Reduced-dose Radiotherapy for Stage III Nasopharyngeal Carcinoma Based on the Treatment Response
Reduced-dose Radiotherapy for Stage III Nasopharyngeal Carcinoma Based on the Treatment Response: an Open Label, Non-Inferiority, Multicenter, Randomized Phase 3 Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The goals of this clinical trial includes: ① To confirm whether LRRFS after reduced-dose radiotherapy in combination with chemotherapy and immunotherapy is non-inferior to LRRFS after conventional-dose radiotherapy in combination with chemotherapy and immunotherapy for treatment-sensitive stage III NPC patients screened out according to the treatment response; ② To explore the impact of reduced-dose radiotherapy on 3-year OS, 3-year PFS, 3-year DMFS, 3-year LRFS and 3-year RRFS for treatment-sensitive stage III NPC patients screened out according to the treatment response; ③ To explore the impact of reduced-dose radiotherapy on radiotherapy complications and quality of life; ④ To explore the interaction between different clinical factors and the impact of reduced-dose radiotherapy on the prognosis of patients; ⑤ To explore the biomarkers of sensitivity to chemotherapy and radiotherapy for patients with nasopharyngeal carcinoma and the underlying mechanism.
For these purposes, we plan to prospectively enroll stage III NPC patients from hospitals in China. The participants will receive 3 cycles of induction chemotherapy (GP regimen + Camrelizumab) followed by intensity-modulated radiation therapy. 2 cycles of concurrent chemotherapy will be administered during the radiotherapy. Patients' treatment response will be evaluated with MRI examination after 27 fractions of radiotherapy. If the treatment response after 27 fractions of radiotherapy is complete remission, the participants will be randomized into reduced-dose radiotherapy group and conventional-dose radiotherapy group. If the treatment response after 27 fractions of radiotherapy is not complete remission, the participants will be assigned to the unenrolled group. All the participants in the unenrolled group will receive conventional-dose radiotherapy. After the radiotherapy, all the participants will receive 9 cycles of Camrelizumab immunotherapy. Besides, all the participants in the unenrolled group will also receive metronomic adjuvant capecitabine chemotherapy for 1 year. The prognosis, complication, and quality of life will be compared between the reduced-dose radiotherapy group and the conventional-dose radiotherapy group.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Jun Ma
- Phone Number: +862087343469
- Email: majun2@mail.sysu.edu.cn
Study Contact Backup
- Name: Kai-Bin Yang
- Phone Number: +8613725368062
- Email: yangkb@sysucc.org.cn
Study Locations
-
-
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Chongqing, China
- Recruiting
- Chongqing Cancer Hospital
-
Contact:
- Ying Wang
-
Principal Investigator:
- Ying Wang
-
Tianjin, China
- Recruiting
- Tianjin Medical University Cancer Institute & Hospital
-
Contact:
- Pei-Guo Wang
-
Principal Investigator:
- Pei-Guo Wang
-
-
Fujian
-
Fuzhou, Fujian, China
- Recruiting
- Fujian Cancer Hospital
-
Contact:
- Chuan-Ben Chen
-
Principal Investigator:
- Chuan-Ben Chen
-
Xiamen, Fujian, China
- Recruiting
- The First Affiliated Hospital of Xiamen University
-
Contact:
- San-Gang Wu
-
Principal Investigator:
- San-Gang Wu
-
-
Guangdong
-
Dongguan, Guangdong, China
- Recruiting
- Dongguan People's Hospital
-
Contact:
- Zhi-Gang Liu
-
Principal Investigator:
- Zhi-Gang Liu
-
Foshan, Guangdong, China, 528000
- Recruiting
