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TPC vs PF as Induction Chemotherapy Combined With CCRT for Stage IVa-b Nasopharyngeal Carcinoma

Phase 3
Completed
Conditions
Nasopharyngeal Carcinoma
Registration Number
NCT02940925
Lead Sponsor
Sun Yat-sen University
Brief Summary

The purpose of this study is to compare the survival and toxicity of TPC (TAXOL, DDP AND CAPECITABINE ) VS PF (cisplatin and 5-Fluorouracil) as induction chemotherapy combined with concurrent chemoradiotherapy (CCRT) for stage IVa-b nasopharyngeal carcinoma patients in endemic area.

Detailed Description

This is a prospective, parallel, randomized, open labeled, multicenter phase III clinical trial to compare the survival and toxicity of TPC VS PF as induction chemotherapy combined with CCRT for stage IVa-b nasopharyngeal carcinoma patients in endemic area.The primary endpoint is failure free survival (FFS).The secondary endpoints are overall survival(OS),progression-free survival(PFS), local-regionally relapse free survival(LRFS), distant metastasis free survival(DMFS)and toxicities.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
241
Inclusion Criteria
  • WHO II or III pathological type
  • stage Ⅳa or Ⅳb (UICC 7th edition)
  • no anticancer treatment before
  • no malignant history
  • both gender, 18-60 years old
  • enough liver function: TBIL≤ULN;AST/ALT≤2.5×ULN;ALP≤5×ULN
  • enough kidney function: Clcr≥80 mL/min
  • enough hemo: ANC≥2×109/L, PLT≥100×109/L and HB≥9g/dL
  • no sever heart, lung disfunction
  • PS≤2
Exclusion Criteria
  • previous anticancer treatment
  • distant metastasis
  • pregnant or breasting female
  • can not access to followup
  • enrolled in other therapeutic clinical trial
  • sever infection and internal disease
  • sever disfunction of heart, lung, kidney, liver, etc
  • TBIL>ULN;AST/ALT>2.5×ULN;ALP>5×ULN
  • with factors that will affect the administration, distribution,metabolism or evacuation.
  • using immunosuppressive agents after organ transplantation
  • other malignant history

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Failure-free survival calculated from randomisation to locoregional failure, distant failure, or death from any causeup to 5 years
Secondary Outcome Measures
NameTimeMethod
Local-regionally relapse free survival calculated from randomisation to locoregional failureup to 5 years
Progression free survival calculated from randomisation to disease progression or death from any causeup to 5 years
Overall survival calculated from randomisation to death from any causeup to 5 years
Distant metastasis free survival calculated from randomisation to distant failureup to 5 years
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0up to 5 years

Trial Locations

Locations (1)

SunYat-senU

🇨🇳

Guangzhou, Guangdong, China

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