Trial Evaluating Maintenance Chemotherapy for Metastatic Nasopharyngeal Carcinoma

NCT ID: NCT02944708

Last Updated: 2016-10-27

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

384 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-31

Study Completion Date

2018-10-31

Brief Summary

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The purpose of this study is to examine the efficacy of maintenance chemotherapy for the treatment of metastatic nasopharyngeal carcinoma. Participants will be randomized to 3 arms. Arm 1, control group, participants will receive only 4-8 cycles of conventional chemotherapy; arm 2, participants will receive 6 cycles of maintenance chemotherapy after conventional chemotherapy; arm 3, experiment arm, after conventional chemotherapy, participants will receive maintenance chemotherapy until disease progression or intolerable toxicities.

Detailed Description

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This is a phase 3 randomized clinical trial to determine the efficacy of maintenance chemotherapy for the treatment of metastatic chemotherapy and how it should be delivered. Participants will be randomized to 3 arms. Arm 1 (control group), participants will receive only conventional chemotherapy; arm 2 (experimental group), participants will receive up to 6 cycles of maintenance chemotherapy after conventional chemotherapy; arm 3 (experimental group), after conventional chemotherapy, participants will receive maintenance chemotherapy until disease progression or intolerable toxicities. Participants in all 3 arms will receive similar conventional chemotherapy. Four to eight cycles of conventional chemotherapy with platinum-based regimen is preferred. Maintenance chemotherapy should use one of the regimens: S1 (40mg, twice a day for 14 days, every 3 weeks), capecitabine (1000mg/m\^2, twice a day for 14 days, every 3 weeks) or Tegafur-uracil (100mg/m\^2, q8h, for 14 days, every 3 weeks). The response of treatment will be evaluated according to RECIST criteria. Adverse events will be documented according to CTCAE v4.03.

Conditions

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Nasopharyngeal Carcinoma

Keywords

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maintenance chemotherapy

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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Conventional chemotherapy

Patients in this arm will only receive 4-8 cycles of cisplatin-based regimen. TPF ( docetaxel, cisplatin and 5-fluorouracil ), TP (docetaxel and cisplatin), GP (gemcitabine and cisplatin) and PF (cisplatin and 5-fluorouracil) regimens are preferred.

Group Type ACTIVE_COMPARATOR

Conventional chemotherapy

Intervention Type DRUG

Maintenance chemotherapy 1

Patients in this arm will receive 6 cycles of oral fluoropyrimidine monotherapy as maintenance therapy, in addition to 4-8 cycles of cisplatin-based standard chemotherapy.

Group Type EXPERIMENTAL

Conventional chemotherapy

Intervention Type DRUG

Maintenance chemotherapy 1

Intervention Type DRUG

Maintenance chemotherapy 2

Patients in this arm will receive oral fluoropyrimidine maintenance therapy until disease progression or intolerable toxicities, after 4-8 cycles of cisplatin-based standard chemotherapy.

Group Type EXPERIMENTAL

Conventional chemotherapy

Intervention Type DRUG

Maintenance chemotherapy 2

Intervention Type DRUG

Interventions

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Conventional chemotherapy

Intervention Type DRUG

Maintenance chemotherapy 1

Intervention Type DRUG

Maintenance chemotherapy 2

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 and ≤ 70 years
* Histologically confirmed nasopharyngeal carcinoma, WHO (World Health Organization) classification II/III
* With distant metastasis
* With measurable lesions that can be detected by imaging studies
* Achieving PR (partial response) after 4 cycles of conventional chemotherapy
* Life expectancy ≥ 6 months
* ECOG (Eastern Cooperative Oncology Group): 0-1, no significant active concurrent medical illnesses
* Adequate laboratory values within 30 dyas of enrollment to study defined as follows: N \> 2000/mm\^3; PLT (platelet count) \> 100,000/mm\^3; total bilirubin \< 1.5mg/dl; AST (aspartate aminotransferase)/ALT (alanine aminotransferase) \< 1.5 ULN (upper limit of normal); SCr (serum creatinine) \< 1.5mg/dl; CCR (creatinine clearance rate) \> 60ml/min
* Willing to accept adequate contraception for women with childbearing potential
* Ability to understand character and individual consequences of the clinical trial
* Willing to sign the written informed consent; Informed consent must be signed before the enrollment in the trial