- The First People's Hospital of Foshan
-
Contact:
- Gui-Chao Liu
- Phone Number: 8618038865028
- Email: 490690@qq.com
-
Principal Investigator:
- Gui-Chao Liu
-
Guangzhou, Guangdong, China, 510060
- Recruiting
- Sun yat-sen University Cancer Center
-
Contact:
- Jun Ma
- Phone Number: +862087343469
- Email: majun2@mail.sysu.edu.cn
-
Principal Investigator:
- Jun Ma
-
Contact:
- Kai-Bin Yang
- Phone Number: +8613725368062
- Email: yangkb@sysucc.org.cn
-
Sub-Investigator:
- Kai-Bin Yang
-
Guangzhou, Guangdong, China, 511400
- Recruiting
- The Affiliated Panyu Central Hospital of Guangzhou Medical University
-
Contact:
- Guo-Rong Zou
-
Principal Investigator:
- Guo-Rong Zou
-
Shantou, Guangdong, China
- Recruiting
- Cancer Hospital of Shantou University Medical College
-
Contact:
- Chuang-Zhen Chen
-
Principal Investigator:
- Chuang-Zhen Chen
-
Zhanjiang, Guangdong, China
- Recruiting
- Affiliated Hospital of Guangdong Medical University
-
Contact:
- Hai-Qing Luo
-
Principal Investigator:
- Hai-Qing Luo
-
Zhanjiang, Guangdong, China
- Recruiting
- Guangdong Nongken Central Hospital
-
Contact:
- Rui-Wen Huang
-
Principal Investigator:
- Rui-Wen Huang
-
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Guangxi
-
Nanning, Guangxi, China
- Recruiting
- Cancer Hospital of Guangxi Medical University
-
Contact:
- Xiao-Dong Zhu, MD
- Email: zhuxiaodong83@163.com
-
Principal Investigator:
- Xiao-Dong Zhu
-
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Guizhou
-
Guiyang, Guizhou, China
- Recruiting
- Cancer Hospital of Guizhou Medical University
-
Principal Investigator:
- Feng Jin
-
Contact:
- Feng Jin, MD
- Email: jinf8865@yeah.net
-
-
Hainan
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Haikou, Hainan, China
- Recruiting
- The Second Affiliated Hospital of Hainan Medical University
-
Contact:
- Yue-Can Zeng
-
Principal Investigator:
- Yue-Can Zeng
-
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Hubei
-
Wuhan, Hubei, China
- Recruiting
- Union Hospital Affiliated with Tongji Medical College of Huazhong University of Science and Technology
-
Contact:
- Kun-Yu Yang, MD
- Email: yangkunyu@medmail.com.cn
-
Principal Investigator:
- Kun-Yu Yang
-
Wuhan, Hubei, China
- Recruiting
- Tongji Hospital Affiliated with Tongji Medical College of Huazhong University of Science and Technology
-
Contact:
- Guang-Yuan Hu
-
Principal Investigator:
- Guang-Yuan Hu
-
Wuhan, Hubei, China
- Recruiting
- Hubei Province Cancer Hosiptal
-
Contact:
- De-Sheng Hu, M.D.
- Email: hds_005@163.com
-
Principal Investigator:
- De-Sheng Hu
-
-
Hunan
-
Changsha, Hunan, China, 410000
- Recruiting
- Hunan Cancer Hospital
-
Contact:
- Ya-Qian Han
- Email: hanyaqiancs@163.com
-
Principal Investigator:
- Ya-qian Han
-
Sub-Investigator:
- Feng Liu
-
Changsha, Hunan, China
- Recruiting
- Xiangya Hospital Central South University
-
Contact:
- Liang-Fang Shen, MD
- Email: slf1688@sina.com
-
Principal Investigator:
- Liang-Fang Shen
-
-
Jiangsu
-
Nanjing, Jiangsu, China
- Recruiting
- Jiangsu Cancer Hospital
-
Contact:
- Li Yin
-
Principal Investigator:
- Li Yin
-
Nanjing, Jiangsu, China
- Recruiting
- Jiangsu Provinee Hospital of Chinese Medicine
-
Contact:
- Jing Yan
-
Principal Investigator:
- Jing Yan
-
-
Jiangxi
-
Nanchang, Jiangxi, China
- Recruiting
- Jiangxi Cancer Center
-
Contact:
- Jin-Gao Li
-
Contact:
- Xiao-Chang Gong
-
Principal Investigator:
- Jin-Gao Li
-
Sub-Investigator:
- Xiao-Chang Gong
-
-
Shanxi
-
Xian, Shanxi, China
- Recruiting
- The First Affiliated Hospital of Xian Jiaotong University
-
Contact:
- Rui Liu
-
Principal Investigator:
- Rui Liu
-
-
Sichuan
-
