Nivolumab as Treatment for Recurrent/Metastatic Nasopharyngeal Carcinoma After Failing 2 Lines or More Previous Chemotherapy
- Registration Number
- NCT03390738
- Lead Sponsor
- The University of Hong Kong
- Brief Summary
A phase II, open label, single arm, single agent study using nivolumab in patients who failed 2 or more lines of previous chemotherapy for recurrent/metastatic NPC (At least 1 line should include platinum based chemotherapy)
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
Inclusion Criteria
- Recurrent or metastatic NPC incurable by local therapies and failed at least 2 lines of previous chemotherapy with at least 1 line including platinum based chemotherapy
- Measurable disease (RECIST 1.1)
- ECOG 2 or less
- Life expectancy greater than 3 months
- Adequate organ function
- (Provided tissue for PD-L1 biomarker analysis from a core or excisional biopsy Paired biopsy of baseline tissue at first diagnosis and for recurrence if possible) - optional but encouraged
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Exclusion Criteria
- Suitable for local therapy
- Did not have prior platinum chemotherapy
- Immunodeficiency; immunosuppressive treatment
- Anti-cancer monoclonal antibody treatment within 4 weeks prior to Day 1
- Other cancer treatment within 2 weeks prior to Day 1
- Other malignancies (some exceptions)
- CNS metastases; carcinomatous meningitis
- Active temporal lobe necrosis or on steroid treatment
- Autoimmune disease
- Active, non-infectious pneumonitis
- Active infection requiring systemic treatment
- Hepatitis
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Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Intravenous nivolumab 240mg Nivolumab Intravenous nivolumab 240mg every 2 weeks until radiologically-documented disease progression, unacceptable toxicity as judged by investigators or patient withdrawal.
- Primary Outcome Measures
Name Time Method Overall response rate of patients. Response will be assessed by RECISTS 1.1 criteria 1 year
- Secondary Outcome Measures
Name Time Method Toxicities as defined by CTCAE criteria 1 year To characterize the safety and tolerability of nivolumab in subjects with recurrent/metastatic NPC. This will be based on subjects who experienced toxicities as defined by CTCAE criteria, receiving at least one dose of nivolumab.