A Multicenter Trial Evaluating the Efficacy of Nedaplatin in Patients With Locoregionally Advanced Nasopharyngeal Carcinoma

NCT ID: NCT01479504

Last Updated: 2011-11-28

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

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Study Completion Date

2017-12-31

Brief Summary

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This study is a multicenter trial.The primary objective is to estimate short-term efficacy and acute toxicities of nedaplatin to the combination of docetaxel in neoadjuvant chemotherapy followed by nedaplatin in concurrent chemoradiotherapy, compared to cisplatin to the combination of docetaxel in neoadjuvant chemotherapy followed by cisplatin in concurrent chemoradiotherapy for patients with locoregionally advanced nasopharyngeal carcinoma.

Secondary objectives are to evaluate the overall survival, the distant metastases free survival, and disease free survival of patients with locoregionally advanced nasopharyngeal carcinoma treated with these regimens.Furthermore,analyze the cost-effectiveness of the regimens.

Detailed Description

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Patients with clinical stage T3-4N1/N2-3 (UICC 7th edition)are divided into two groups according to informed consent:intensity-modulated radiation therapy(IMRT)group and conventional fractionation radiotherapy(CRT)group. Then the patients in IMRT group/CRT group are randomly assigned to receive nedaplatin+docetaxel in neoadjuvant chemotherapy plus nedaplatin alone in concurrent chemoradiotherapy or cisplatin+docetaxel in neoadjuvant chemotherapy plus cisplatin alone in concurrent chemoradiotherapy.Evaluate the overall survival, the distant metastases free survival, and disease free survival of the patients treated with these regimens.Furthermore,analyze the cost-effectiveness of the regimens.

Conditions

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Nasopharyngeal Carcinoma

Keywords

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Nasopharyngeal Carcinoma neoadjuvant chemotherapy concurrent chemoradiotherapy Nedaplatin

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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1A(nedaplatin and IMRT)

neoadjuvant chemotherapy using nedaplatin plus docetaxel followed by concurrent chemotherapy using nedaplatin and Intensity-modulated Radiation Therapy(IMRT)

Group Type EXPERIMENTAL

nedaplatin and docetaxel

Intervention Type DRUG

neoadjuvant chemotherapy: nedaplatin 80mg/m2+docetaxel 65 mg/m2/day,every 21 days for 2 cycles before radiotherapy

concurrent chemotherapy: nedaplatin 40mg/m2,weekly,for 6 cycles during radiotherapy

1B(cisplatin and IMRT)

neoadjuvant chemotherapy using cisplatin plus docetaxel followed by concurrent chemotherapy using cisplatin and Intensity-modulated Radiation Therapy(IMRT)

Group Type ACTIVE_COMPARATOR

cisplatin and docetaxel

Intervention Type DRUG

neoadjuvant chemotherapy: cisplatin 80mg/m2+docetaxel 65 mg/m2/day,every 21 days for 2 cycles before radiotherapy

concurrent chemotherapy: cisplatin 40mg/m2,weekly,for 6 cycles during radiotherapy

2A(nedaplatin and CRT)

neoadjuvant chemotherapy using nedaplatin plus docetaxel followed by concurrent chemotherapy using nedaplatin and conventional fractionation radiotherapy(CRT)

Group Type EXPERIMENTAL

nedaplatin and docetaxel

Intervention Type DRUG

neoadjuvant chemotherapy: nedaplatin 80mg/m2+docetaxel 65 mg/m2/day,every 21 days for 2 cycles before radiotherapy

concurrent chemotherapy: nedaplatin 40mg/m2,weekly,for 6 cycles during radiotherapy

2B((cisplatin and CRT))

neoadjuvant chemotherapy using cisplatin plus docetaxel followed by concurrent chemotherapy using cisplatin and conventional fractionation radiotherapy(CRT)

Group Type ACTIVE_COMPARATOR

cisplatin and docetaxel

Intervention Type DRUG

neoadjuvant chemotherapy: cisplatin 80mg/m2+docetaxel 65 mg/m2/day,every 21 days for 2 cycles before radiotherapy

concurrent chemotherapy: cisplatin 40mg/m2,weekly,for 6 cycles during radiotherapy

Interventions

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nedaplatin and docetaxel

neoadjuvant chemotherapy: nedaplatin 80mg/m2+docetaxel 65 mg/m2/day,every 21 days for 2 cycles before radiotherapy

concurrent chemotherapy: nedaplatin 40mg/m2,weekly,for 6 cycles during radiotherapy

Intervention Type DRUG

cisplatin and docetaxel

neoadjuvant chemotherapy: cisplatin 80mg/m2+docetaxel 65 mg/m2/day,every 21 days for 2 cycles before radiotherapy

concurrent chemotherapy: cisplatin 40mg/m2,weekly,for 6 cycles during radiotherapy