Chengdu, Sichuan, China
- Recruiting
- Sichuan Cancer Hospital
-
Contact:
- Shi-Chuan Zhang
-
Principal Investigator:
- Shi-Chuan Zhang
-
Chengdu, Sichuan, China
- Recruiting
- West China Hospital,Sichuan University
-
Contact:
- lei Liu
-
Contact:
- Nian-Yong Chen
-
Principal Investigator:
- Nian-Yong Chen
-
Sub-Investigator:
- Lei Liu
-
-
Zhejiang
-
Hangzhou, Zhejiang, China
- Recruiting
- Zhejiang Cancer Hospital
-
Contact:
- Xiao-Zhong Chen
-
Principal Investigator:
- Xiao-Zhong Chen
-
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age: 18 Years to 65 Years;
- Eastern Cooperative Oncology Group performance status ≤1;
- Patients with newly diagnosed, histologically confirmed nasopharyngeal carcinoma, the pathological type is non-keratinising carcinoma;
- Tumor staged as Stage III (T3N0 Excepted; AJCC 8th);
- Patients' lymph node without adverse features (no central necrosis, no muscle/skin invasion, no lymph node fusion);
- Normal bone marrow function: white blood cell count > 4×10^9/L, hemoglobin > 90g/L, platelet count > 100×10^9/L;
- Normal liver and kidney function: total bilirubin ≤ 1.5 × upper limit of normal (ULN), alanine transaminase and aspartate transaminase ≤ 2.5 × ULN, alkaline phosphatase ≤ 2.5 × ULN, creatinine clearance rate ≥ 60 ml/min;
- Receive 3 cycles of indction chemotherapy (GP regimen + Camrelizumab);
- Plasma EBV DNA after the second cycle of concurrent chemotherapy: negative;
- Complete remission after 27 fractions of radiotherapy based on the MRI examination of the nasopharynx and neck (According to Response Evaluation Criteria in Solid Tumors 1.1);
- Patients must sign informed consent and be willing and able to comply with the requirements of visits, treatment, laboratory tests and other research requirements stipulated in the research schedule;
- Subjects with pregnancy ability must agree to use reliable contraceptive measures from screening to 1 year after treatment.
Exclusion Criteria:
- Hepatitis B virus surface antigen (HBsAg) positive and Hepatitis B virus DNA > 1000 copies/ml;
- Anti-hepatitis C virus positive;
- Anti-human immunodeficiency virus (HIV) positive or diagnosed with acquired immune deficiency syndrome (AIDS);
- Active tuberculosis: active tuberculosis in the past 1 year should be excluded regardless with treatment, history of active tuberculosis over 1 year should be excluded except that previous regulatory anti-tuberculosis treatment is proved;
- Active, known or suspected autoimmune disease (including but not limited to uveitis, enteritis, hepatitis, pituitary, nephritis, vasculitis, hyperthyroidism, hypothyroidism and asthma requiring bronchiectasis). Exceptions are type I diabetes mellitus, hypothyroidism requiring hormone replacement therapy, skin disorders requiring no systemic treatment (such as vitiligo, psoriasis or alopecia);
- Previous interstitial lung disease or pneumonia requiring oral or intravenous steroid therapy;
- Chronic treatment with systemic glucocorticoid (dose equivalent to or over 10 mg prednisone per day) or any other form of immunosuppressive therapy. Subjects who used inhaled or topical corticosteroids were eligible;
- Uncontrolled heart disease, for example: 1) heart failure (NYHA level ≥ 2), 2) unstable angina, 3) myocardial infarction in past 1 year, 4) supraventricular or ventricular arrhythmia requiring treatment or intervention;
- Active infection requiring systemic treatment;
- Previous or concurrent with other malignant tumors, except for adequately treated non-melanoma skin cancer, cervical carcinoma in situ and thyroid papillary cancer;
