A Multicenter, Phase 3, Randomized Trial of Sequencial Chemoradiotherapy with or Without Toripalimab (PD-1 Antibody) in Newly Diagnosed Early-Stage Extranodal Natural Killer/T Cell Lymphoma, Nasal Type (ENKTL)

NCT ID: NCT04365036

Last Updated: 2025-03-13

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

207 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-03

Study Completion Date

2028-12-31

Brief Summary

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The purpose of this randomized, multi-center,phase Ⅲ clinical trail is to compare the safety and efficacy of sequencial chemoradiotherapy with or without toripalimab (PD-1 antibody) for newly diagnosed early-stage extranodal natural killer/T-cell lymphoma, nasal type (ENKTL)

Detailed Description

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Conditions

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NK/T Cell Lymphoma Nos

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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toripalimab with P-GemOx

Patients will receive toripalimab and induction chemotherapy with pegaspargase, gemcitabine, oxaliplatin, every 3 weeks for 4 cycles before radiation. Definitive intensity-modulated radiotherapy (IMRT) will be given. Concurrent toripalimab of 240mg will be administered every 3 weeks for 3 cycles during IMRT. Toripalimab 240mg will be given every 3 weeks for 13 cycles, started on day 1 of induction chemotherapy.

Group Type EXPERIMENTAL

Toripalimab

Intervention Type DRUG

toripalimab 240mg, d1, intravenous drip

Pegaspargase

Intervention Type DRUG

pegaspargase, 2000U/m2, d1, intravenous drip

Gemcitabine

Intervention Type DRUG

gemcitabine, 1000mg/m2, d1,d8, intravenous drip

Oxaliplatin

Intervention Type DRUG

oxaliplatin, 130mg/m2, d1, intravenous drip,

Definitive intensity-modulated radiotherapy (IMRT)

Intervention Type RADIATION

Definitive intensity-modulated radiotherapy (IMRT) of 54-56Gy will be given in 25\~26 days

P-GemOx

Patients will receive induction chemotherapy with pegaspargase, gemcitabine, oxaliplatin, every 3 weeks for 4 cycles before radiation. Definitive intensity-modulated radiotherapy (IMRT) will be given.

Group Type ACTIVE_COMPARATOR

Pegaspargase

Intervention Type DRUG

pegaspargase, 2000U/m2, d1, intravenous drip

Gemcitabine

Intervention Type DRUG

gemcitabine, 1000mg/m2, d1,d8, intravenous drip

Oxaliplatin

Intervention Type DRUG

oxaliplatin, 130mg/m2, d1, intravenous drip,

Definitive intensity-modulated radiotherapy (IMRT)

Intervention Type RADIATION

Definitive intensity-modulated radiotherapy (IMRT) of 54-56Gy will be given in 25\~26 days

Interventions

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Toripalimab

toripalimab 240mg, d1, intravenous drip

Intervention Type DRUG

Pegaspargase

pegaspargase, 2000U/m2, d1, intravenous drip

Intervention Type DRUG

Gemcitabine

gemcitabine, 1000mg/m2, d1,d8, intravenous drip

Intervention Type DRUG

Oxaliplatin

oxaliplatin, 130mg/m2, d1, intravenous drip,

Intervention Type DRUG

Definitive intensity-modulated radiotherapy (IMRT)

Definitive intensity-modulated radiotherapy (IMRT) of 54-56Gy will be given in 25\~26 days

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* biopsy proved extranodal natural killer/T-cell lymphoma, nasal type;
* newly diagnosed stage I/II patients;
* at least one evaluable lesion;
* ECOG PS 0-2;
* 18-75 years; without other malignancy;
* proper functioning of the major organs.

Exclusion Criteria

* hemophagocytic syndrome or aggressive NK cell leukemia;
* involvement of central nervous system;
* previously received treatment of chemotherapy, radiotherapy, immunotherapy or biotherapy for lymphoma;
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Qingqing Cai

Chief physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Guangdong General Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Qingqing Cai, MD

Role: CONTACT

0086-20-87342823

Facility Contacts

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Wenyu Li, MD

Role: primary

Other Identifiers

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B2020-040-01

Identifier Type: -

Identifier Source: org_study_id

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