Early Recurrent Nasopharyngeal Cancer: the Effect of Surgery vs IMRT

NCT ID: NCT04215510

Last Updated: 2021-02-23

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

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

286 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-01

Study Completion Date

2027-03-01

Brief Summary

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This study is a multicenter RCT to compare 3-year overall survival(OS) rate, progression free survival(PFS),local progression free survival(LPFS),regional progression free survival(RPFS),distant metastasis free survival(DMFS), and toxicities of endonasal endoscopic surgery versus IMRT.

Detailed Description

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Local and regional recurrence is a common cause of failure after primary radiotherapy for nasopharyngeal carcinoma. Radiotherapy and surgery are the treatments of choice for recurrent NPC. This study aims to compare 3 year overall survival(OS) rate of surgery versus IMRT.A stratified-block randomized approach will be used to randomly assign patients into two treatment groups after stratification according to N staging (N0 vs non-N0). Patients with rNPC will be recruited and randomized into two groups in 1:1 ratio. The primary outcomes will be 3 year overall survival(OS), the secondary outcome measures will be PFS,LPFS,RPFS,DMFS,and toxicities.Assessment will be performed at baseline and during 3 years post-randomization.

Conditions

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Recurrent 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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endonasal endoscopic surgery group

143 participants in group 1 will undergo endoscopic surgery

Group Type EXPERIMENTAL

endonasal endoscopic surgery

Intervention Type PROCEDURE

143 patients will undergo endonasal endoscopic surgery

radiation therapy group

143 participants in group 2 will undergo radiation therapy(IMRT)

Group Type ACTIVE_COMPARATOR

radiation therapy(IMRT)

Intervention Type RADIATION

143 patients will undergo radiation therapy.

Interventions

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endonasal endoscopic surgery

143 patients will undergo endonasal endoscopic surgery

Intervention Type PROCEDURE

radiation therapy(IMRT)

143 patients will undergo radiation therapy.

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

1. Diagnosed of recurrent nasopharyngeal carcinoma by pathology or imaging study;
2. Stage T1 or T2 according to AJCC 8th edition ;
3. Aged 18 to 70 years;
4. Without metastasis;
5. previously received 1 course of radiotherapy;
6. Without radiotherapy within 1 year, without local treatment for recurrent disease;
7. Surgical resectable and IMRT suitable;
8. If regional recurrence presented, regional lesion can be treated with local treatments.
9. ECOG score 0 or 1;
10. Sufficient organ function;
11. Acceptable approach of contraception.

Exclusion Criteria

1. Refuse to sign inform consent;
2. Radiation encephalopathy or leptomeningeal disease (LMD);
3. History of radioactive particle planting;
4. Have uncontrolled intercurrent illnesses which will interfere with the ability to undergo therapy;
5. With prior malignancy (excluding adequately treated basal cell or squamous cell skin cancer, in-situ cervical cancer );
6. Any contradiction to surgery;
7. Have any co-existing condition that would preclude full compliance or safety with the study;
8. Presence of a significant neurological or psychiatric disease, including dementia and seizures;
9. Uncontrolled infectious diseases;
10. Female patients who are at pregnancy or lactation.
11. Without personal freedom or independent civil capacity.
12. With serious autoimmune disease.
13. Participants of other interventional clinical trial.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese Academy of Medical Sciences

OTHER

Sponsor Role collaborator

Shanghai Municipal Science and Technology Commission

OTHER_GOV

Sponsor Role collaborator

Eye & ENT Hospital of Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Hongmeng Yu

MD,PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hongmeng Yu, MD

Role: PRINCIPAL_INVESTIGATOR

Eye&ENT Hospital,Fudan University

Locations

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Fujian Medical University Union Hospital

Fuzhou, Fujian, China

Site Status

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status

Fudan University Shanghai cancer center

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Central Contacts

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Xiaole Song, MD

Role: CONTACT

+86 15821388769

Zhihui Pang

Role: CONTACT

+86 18818211894

Facility Contacts

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Desheng Wang, MD

Role: primary

Haichun Lai, MD

Role: backup

Jing Ye, MD

Role: primary

Lin Kong, MD

Role: primary

Jiyi Hu, MD

Role: backup

Other Identifiers

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early-rNPC-RCT-01

Identifier Type: -

Identifier Source: org_study_id

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