Endostar Combined With Induction Chemotherapy and Concurrent Chemoradiotherapy for Locoregional Nasopharyngeal Carcinoma

NCT ID: NCT03932266

Last Updated: 2019-04-30

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

PHASE2

Total Enrollment

73 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-30

Study Completion Date

2023-09-30

Brief Summary

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Endostar Continuous Intravenous Infusion Combined With Induction Chemotherapy and Concurrent Chemoradiotherapy for Locoregionally Advanced Nasopharyngeal Carcinoma.

Detailed Description

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This study was a multicenter, prospective, randomized controlled clinical trial. A set of unified standards were used, including the clinical research program, inclusion criteria, exclusion criteria, chemoradiotherapy regimen and evaluation criteria. A total of 73 patients with pathologically confirmed locoregionally advanced nasopharyngeal carcinoma would be enrolled. Patients were randomly divided into two groups, with 48 patients in the combination group and 25 patients in the control group. The combination group was treated with Induction and Concurrent Chemoradiotherapy combined with Endostar. The control group was treated with Induction and Concurrent Chemoradiotherapy. The short term efficacy and side effects of these treatments would be evaluated. The 1-year, 3-year progression-free survival and overall survival would be analyzed. This data of this study might provide an alternative option for the treatment of Locoregionally advanced nasopharyngeal carcinoma with higher efficacy and low toxicity.

Conditions

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Nasopharyngeal Carcinoma

Keywords

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Endostar Nasopharyngeal Carcinoma Chemoradiotherapy Endostatin

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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Experimental group

Drug: Endostar Drug: Cisplatin Drug: Docetaxel Radiation

Group Type EXPERIMENTAL

Endostar

Intervention Type DRUG

Endostar, 15 mg/m2, continous intravenous infusion, 3 cycles during induction chemotherapy, 4 cycles during concurrent chemoradiotherapy.

Cisplatin

Intervention Type DRUG

Cisplatin, 75 mg/m2, intravenous infusion, 3 cycles during induction chemotherapy; Cisplatin, 80 mg/m2, intravenous infusion, 2 cycles during concurrent chemoradiotherapy.

Docetaxel

Intervention Type DRUG

Docetaxel, 75 mg/m2, intravenous infusion, 3 cycles during induction chemotherapy.

Intensity Modulated Radiation Therapy (IMRT)

Intervention Type RADIATION

IMRT: 66 Gy, 2-2.2 Gy per fraction, a total of 33 fractions

Control group

Drug: Cisplatin Drug: Docetaxel Radiation

Group Type OTHER

Cisplatin

Intervention Type DRUG

Cisplatin, 75 mg/m2, intravenous infusion, 3 cycles during induction chemotherapy; Cisplatin, 80 mg/m2, intravenous infusion, 2 cycles during concurrent chemoradiotherapy.

Docetaxel

Intervention Type DRUG

Docetaxel, 75 mg/m2, intravenous infusion, 3 cycles during induction chemotherapy.

Intensity Modulated Radiation Therapy (IMRT)

Intervention Type RADIATION

IMRT: 66 Gy, 2-2.2 Gy per fraction, a total of 33 fractions

Interventions

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Endostar

Endostar, 15 mg/m2, continous intravenous infusion, 3 cycles during induction chemotherapy, 4 cycles during concurrent chemoradiotherapy.

Intervention Type DRUG

Cisplatin

Cisplatin, 75 mg/m2, intravenous infusion, 3 cycles during induction chemotherapy; Cisplatin, 80 mg/m2, intravenous infusion, 2 cycles during concurrent chemoradiotherapy.

Intervention Type DRUG

Docetaxel

Docetaxel, 75 mg/m2, intravenous infusion, 3 cycles during induction chemotherapy.

Intervention Type DRUG

Intensity Modulated Radiation Therapy (IMRT)

IMRT: 66 Gy, 2-2.2 Gy per fraction, a total of 33 fractions

Intervention Type RADIATION

Other Intervention Names

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Recombinant human endostatin injection

Eligibility Criteria

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Inclusion Criteria

1. Pathologically or clinically confirmed locally recurrent nasopharyngeal carcinoma;
2. No chemotherapy, immunotherapy, radiotherapy treatment history.
3. No evidence of distant metastasis
4. Eastern Cooperative Oncology Group performance score 0-1
5. Normal bone marrow function: white blood cell count \> 3.5 × 109 / L, hemoglobin \> 90 g / L and platelet count \> 100 × 109 / L.
6. Normal liver function: Alanine aminotransferase (ALT), aspartate aminotransferase (AST) \<1.5 times the upper limit of normal (ULN), and alkaline phosphatase (ALP) \< 2.5 × ULN
7. Normal renal function: creatinine clearance \> 60 ml/min.
8. The patient must be informed of the basic content of the study and sign an informed consent form.

Exclusion Criteria

1. The pathological type is keratinized squamous cell carcinoma or basal squamous cell carcinoma.
2. Treatment is palliative.
3. A history of malignant tumors, except for well-treated basal cell carcinoma or squamous cell carcinoma and cervical carcinoma in situ.
4. Women during pregnancy or lactation (pregnancy tests should be considered for women of childbearing age; effective contraception should be emphasized during treatment).
5. Previous radiation therapy (except for non-melanoma skin cancer with a previous lesion outside the target area of radiotherapy).
6. Primary and cervical metastatic lesions have received chemotherapy or surgery (except for diagnostic treatment).
7. Having other serious illnesses may result in greater risk or affect the compliance of the trial. For example: kidney disease, chronic hepatitis, control of unsatisfactory diabetes (fasting blood glucose \> 1.5 × ULN), and mental illness.
8. A history of severe heart disease, including: cardiac function ≥ standard II, unstable angina, myocardial infarction, arrhythmia - antiarrhythmic drug therapy (except beta-blockers or digoxin), Uncontrollable hypertension.
9. According to the investigator's judgment, there are people with concomitant diseases that seriously endanger the safety of the patient or affect the patient's completion of the study.
10. Patients with a major bleeding tendency in the primary nasopharyngeal tumors.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jiangsu Cancer Institute & Hospital

OTHER

Sponsor Role lead

Responsible Party

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Dr. Xia He

Head of radiotherapy department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xia He, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Jiangsu Cancer Institute & Hospital

Central Contacts

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Xia He, M.D., Ph.D.

Role: CONTACT

Phone: 8625-83283597

Email: [email protected]

Juying Liu, M.D., Ph.D.

Role: CONTACT

Phone: 8625-83283596

Email: [email protected]

Other Identifiers

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Endo-Naso-001

Identifier Type: -

Identifier Source: org_study_id