A Multicenter Trial Comparing Multi-course Chemotherapy in Locoregionally Advanced Nasopharyngeal Carcinoma

NCT ID: NCT00705627

Last Updated: 2014-05-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2017-06-30

Brief Summary

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Locoregionally advanced nasopharyngeal carcinoma (NPC)(stage III, IV in UICC 2002 Classification) can be divided into two groups according to the risk of metastasis: high-risk metastasis group (T4 or N2-3) and low-risk metastasis group (T3N0-1). In low-risk metastasis group, concurrent chemoradiotherapy (CCRT) might decrease local recurrence and distance metastasis, which benefits overall survival. On the other hand, neoadjuvant chemotherapy is also associated with lower distance metastasis of advanced stage NPC. Nevertheless, CCRT alone or neoadjuvant chemotherapy alone leads to unsatisfactory results regarding to distance metastasis in patients with high-risk metastasis group. In this case, it is utmost important to investigate the new treatment combining neoadjuvant chemotherapy plus CCRT in order to improve overall survival of locoregionally advanced NPC with high-risk metastasis.

In our study, in order to investigate the effect and adverse reaction of neoadjuvant chemotherapy plus CCRT on distance metastasis and locoregionally relapse, four hundred patients with high risk of distance metastasis will be randomly divided into two groups, comparing neoadjuvant chemotherapy (DDP+5FU) plus CCRT (DDP) and CCRT (DDP) alone. We aim to find out the best therapeutic regimen with lowest adverse reaction for NPCS with high risk of distance metastasis.

Detailed Description

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Conditions

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Nasopharyngeal Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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B

Drug: cisplatin. Patients in the control arm received radical radiotherapy, and cisplatin (80mg/m2 on day 1) every three weeks for three cycles during RT.

Group Type EXPERIMENTAL

neoadjuvant chemotherapy plus concurrent chemoradiotherapy

Intervention Type DRUG

Drug: cisplatin,fluorouracil. Patients received cisplatin 80mg/m2 on day 1,fluorouracil 4000mg/m2 civ 120 hours every three weeks for two cycles, then received radical radiotherapy, and cisplatin (80mg/m2 on day 1) every three weeks for three cycles during RT.

Interventions

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neoadjuvant chemotherapy plus concurrent chemoradiotherapy

Drug: cisplatin,fluorouracil. Patients received cisplatin 80mg/m2 on day 1,fluorouracil 4000mg/m2 civ 120 hours every three weeks for two cycles, then received radical radiotherapy, and cisplatin (80mg/m2 on day 1) every three weeks for three cycles during RT.

Intervention Type DRUG

Other Intervention Names

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Neoadjuvant Chemotherapy Followed by CCRT

Eligibility Criteria

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Inclusion Criteria

* Patients with newly histologically confirmed nasopharyngeal carcinoma, including WHO II or III
* Original clinical stage must be T4 or N2-3 (UICC 2002)
* Male and no pregnant female
* Age between 18-60
* WBC ≥4,000/mm3 and PLT ≥ 100,000/mm3
* With normal liver function test (ALT、AST≤2.5×ULN)
* With normal renal function test (Creatinine ≤ 1.5×ULN)
* Performance status scale ECOG grade 0,1
* Without radiotherapy or chemotherapy
* Patients must give signed informed consent

Exclusion Criteria

* Patients have evidence of relapse or distant metastasis
* The presence of uncontrolled life-threatening illness
* Receiving other ways of anti-cancer therapy
* Receiving radiotherapy or chemotherapy
* Investigator consider the patients can't finish the whole study
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Guangdong Provincial People's Hospital

OTHER

Sponsor Role collaborator

Affiliated Cancer Hospital & Institute of Guangzhou Medical University

OTHER

Sponsor Role collaborator

Affiliated Cancer Hospital of Shantou University Medical College

OTHER

Sponsor Role collaborator

Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Hong Ming-huang

the director of GCP

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Minghuang Hong, MD

Role: STUDY_CHAIR

Sun Yet sen Cancer Center, China

Locations

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Department of Nasopharyngeal Carcinoma, Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Sumei Cao, Ph. D.

Role: CONTACT

86-20-8734-5685

Facility Contacts

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Sumei Cao, Ph. D

Role: primary

86-20-8734-5685

Other Identifiers

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2007047

Identifier Type: -

Identifier Source: org_study_id

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