Induction Chemotherapy Followed by Concurrent Chemoradiotherapy in Patients With LA-NPC
Induction Chemotherapy With Nab-paclitaxel and Nedaplatin Followed by Concurrent Chemoradiotherapy in Patients With Locally Advanced Nasopharyngeal Carcinoma
1 other identifier
interventional
92
1 country
1
Brief Summary
Nasopharyngeal carcinoma (NPC) is a malignant tumor that originates in nasopharyngeal epithelial cells. It is common in southern China and Southeast Asia, but the incidence rate is low in most parts of the world. According to the World Health Organization survey, 80% of nasopharyngeal carcinomas occur in China, with high incidence in southern China, as high as 30-50/100,000, such as Guangdong, Guangxi, Hunan, and Fujian. In 2015, Chinese cancer statistics showed that there were about 60,600 new cases of nasopharyngeal carcinoma in China, and the number of deaths was about 34,100. Radiation therapy is the main treatment for nasopharyngeal carcinoma. Early stage I and IIa achieved a 5-year survival rate (OS) of 90% and 84%, respectively . However, the treatment outcomes of most patients with locally advanced nasopharyngeal carcinoma are not ideal.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jul 2019
Typical duration for phase_2
1 active site
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
First Submitted
Initial submission to the registry
July 9, 2019
CompletedStudy Start
First participant enrolled
July 9, 2019
CompletedFirst Posted
Study publicly available on registry
July 11, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2022
CompletedJuly 11, 2019
July 1, 2019
1.4 years
July 9, 2019
July 9, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Objective response rate (ORR)
To be determined by measurement of target lesions according to RECIST criteria
3 years
Secondary Outcomes (2)
Progression-Free Survival(PFS)
3 years
Overall survival(OS)
3 years
Study Arms (2)
Nab-paclitaxel+Nedaplatin
EXPERIMENTALinduction chemotherapy by nab-paclitaxel and nedaplatin followed by concurrent chemoradiotherapy
Paclitaxel+Nedaplatin
ACTIVE COMPARATORinduction chemotherapy by paclitaxel and nedaplatin followed by concurrent chemoradiotherapy
Interventions
induction chemotherapy with nab-paclitaxel and nedaplatin followed by concurrent chemoradiotherapy
Eligibility Criteria
You may qualify if:
- Age, 18-75 years old.
- Patients with newly histologically confirmed NPC.
- WHO Type Ⅱ and Ⅲ.
- Tumor staged as Ⅲ-ⅣA (according to the 8th AJCC edition).
- No serious organ dysfunction of heart, lung, liver, kidney.
- No distant metastasis.
- Hematological examinations:WBC≥3.5×109/L, NEUT#≥1.5×109/L, PLT≥90×109/L, HB≥90g/L.
- Normal liver function test:Alanine Aminotransferase (ALT)、Aspartate Aminotransferase (AST) \<1.5×upper limit of normal (ULN) concomitant with alkaline phosphatase (ALP) ≤2.5×ULN, and bilirubin ≤1.5×ULN,creatinine clearance ≥60 ml/min.
- Patients must be given written informed consent.
You may not qualify if:
- age \>75 years or \<18years.
- Prior chemotherapy or surgery (except diagnostic) to primary tumor or nodes.
- History of previous radiotherapy and chemotherapy.
- Known or suspected to be allergic to platinum and Nab-paclitaxel.
- Pregnancy or lactation.
- Any severe intercurrent disease, which may bring unacceptable risk or affect the compliance of the trial.
- Peripheral sensory neuropathy\> grade 1.
- Uncontrolled heart clinical symptoms or diseases.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
No. 156, North Road, Xierhuan Road
Fuzhou, Fujian, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
zhichao fu, M.D
Fuzhou General Hospital of Nanjing Military Regio,Department of Radiotherapy
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 9, 2019
First Posted
July 11, 2019
Study Start
July 9, 2019
Primary Completion
December 1, 2020
Study Completion
June 1, 2022
Last Updated
July 11, 2019
Record last verified: 2019-07
Data Sharing
- IPD Sharing
- Will not share