Intervention Type DRUG

nedaplatin and docetaxel

neoadjuvant chemotherapy: nedaplatin 80mg/m2+docetaxel 65 mg/m2/day,every 21 days for 2 cycles before radiotherapy

concurrent chemotherapy: nedaplatin 40mg/m2,weekly,for 6 cycles during radiotherapy

Intervention Type DRUG

cisplatin and docetaxel

neoadjuvant chemotherapy: cisplatin 80mg/m2+docetaxel 65 mg/m2/day,every 21 days for 2 cycles before radiotherapy

concurrent chemotherapy: cisplatin 40mg/m2,weekly,for 6 cycles during radiotherapy

Intervention Type DRUG

Other Intervention Names

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TN TP TN TP

Eligibility Criteria

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Inclusion Criteria

* histologically proven nasopharyngeal carcinoma for primary treatment with radical intent
* non-keratinizing or undifferentiated type
* clinical stage III-IVb (UICC 7th edition)
* age between 18-70
* satisfactory performance status: Karnofsky scale (KPS) \> 70.
* hemoglobin \> 100g/L, WBC \> 4.0x10\*9/L, Plt \> 100x10\*9/L
* serum creatinine level \< 1.6 mg/dL or creatinine clearance ≥ 60 mL/min.
* normal liver function test: Alanine Aminotransferase (ALT)、Aspartate Aminotransferase (AST) \<1.5×upper limit of normal (ULN) concomitant with alkaline phosphatase (ALP) ≤2.5×ULN, and bilirubin ≤1.5ULN
* patients must be informed of the investigational nature of this study and give written informed consent.
* anticipated life span more than 6 month

Exclusion Criteria

* primary treatment with palliative intent
* WHO Type keratinizing squamous cell carcinoma or basaloid squamous cell carcinoma Evidence of distant metastases
* pregnancy or lactation
* history of previous radiotherapy (except for non-melanomatous skin cancers outside intended RT treatment volume).
* prior chemotherapy or surgery (except diagnostic) to primary tumor or nodes
* prior malignancy except adequately treated basal cell or squamous cell skin cancer, in-situ cervical cancer or other cancer for which the patient has been disease-free for 5 years
* any severe intercurrent disease, which may bring unacceptable risk or affect the compliance of the trial, for example, unstable cardiac disease requiring treatment, renal disease, chronic hepatitis, diabetes with poor control (fasting plasma glucose \>1.5×ULN), and emotional disturbance.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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People's Hospital of Guangxi Zhuang Autonomous Region

OTHER

Sponsor Role collaborator

303rd Hospital of the People's Liberation Army

OTHER

Sponsor Role collaborator

Nanning Second People's Hospital

OTHER

Sponsor Role collaborator

Guangxi Traditional Chinese Medical University

OTHER

Sponsor Role collaborator

Guilin Medical College

OTHER

Sponsor Role collaborator

Guangxi Naxishan Hospital

OTHER

Sponsor Role collaborator

Liuzhou Workers' Hospital

OTHER_GOV

Sponsor Role collaborator

LiuZhou People's Hospital

OTHER

Sponsor Role collaborator

Liuzhou Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Liuzhou Cancer Hospital

UNKNOWN

Sponsor Role collaborator

Liuzhou Railway hospital

UNKNOWN

Sponsor Role collaborator

First People's Hospital of Yulin

OTHER

Sponsor Role collaborator

The Red Cross hospital of YuLin

UNKNOWN

Sponsor Role collaborator

Guigang People's Hospital

OTHER

Sponsor Role collaborator

Wuzhou Red Cross Hospital

OTHER

Sponsor Role collaborator

Guangxi Medical University

OTHER

Sponsor Role lead

Responsible Party

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Wang Rensheng

Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Wang R. sheng, M.D.

Role: STUDY_CHAIR

Department of Radiotherapy,the First Affiliated Hospital of Guangxi Medical University

Wang R sheng, M.D.

Role: PRINCIPAL_INVESTIGATOR

Department of Radiotherapy,the First Affiliated Hospital of Guangxi Medical University

Wu Fang, M.D.

Role: PRINCIPAL_INVESTIGATOR

Department of Radiotherapy,the First Affiliated Hospital of Guangxi Medical University

Locations

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Department of Radiotherapy,the First Affiliated Hospital of Guangxi Medical University

Nanning, Guangxi, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Wang R Sheng, M.D.

Role: CONTACT

Phone: 86(0771)3276223

Email: [email protected]

Wu Fang, M.D.

Role: CONTACT

Phone: 86(0771)3276313

Email: [email protected]

Facility Contacts

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Wang R Sheng, M.D.

Role: primary

Wu Fang, M.D.

Role: backup

Other Identifiers

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GuangxiMU

Identifier Type: -

Identifier Source: org_study_id