Reduced-dose Radiotherapy for Stage III Nasopharyngeal Carcinoma Based on the Treatment Response

PHASE3RecruitingINTERVENTIONAL
Enrollment

593

Participants

Timeline

Start Date

March 1, 2024

Primary Completion Date

February 20, 2027

Study Completion Date

February 20, 2030

Conditions
Nasopharyngeal Carcinoma
Interventions
DRUG

PD-1 blocking antibody

"1. IC phase of PD-1 blocking antibody: every 3 weeks × 3 cycles; 200 mg, day 1; start on day 1 of the first cycle IC and continue every 3 weeks for 3 cycles till the end of IC.~2. Adjuvant PD-1 blocking antibody: every 3 weeks × 9 cycles; 200 mg, day 1."

DRUG

Gemcitabine

Gemcitabine as induction chemotherapy, 1000 mg/m2 day 1, 8 per cycle, every 3 weeks for 3 cycles.

DRUG

Cisplatin (80 mg/m2)

Cisplatin as induction chemotherapy, 80 mg/m2 day 1 per cycle, every 3 weeks for 3 cycles.

RADIATION

Reduced-dose Intensity-modulated radiotherapy

"1. Definitive IMRT, 30 fractions, 5 fractions/week, 1 fraction/day~2. Radiotherapy dose: pGTV: 6360cGy/30F; pCTV1: 5460cGy/30F; pCTV2: 4920cGy/30F."

RADIATION

Conventional-dose Intensity-modulated radiotherapy

"1. Definitive IMRT, 33 fractions, 5 fractions/week, 1 fraction/day~2. Radiotherapy dose: pGTV: 6996cGy/33F; pCTV1: 6006cGy/33F; pCTV2: 5412cGy/33F."

DRUG

Cisplatin (100 mg/m2)

Cisplatin as concurrent chemotherapy, 100 mg/m2 day 1 per cycle, every 3 weeks for 2 cycles

DRUG

Capecitabine

Metronomic adjuvant capecitabine chemotherapy: 650 mg/m2 p.o. bid, 1 year, adminstration starts immediately after concurrent chemoradiotherapy.

Trial Locations (8)

410000

NOT_YET_RECRUITING

Hunan Cancer Hospital, Changsha

510060

RECRUITING

Sun Yat-Sen University Cancer Center, Guangzhou

Unknown

NOT_YET_RECRUITING

Zhongshan city Peaple's Hospital, Zhongshan

NOT_YET_RECRUITING

Cancer Hospital of Guangxi Medical University, Nanning

NOT_YET_RECRUITING

Cancer Hospital of Guizhou Medical University, Guiyang

NOT_YET_RECRUITING

Hubei Province Cancer Hosiptal, Wuhan

NOT_YET_RECRUITING

Union Hospital Affiliated with Tongji Medical College of Huazhong University of Science and Technology, Wuhan

NOT_YET_RECRUITING

Xiangya Hospital Central South University, Changsha

All Listed Sponsors
collaborator

Jiangsu Hengrui Pharmaceutical Co., Ltd.

INDUSTRY

lead

Sun Yat-sen University

OTHER