Clinical Trials Directory

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UnknownNCT03908372

Optimized Treatment Strategies for Early and Medium Stage Nasopharyngeal Carcinoma

A Randomized Multicenter Phase II/III Study of Optimized Treatment Strategies for Stage II and III Nasopharyngeal Carcinoma

Status
Unknown
Phase
Phase 2 / Phase 3
Study type
Interventional
Enrollment
120 (estimated)
Sponsor
Chinese Academy of Medical Sciences · Academic / Other
Sex
All
Age
18 Years – 70 Years
Healthy volunteers
Accepted

Summary

The purpose of this study is to optimize treatment strategies for patients with stage II and III nasopharyngeal carcinoma, reduce the side effects related to treatment and improve the quality of life.

Detailed description

The data came from conventional studies showed that the distant metastases and toxicities associated with concurrent chemoradiotherapy were main problems for patients with clinical stage II and III nasopharyngeal carcinoma. However, inductive chemotherapy can decrease the likelihood of emergence of distant metastasis and reduce treatment related toxicities as previous studies showed. The role of inductive chemotherapy in screening low-risk nasopharyngeal carcinoma for less treatment intensity is under-evaluated in the era of intensity-modulated radiotherapy (IMRT). we hope to find the optimized treatment strategies by reducing the intensity of treatment according to the treatment response of inductive chemotherapy.

Conditions

Interventions

TypeNameDescription
DRUGDocetaxelInduction CT: Docetaxel 75mg/m2 IV on d1, every 21 days for two cycles
DRUGCisplatinInduction chemotherapy:cisplatin 75mg/m2 IV on d1,every 21 days for two cycles.Concurrent chemoradiotherapy:cisplatin 100mg/m2 IV on d1 of each 21 days for at least two cycles during 70 Gy radiotherapy
RADIATIONIMRTIC+IMRT arm:the patients with complete response will receive 60Gy to the gross target volume of nasopharynx, partial response 64Gy, and the absence of response or stable will receive 70Gy. CCRT arm: 70Gy to the gross target volume of nasopharynx.

Timeline

Start date
2019-06-15
Primary completion
2021-05-01
Completion
2025-05-01
First posted
2019-04-09
Last updated
2021-01-29

Locations

1 site across 1 country: China

Source: ClinicalTrials.gov record NCT03908372. Inclusion in this directory is not an endorsement.