Overview
A Trial On 4 Cycles Of Neoadjuvant Chemotherapy Plus Concurrent Chemoradiation In N2-3 Nasopharyngeal Carcinoma
Status:
Recruiting
Recruiting
Trial end date:
2024-12-01
2024-12-01
Target enrollment:
0
0
Participant gender:
All
All
Summary
The standard treatment strategy of locally advanced nasopharyngeal carcinoma (NPC) nowadays is concurrent chemoradiation (CCRT) based on intensity-modulated radiation therapy (IMRT). However, distant metastasis remains the major cause of treatment failure, especially in patients with T1-4N2-3M0 diseases (N2-3 NPC). The investigators inferred that it was more appropriate to consider N2-3 NPC as a systemic disease instead of a local disease. NACT of sufficient intensity such as 4 cycles might be effective enough for control of the pre-existing micrometastases. Therefore, the objective of this phase 3 multicenter randomized controlled trial is to make a comparison between NACT of 4 cycles plus CCRT based on IMRT and CCRT alone in N2-3 NPC on distant metastasis, survival and adverse reaction.Phase:
Phase 3Accepts Healthy Volunteers?
NoDetails
Lead Sponsor:
Sun Yat-sen UniversityTreatments:
Cisplatin
Docetaxel
Criteria
Inclusion Criteria:- Patients with pathological diagnosis of nasopharyngeal carcinoma
- Union Internationale Contre le Cancer/American Joint Cancer Committee (UICC/AJCC) 2010
Stage T1-4 N2-3 M0 through magnetic resonance imaging of head and neck, whole-body
bone scan and thoracoabdominal computed tomography
- Male or female with age no older than 70 years old
- Karnofsky Performance Scores ≥ 80
- Expected survival ≥ 3 months
Exclusion Criteria:
- Patients with distant metastasis before or during radiotherapy
- Severe dysfunction of heart, lung, liver, kidney or hematopoietic system
- Severe neurological, mental or endocrine diseases
- History of other malignancies
- Prior chemotherapy, radiotherapy or application of monoclonal antibodies
- Patients participated in clinical trials of other drugs within last 3 months
- Pregnant or lactating women
- Those who are considered by the researchers unsuitable to participate