled hypertension, poorly controlled heart failure.
- Presence of active infection.
- Patients who have been or are being treated with chemotherapy, radiotherapy, immunotherapy, or other experimental therapies.
- Women who test positive for pregnancy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- National Health Research Institutes, Taiwanlead
- National Taiwan University Hospitalcollaborator
- Tri-Service General Hospitalcollaborator
- Chang Gung Memorial Hospitalcollaborator
- China Medical University Hospitalcollaborator
- Chung Shan Medical Universitycollaborator
- Changhua Christian Hospitalcollaborator
- Chi Mei Medical Hospitalcollaborator
- Kaohsiung Medical University Chung-Ho Memorial Hospitalcollaborator
- Kaohsiung Veterans General Hospital.collaborator
- Taipei Veterans General Hospital, Taiwancollaborator
Study Sites (4)
Kaohsiung Medical University Hospital
Kaohsiung City, 80708, Taiwan
China Medical University Hospital
Taichung, 40447, Taiwan
National Taiwan University Hospital
Taipei, 115, Taiwan
Chang-Gung Memorial Hospital(Lin-Kou),
Taoyuan District, 333, Taiwan
Related Publications (1)
Hong RL, Hsiao CF, Ting LL, Ko JY, Wang CW, Chang JTC, Lou PJ, Wang HM, Tsai MH, Lai SC, Liu TW. Final results of a randomized phase III trial of induction chemotherapy followed by concurrent chemoradiotherapy versus concurrent chemoradiotherapy alone in patients with stage IVA and IVB nasopharyngeal carcinoma-Taiwan Cooperative Oncology Group (TCOG) 1303 Study. Ann Oncol. 2018 Sep 1;29(9):1972-1979. doi: 10.1093/annonc/mdy249.
PMID: 30016391DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ruey-Long Hong, MD, PhD
Taiwan cooperative oncology group
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 13, 2005
First Posted
September 20, 2005
Study Start
August 1, 2003
Primary Completion
August 1, 2009
Study Completion
December 1, 2011
Last Updated
February 25, 2015
Record last verified: 2006-05