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临床试验/NCT07125755
NCT07125755招募中3 期

A Prospective, Multicenter, Randomized Controlled Phase 3 Clinical Trial Comparing Postoperative Adjuvant Cisplatin Concurrent Chemoradiotherapy With Adjuvant Radiotherapy Alone for Intermediate-risk Head and Neck Squamous Cell Carcinoma

Sun Yat-sen University6 个研究点 分布在 1 个国家目标入组 386 人开始时间: 2025年8月15日最近更新:
干预措施
相关药物

试验速览

阶段
3 期
状态
招募中
发起方
入组人数
386
试验地点
6
主要终点
Failure-free survival (FFS)

研究概览

简要总结

The main objective of this trial was to determine the value of concurrent chemoradiotherapy for Intermediate-risk head and neck squamous cell carcinoma

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Care Provider, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • A. The pathological type is head and neck squamous cell carcinoma
  • B. Radical surgery has been performed, and there are intermediary-risk factors (pT3/pT4, pN2/pN3, positive lymph nodes in the cervical IV/V region of oral cancer, nerve invasion, and vascular invasion).
  • C. No evidence of distant metastasis (M0).
  • D. Functional status: Karnofsky scale (KPS) >
  • E. Normal bone marrow function:
  • white blood cell count > 4×109/L
  • hemoglobin > 120g/L in males, 110g/L in females
  • platelet count > 100×109/L
  • G. Normal liver function:
  • alanine aminotransferase (ALT), aspartate aminotransferase (AST) < 1.5 times the upper limit of normal (ULN)
  • alkaline phosphatase (ALP) < 2.5×ULN
  • bilirubin < ULN.
  • H. Normal renal function: creatinine clearance > 60 ml/min.
  • I. Patients must be informed of the basic contents of this study and sign informed consent.

排除标准

  • A. Age >70 years or <18 years.
  • B. Treatment is palliative.
  • C. Previous chemotherapy (except induction chemotherapy prior to surgery).
  • D. Previous radiation therapy.
  • E. Women who are pregnant or breastfeeding
  • F. Previous history of malignant tumor.
  • G. With other serious medical conditions that may pose a greater risk or affect compliance with the test. Examples include:
  • unstable heart disease that requires treatment
  • kidney disease
  • chronic hepatitis
  • poorly controlled diabetes (fasting blood glucose > 1.5×ULN)
  • mental illness.

研究组 & 干预措施

2 courses of cisplatin chemoradiotherapy arm

Experimental

Patients will receive intensity modulated radiotherapy (total dose: > 66 Gy, split dose: 2-2.2 Gy/ time, once a day, 5 times a week) plus concurrent Cisplatin chemotherapy (100 mg/m2 intravenous injection,once every 3 weeks, twice in total, on days 1 and 22).

干预措施: Cisplatin (Drug)

结局指标

主要结局

Failure-free survival (FFS)

时间窗: 3 years

calculated from enrolment to the date of locoregional recurrence,distant metastasis,or death from any cause, whichever occurred first.

次要结局

  • Overall survival (OS)(3 years)
  • Distant metastasis-free survival(DMFS)(3 years)
  • locoregional recurrence-free survival (LRRFS)(3 years)
  • Quality of life (QoL)(3 years)

研究者

发起方
Sun Yat-sen University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Lei Chen

Clinical Professor

Sun Yat-sen University

研究点 (6)

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