NCT05062005

Brief Summary

This trial is a multi-center phase III clinical trial. The purpose of this trial is to explore whether concurrent chemoradiotherapy is not inferior to induction chemotherapy combined with concurrent chemoradiotherapy in patients with locally advanced nasopharyngeal carcinoma.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
447

participants targeted

Target at P50-P75 for phase_3

Timeline
16mo left

Started Sep 2021

Longer than P75 for phase_3

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress78%
Sep 2021Aug 2027

First Submitted

Initial submission to the registry

September 7, 2021

Completed
15 days until next milestone

Study Start

First participant enrolled

September 22, 2021

Completed
8 days until next milestone

First Posted

Study publicly available on registry

September 30, 2021

Completed
5.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2027

Last Updated

September 30, 2021

Status Verified

September 1, 2021

Enrollment Period

5.9 years

First QC Date

September 7, 2021

Last Update Submit

September 21, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • FFS (Failure-free Survival)

    Defined as the time from randomization to tumor recurrence, distant metastasis, or death due to any reason, whichever occurs first. Patients who withdraw or who are lost to follow-up will be censored at the date last known to be alive and progression free. Patients not having an event will be censored at the date last seen alive.

    3 year

Secondary Outcomes (4)

  • OS (Overall Survival)

    3 year

  • LRFS (Locoregional Recurrence-free Survival)

    3 year

  • DMFS (Distant Metastasis-free Survival)

    3 year

  • AE (Adverse events)

    3 year

Study Arms (2)

Induction Chemotherapy+Chemoradiotherapy

OTHER
Drug: Induction ChemotherapyDrug: Concurrent ChemotherapyRadiation: Definitive Radiotherapy

Chemoradiotherapy

OTHER
Drug: Concurrent ChemotherapyRadiation: Definitive Radiotherapy

Interventions

Induction regimens: TP (docetaxel 75 mg/m²; cisplatin 75 mg/m²) Q3w, TPF (docetaxel 60 mg/m²; cisplatin 60 mg/m²; 5-fluorouracil 600-750 mg/m² per day, continuous intravenous infusion d1-5) Q3w, or GP (gemcitabine: 1000 mg/m2 d1, d8; cisplatin 80 mg/m2) Q3w.

Induction Chemotherapy+Chemoradiotherapy

Cisplatin 100 mg/m², Q3w.

ChemoradiotherapyInduction Chemotherapy+Chemoradiotherapy

For all patients, the prescribed dose is 66-70 Gy (once a day, 5 times a week).

ChemoradiotherapyInduction Chemotherapy+Chemoradiotherapy

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18-65 years old;
  • Pathologically confirmed non-keratinizing nasopharyngeal carcinoma;
  • Stage T3-4N0-1 (according to the UICC/AJCC 8th);
  • No distant metastasis;
  • Have not received anti-cancer treatment in the past;
  • ECOG (Eastern Cooperative Oncology Group of the United States): 0-1;
  • Adequate hematologic, hepatic and renal function.

You may not qualify if:

  • The purpose of treatment is palliative;
  • Diagnosed with other malignant tumors at the same time;
  • Malignant tumor history;
  • Pregnancy or breastfeeding, or expect to become pregnant during the clinical trial period;
  • Combined serious illness.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The First Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, 510080, China

RECRUITING

MeSH Terms

Interventions

Induction Chemotherapy

Intervention Hierarchy (Ancestors)

Drug TherapyTherapeuticsRemission Induction

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

September 7, 2021

First Posted

September 30, 2021

Study Start

September 22, 2021

Primary Completion (Estimated)

August 31, 2027

Study Completion (Estimated)

August 31, 2027

Last Updated

September 30, 2021

Record last verified: 2021-09

Data Sharing

IPD Sharing
Will not share

Locations