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临床试验/NCT04769076
NCT04769076尚未招募2 期

A Prospective Phase II Clinical Trial of Paclitaxel (Albumin-bound) Combined With Cisplatin, PD-1 Inhibitors and IMRT in the Treatment of Locally Advanced Nasopharyngeal Carcinoma

The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School0 个研究点目标入组 40 人开始时间: 2021年3月1日最近更新:
适应症

试验速览

阶段
2 期
状态
尚未招募
发起方
入组人数
40
主要终点
Objective response rate

研究概览

简要总结

The purpose of this study in to observe the effectiveness and safety of paclitaxel (albumin-bound type) combined with cisplatin, PD-1 inhibitor and IMRT in the treatment of locally advanced nasopharyngeal carcinoma.

详细描述

This trial is a prospective, open, single-arm phase II clinical trial. The trial will enroll 40 patients with nasopharyngeal cancer stage III-IVA (UICC 8th edition). Subjects will receive paclitaxel (albumin-bound) combined with cisplatin and PD-1 inhibitor (sintilimab) neoadjuvant therapy and radical concurrent chemotherapy and radiotherapy.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

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

  • Pathologically confirmed differentiated non-keratinizing carcinoma and undifferentiated non-keratinizing carcinoma
  • The stage is Ⅲ-ⅣA (UICC 8th edition)
  • Initial treatment patients without anti-tumor therapy
  • No history of other malignant tumors
  • Male or female, aged 18~70 years old
  • Sufficient liver and kidney function: total bilirubin ≤ upper limit of normal (ULN); AST and ALT ≤ 2.5 times ULN; alkaline phosphatase ≤ 5 times ULN; creatinine clearance ≥ 80 mL/min
  • Sufficient blood function: neutrophil count (ANC) ≥2×109/L, platelet count ≥100×109/L and hemoglobin ≥9 g/dL
  • No serious heart, lung, liver, kidney and other important organ dysfunction
  • Karnofsky score ≥70 points
  • No autoimmune diseases
  • Sign informed consent

排除标准

  • Has performed anti-tumor treatment, including chemotherapy, radiotherapy, and surgery
  • Discovery of distant metastases before treatment
  • Receive live attenuated vaccine within 4 weeks before enrollment or plan to receive live attenuated vaccine during the study period
  • Active, known or suspected autoimmune diseases
  • Known history of primary immunodeficiency
  • Known history of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation
  • Women who are pregnant or breastfeeding
  • Disagree to sign the informed consent form
  • Patients who cannot cooperate with regular follow-up due to psychological, social, family and geographic reasons
  • Simultaneously accept experimental treatment of other clinical research (in the treatment period of clinical research)
  • Known allergic to possible chemotherapy drugs
  • Accompanied by serious uncontrollable infections or medical diseases
  • Major organ dysfunction, such as decompensated heart, lung, kidney, and liver failure, unable to tolerate radiotherapy and chemotherapy
  • Laboratory examination: total bilirubin>upper limit of normal (ULN); AST and/or ALT>1.5 times ULN and accompanied by alkaline phosphatase>2.5 times ULN

结局指标

主要结局

Objective response rate

时间窗: 1 month after the end of all treatments

According to European Solid Tumor Efficacy Evaluation Standard (RECIST)

次要结局

未报告次要终点

研究者

发起方
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
申办方类型
Other
责任方
Principal Investigator
主要研究者

Yang Yang

Professor of medicine

The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School

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