- History of radiotherapy, except for non-melanoma skin cancer located outside the target volume of radiotherapy for nasophayngeal carcinoma;
- Receive treatment for the local or regional disease other than that specified in the research plan;
- Pregnant or lactating women (pregnancy test should be considered for women with sexual life and fertility);
- Allergy to macromolecular protein preparations, or any component of Camrelizumab;
- Receiving live vaccine within 30 days of the initial Camrelizumab;
- Contraindications to MRI examination, for example: claustrophobia, allergy to MRI contrast;
- History of psychotropic disease, alcoholism or drug abuse, and other situation assessed by the investigators that may compromise the safety or compliance of patients, such as serious disease requiring timely treatment (including mental illness), severe laboratory abnormalities, or family-social risk factors.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Reduced-dose radiotherapy group
All participants will receive induction chemotherapy and immunotherapy (every 3 weeks × 3 cycles of gemcitabine 1000 mg/m2 day 1, 8 + cisplatin 80 mg/m2 day 1 + camrelizumab 200 mg day 1) followed by reduced-dose intensity-modulated radiation therapy (IMRT; 6360cGy, 30 fractions, 5 fractions/week, 1 fraction/day).
During the radiotherapy, all the participants will receive concurrent chemotherapy (every 3 weeks × 2 cycles of cisplatin 100 mg/m2 day 1).
After 3 weeks of the completion of concurrent chemoradiotherapy, adjuvant camrelizumab (200 mg per cycle) will be administrated every 3 weeks for 9 cycles.
|
Other Names:
Gemcitabine as induction chemotherapy, 1000 mg/m2 day 1, 8 per cycle, every 3 weeks for 3 cycles.
Other Names:
Cisplatin as induction chemotherapy, 80 mg/m2 day 1 per cycle, every 3 weeks for 3 cycles.
Other Names:
Other Names:
Cisplatin as concurrent chemotherapy, 100 mg/m2 day 1 per cycle, every 3 weeks for 2 cycles
Other Names:
|
|
Active Comparator: Conventional-dose radiotherapy group
All participants will receive induction chemotherapy and immunotherapy (every 3 weeks × 3 cycles of gemcitabine 1000 mg/m2 day 1, 8 + cisplatin 80 mg/m2 day 1 + camrelizumab 200 mg day 1) followed by conventional-dose intensity-modulated radiation therapy (IMRT; 6996cGy, 33 fractions, 5 fractions/week, 1 fraction/day).
During the radiotherapy, all the participants will receive concurrent chemotherapy (every 3 weeks × 2 cycles of cisplatin 100 mg/m2 day 1).
After 3 weeks of the completion of concurrent chemoradiotherapy, adjuvant camrelizumab (200 mg per cycle) will be administrated every 3 weeks for 9 cycles.
|
Other Names:
Gemcitabine as induction chemotherapy, 1000 mg/m2 day 1, 8 per cycle, every 3 weeks for 3 cycles.
Other Names:
Cisplatin as induction chemotherapy, 80 mg/m2 day 1 per cycle, every 3 weeks for 3 cycles.
Other Names:
Cisplatin as concurrent chemotherapy, 100 mg/m2 day 1 per cycle, every 3 weeks for 2 cycles
Other Names:
Other Names:
|
|
Other: Not-Randomized population
All participants will receive induction chemotherapy and immunotherapy (every 3 weeks × 3 cycles of gemcitabine 1000 mg/m2 day 1, 8 + cisplatin 80 mg/m2 day 1 + camrelizumab 200 mg day 1) followed by conventional-dose intensity-modulated radiation therapy (IMRT; 6996cGy, 33 fractions, 5 fractions/week, 1 fraction/day).
During the radiotherapy, all the participants will receive concurrent chemotherapy (every 3 weeks × 2 cycles of cisplatin 100 mg/m2 day 1).
After 3 weeks of the completion of concurrent chemoradiotherapy, adjuvant camrelizumab (200 mg per cycle) will be administrated every 3 weeks for 9 cycles.
