Adjuvant vs Surgery Only in Early-stage Recurrent NPC

NCT ID: NCT06228079

Last Updated: 2025-07-04

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

176 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-25

Study Completion Date

2028-06-30

Brief Summary

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Adjuvant Therapy Versus Endoscopic Surgery Alone in Early-stage Recurrent Nasopharyngeal Carcinoma: A Multicenter Randomized Controlled Trial

Detailed Description

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This study is an open-label, multicentered, evaluator-blinded , randomized clinical trial.

Patients with early-stage recurrent nasopharyngeal carcinoma were randomized into the control group and the experimental group. Patients in the control group would go through observation and follow-up after recurrent endoscopic surgery, while patients in the experimental group would be treated with adjuvant therapy such as chemotherapy and immunotherapy. A total of 176 subjects are required, with 88 patients in the control group and 88 patients in the experimental group.

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

SINGLE

Outcome Assessors

Study Groups

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The control group

Patients in the control group would go through observation and follow-up after recurrent endoscopic surgery.

Group Type NO_INTERVENTION

No interventions assigned to this group

The experimental group

Patients in the experimental group would be implemented with adjuvant therapy including chemotherapy and immunotherapy after endoscopic surgery.

Group Type EXPERIMENTAL

Immunotherapy,Toripalimab Injection

Intervention Type DRUG

Patients in the experimental group would be implemented with adjuvant Immunotherapy and chemotherapy after endoscopic surgery. Four to six cycles chemotherapy and 10 cycles immunotherapy,or until unacceptable side effects.

Chemotherapy,Gemcitabine based regimen

Intervention Type DRUG

Patients in the experimental group would be implemented with adjuvant Immunotherapy and chemotherapy after endoscopic surgery. Four to six cycles chemotherapy and 10 cycles immunotherapy,or until unacceptable side effects.

Interventions

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Immunotherapy,Toripalimab Injection

Patients in the experimental group would be implemented with adjuvant Immunotherapy and chemotherapy after endoscopic surgery. Four to six cycles chemotherapy and 10 cycles immunotherapy,or until unacceptable side effects.

Intervention Type DRUG

Chemotherapy,Gemcitabine based regimen

Patients in the experimental group would be implemented with adjuvant Immunotherapy and chemotherapy after endoscopic surgery. Four to six cycles chemotherapy and 10 cycles immunotherapy,or until unacceptable side effects.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Pathologically diagnosed with recurrent nasopharyngeal carcinoma;
2. Stage rT1 or rT2(superficial parapharyngeal space, distance to internal carotid artery \>5mm)or rT3 (confined to the bottom wall of the sphenoid sinus),according to AJCC 8th edition;
3. Cervical lymph node metastasis can be controlled locally
4. Age 18 to 75 years;
5. Without distant metastasis;
6. Informed consent forms signed;
7. ≥6months from the accomplishment of radiation to recurrence
8. previously radiotherapy for only 1 course;
9. ECOG score 0-2 and can tolerate chemotherapy and immunotherapy
10. Sufficient organ function;
11. Undergone endoscopic surgery with negative pathological margin;

Exclusion Criteria

1. Participation in other interventional clinical trials;
2. Uncontrolled illnesses which will interfere with the ability to undergo therapy;
3. Suffering from another or multiple malignancy within 5 years (excluding fully treated basal cell or skin squamous cell carcinoma, cervical carcinoma in situ);
4. Any contradiction to immune and chemotherapy;
5. With serious autoimmune disease;
6. Currently usage of immunosuppressive agents or systemic glucocorticoid therapy (dosage\>10mg/day prednisone or other glucocorticoids), and continuing to use them within 2 weeks before the first administration of trial drugs;
7. Severe allergic reactions to other monoclonal antibodies;
8. History of radioactive particle planting;
9. Vaccination with live vaccine within 4 weeks prior to initial administration or possibly during the study period;
10. Female patients who are at pregnancy or lactation;
11. Other situations that the researchers believe are not suitable for enrollment
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Zhongshan Hospital

OTHER

Sponsor Role collaborator

Shanghai 6th People's Hospital

OTHER

Sponsor Role collaborator

Changhai Hospital

OTHER

Sponsor Role collaborator

Fujian Medical University Union Hospital

OTHER

Sponsor Role collaborator

People's Hospital of Guangxi Zhuang Autonomous Region

OTHER

Sponsor Role collaborator

Shenzhen Second People's Hospital

OTHER

Sponsor Role collaborator

Eye & ENT Hospital of Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hongmeng Yu

Role: PRINCIPAL_INVESTIGATOR

Eye& ENT Hospital, Fudan University

Locations

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Eye& ENT Hospital, Fudan University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Fujian Medical University Union Hospital

Fuzhou, , China

Site Status NOT_YET_RECRUITING

The People's Hospital of Guangxi Zhuang Autonomous Region

Nanning, , China

Site Status RECRUITING

Changhai Hospital

Shanghai, , China

Site Status RECRUITING

Shanghai Sixth People's Hospital

Shanghai, , China

Site Status NOT_YET_RECRUITING

Shanghai Zhongshan Hospital

Shanghai, , China

Site Status NOT_YET_RECRUITING

Shenzhen Second People's Hospital

Shenzhen, , China

Site Status NOT_YET_RECRUITING

Countries

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China

Central Contacts

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Xiaole Song, MD

Role: CONTACT

+8621 64377134

Yuting Lai

Role: CONTACT

Facility Contacts

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Xiaole Song

Role: primary

15821388769

Desheng Wang

Role: primary

Shenhong Qu

Role: primary

Haihong Tang

Role: primary

Weitian Zhang

Role: primary

Xinsheng Huang

Role: primary

Yongtian Lu

Role: primary

Other Identifiers

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early-rNPC-RCT-adj

Identifier Type: -

Identifier Source: org_study_id

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