Becotatug Vedotin as Adjuvant Therapy For High-risk Nasopharyngeal Carcinoma

NCT ID: NCT07303283

Last Updated: 2025-12-24

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

PHASE2

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-03-01

Study Completion Date

2031-12-31

Brief Summary

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This is a phase 2, multicentre, open-label, randomised, controlled trial with a parallel-group design. The study aims to evaluate the efficacy and safety of Becotatug Vedotin as an adjuvant therapy in patients with high-risk locoregionally advanced nasopharyngeal carcinoma (NPC).

Detailed Description

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Eligible patients with locoregionally advanced NPC (staged as T4 N1 M0 or any T with N2-3 M0) who have completed curative radiotherapy will be randomized to either an observation group or a Becotatug Vedotin treatment group. The treatment group will receive Becotatug Vedotin at a dose of 2.3 mg/kg on day 1 of each 3-week cycle for a total of 3 cycles. The primary endpoint is failure-free survival (FFS). Secondary endpoints include overall survival (OS), distant failure-free survival (D-FFS), locoregional failure-free survival (LR-FFS), and treatment-emergent adverse events. All efficacy analyses will be performed on an intention-to-treat (ITT) basis, while safety analyses will be conducted on the safety population, defined as all patients who received at least one dose of their assigned treatment.

Conditions

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Nasopharyngeal Carcinoma (NPC)

Keywords

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Nasopharyngeal Carcinoma Adjuvant therapy Becotatug Vedotin

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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Adjuvant Becotatug Vedotin

Adjuvant therapy with Becotatug Vedotin

Group Type EXPERIMENTAL

Becotatug Vedotin

Intervention Type DRUG

This group will receive Becotatug Vedotin at a dose of 2.3 mg/kg on day 1 of each 3-week cycle for a total of 3 cycles.

Observation

Only Clinical follow-up and surveillance

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Becotatug Vedotin

This group will receive Becotatug Vedotin at a dose of 2.3 mg/kg on day 1 of each 3-week cycle for a total of 3 cycles.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed non-keratinizing nasopharyngeal carcinoma(WHO II/III).
2. Original clinical staged as TanyN2-3M0 or T4N1M0 (according to AJCC 9th edition), with no evidence of distant metastasis.
3. ECOG performance status ≤1.
4. Induction and concurrent chemoradiotherapy with the recommended regimen have been completed.
5. No later than 6 weeks after the completion of the last radiotherapy treatment.
6. Adequate hematologic (neutrophil count \> 1.5×10\^9/L, hemoglobin \> 90g/L and platelet count \> 100×10\^9/L), hepatic (alanine aminotransferase, aspartate aminotransferase ≤ 1.5×ULN, bilirubin ≤ 1.5×ULN, alkaline phosphatase \< 2.5×ULN) and renal function (creatinine clearance \> 50 ml/min)
7. Patients must be informed of the investigational nature of this study and give written informed consent.
8. Women of childbearing potential (WOCBP) who are sexually active must be willing to adhere to effective contraception during treatment and for 1 year after the last dose of the study drug. Men who are sexually active with WOCBP must be willing to adhere to effective contraception during treatment and for 1 year after the last dose of the study drug.

Exclusion Criteria

1. Patients who could not tolerate or were allergic to Becotatug Vedotin.
2. Patients with severe chronic or active infection that must be treated with systemic antibacterial, antifungal, or antiviral therapy before randomization, including but not limited to tuberculosis infection.
3. Prior malignancy except adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer.
4. Pregnancy or lactation (consider pregnancy test in women of child-bearing age and emphasize effective contraception during the treatment period).
5. Interstitial lung disease or pneumonia requiring oral or intravenous steroid therapy within 1 year.
6. Patients who are known to be intolerant or sensitive to any therapeutic agents.
7. Any severe intercurrent disease, which may bring unacceptable risk or affect the compliance of the trial, for example, unstable cardiac disease requiring treatment, renal disease, chronic hepatitis, diabetes with poor control (fasting plasma glucose \> 1.5×ULN), and emotional disturbance.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wuzhou Red Cross Hospital

OTHER

Sponsor Role collaborator

First People's Hospital of Yulin

OTHER

Sponsor Role collaborator

Guigang People's Hospital

OTHER

Sponsor Role collaborator

Hainan Cancer Hospital

OTHER

Sponsor Role collaborator

Affiliated Hospital of North Sichuan Medical College

OTHER

Sponsor Role collaborator

Affiliated Hospital of Youjiang Medical University for Nationalitie

UNKNOWN

Sponsor Role collaborator

Lingshan people's Hospital

UNKNOWN

Sponsor Role collaborator

People's Hospital of Guangxi Zhuang Autonomous Region

OTHER

Sponsor Role collaborator

LiuZhou People's Hospital

OTHER

Sponsor Role collaborator

The Third people's hospital of Hechi

UNKNOWN

Sponsor Role collaborator

Kai Hu

OTHER

Sponsor Role lead

Responsible Party

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Kai Hu

professor

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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The First Affiliated Hospital of Guangxi Medical University

Nanning, Guangxi, China

Site Status

Countries

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China

Central Contacts

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kai hu

Role: CONTACT

Phone: +867715359801

Email: [email protected]

Other Identifiers

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GuangxiMUHK5

Identifier Type: -

Identifier Source: org_study_id