Exclusion Criteria

* Received previous treatment for metastatic disease
* Pregnant or lactating women
* A diagnosis of malignancy other than CIS (carcinoma in situ) of the cervix, BCC (basal cell carcinoma) and SCC (squamous cell carcinoma) of the skin within the past 5 years
* Refusal of the patient to participate into the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fudan University

OTHER

Sponsor Role collaborator

Eye & ENT Hospital of Fudan University

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Xiamen University

OTHER

Sponsor Role collaborator

Jiangxi Provincial Cancer Hospital

OTHER

Sponsor Role collaborator

Taichung Veterans General Hospital

OTHER

Sponsor Role collaborator

First Affiliated Hospital of Fujian Medical University

OTHER

Sponsor Role collaborator

Cancer Hospital of Guangxi Medical University

OTHER

Sponsor Role collaborator

National Cancer Centre, Singapore

OTHER

Sponsor Role collaborator

West China Hospital

OTHER

Sponsor Role collaborator

Peking University Cancer Hospital & Institute

OTHER

Sponsor Role collaborator

Tongji Hospital

OTHER

Sponsor Role collaborator

People's Hospital of Guangxi Zhuang Autonomous Region

OTHER

Sponsor Role collaborator

Shanghai Proton and Heavy Ion Center

OTHER

Sponsor Role lead

Responsible Party

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Lin Kong

Consultant doctor, chair of head and neck cancer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jiade J Lu, MD

Role: PRINCIPAL_INVESTIGATOR

Shanghai Proton and Heavy Ion Center,Shanghai, SPHIC

Locations

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Peking University Cancer Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

The First Affiliated Hospital of Fujian Medical University

Fuzhou, Fujian, China

Site Status RECRUITING

The First Affiliated Hospital of Xiamen University

Xiamen, Fujian, China

Site Status RECRUITING

Cancer Hospital of Guangxi Medical University

Nanning, Guangxi, China

Site Status RECRUITING

The People's Hospital of Guangxi Zhuang Autonomous Region

Nanning, Guangxi, China

Site Status RECRUITING

Tongji Hospital, Tongji Medical College of HUST

Wuhan, Hubei, China

Site Status RECRUITING

Jiangxi Province Tumor Hospital

Nanchang, Jiangxi, China

Site Status RECRUITING

Jiangxi Provincial Cancer Hospital

Nanchang, Jiangxi, China

Site Status RECRUITING

Fudan University Shanghai Cancer center

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai Proton and Heavy Ion Center

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Eye & ENT Hospital of Fudan University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

West China Hospital

Chengdu, Sichuan, China

Site Status RECRUITING

National Cancer Centre, Singapore

Singapore, , Singapore

Site Status RECRUITING

Taichung Veterans General Hospital

Taichung, , Taiwan

Site Status RECRUITING

Countries

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China Singapore Taiwan

Central Contacts

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Lin Kong, MD

Role: CONTACT

Email: [email protected]

Jiyi Hu, MD

Role: CONTACT

Email: [email protected]

Facility Contacts

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Yan Sun, MD

Role: primary

Jinshen Hong, MD

Role: primary

Qin Lin, MD

Role: primary

Xiaodong Zhu, MD

Role: primary

Heming Lu, MD

Role: primary

Guoqing Hu, MD

Role: primary

Xiaochang Gong, MD

Role: primary

Xiaochang Gong, MD

Role: primary

Chaosu Hu, MD

Role: primary

Lin Kong, MD

Role: primary

Jiyi Hu, MD

Role: backup

Shengzi Wang, MD

Role: primary

Ping Li, MD

Role: primary

Boon Cher Goh, MD

Role: primary

Jin-Ching Lin, MD

Role: primary

Other Identifiers

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SPHIC-TR-HNCNS-2015-04

Identifier Type: -

Identifier Source: org_study_id