Besides, all the participants should also receive metronomic adjuvant capecitabine chemotherapy (capecitabine 650 mg/m2 p.o. BID 1 year) immediately after the completion of concurrent chemoradiotherapy.
|
Other Names:
Gemcitabine as induction chemotherapy, 1000 mg/m2 day 1, 8 per cycle, every 3 weeks for 3 cycles.
Other Names:
Cisplatin as induction chemotherapy, 80 mg/m2 day 1 per cycle, every 3 weeks for 3 cycles.
Other Names:
Cisplatin as concurrent chemotherapy, 100 mg/m2 day 1 per cycle, every 3 weeks for 2 cycles
Other Names:
Other Names:
Metronomic adjuvant capecitabine chemotherapy: 650 mg/m2 p.o. bid, 1 year, adminstration starts immediately after concurrent chemoradiotherapy.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Locoregional failure-free survival (LRFFS)
Time Frame: 3-year
|
Locoregional failure-free survival is measured from day of diagnosis until local or regional recurrence.
|
3-year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall survival (OS)
Time Frame: 3 year
|
Overall survival is measured from day of diagnosis until death from any cause.
|
3 year
|
|
Failure-free survival (FFS)
Time Frame: 3 year
|
Failure-free survival is measured from day of diagnosis until local recurrence, regional recurrence, distant failure, or death from any cause, whichever occurred first.
|
3 year
|
|
Distant failure-free survival (DFFS)
Time Frame: 3 year
|
Distant failure-free survival is measured from day of diagnosis until distant failure.
|
3 year
|
|
Local failure-free survival (LFFS)
Time Frame: 3 year
|
Local failure-free survival is measured from day of diagnosis until local recurrence.
|
3 year
|
|
Regional failure-free survival (RFFS)
Time Frame: 3 year
|
Regional failure-free survival is measured from day of diagnosis until regional recurrence.
|
3 year
|
|
Incidence rate of investigator-reported radiotherapy-related complications
Time Frame: Within (acute complication) / since (late complication) 90 days after the radiotherapy onset.
|
Within (acute complication) / since (late complication) 90 days after the radiotherapy onset.
|
|
|
Incidence rate of patient-reported adverse events
Time Frame: 3 year
|
3 year
|
|
|
Quality of life (QoL): questionnaire
Time Frame: Regular evaluation after 30 fractions of radiotherapy.
|
Regular evaluation after 30 fractions of radiotherapy.
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Jun Ma, Sun Yat-sen University
Publications and helpful links
General Publications
- Hsu C, Lee SH, Ejadi S, Even C, Cohen RB, Le Tourneau C, Mehnert JM, Algazi A, van Brummelen EMJ, Saraf S, Thanigaimani P, Cheng JD, Hansen AR. Safety and Antitumor Activity of Pembrolizumab in Patients With Programmed Death-Ligand 1-Positive Nasopharyngeal Carcinoma: Results of the KEYNOTE-028 Study. J Clin Oncol. 2017 Dec 20;35(36):4050-4056. doi: 10.1200/JCO.2017.73.3675. Epub 2017 Aug 24.
- Fang W, Yang Y, Ma Y, Hong S, Lin L, He X, Xiong J, Li P, Zhao H, Huang Y, Zhang Y, Chen L, Zhou N, Zhao Y, Hou X, Yang Q, Zhang L. Camrelizumab (SHR-1210) alone or in combination with gemcitabine plus cisplatin for nasopharyngeal carcinoma: results from two single-arm, phase 1 trials. Lancet Oncol. 2018 Oct;19(10):1338-1350. doi: 10.1016/S1470-2045(18)30495-9. Epub 2018 Sep 10.
- Wang FH, Wei XL, Feng J, Li Q, Xu N, Hu XC, Liao W, Jiang Y, Lin XY, Zhang QY, Yuan XL, Huang HX, Chen Y, Dai GH, Shi JH, Shen L, Yang SJ, Shu YQ, Liu YP, Wang W, Wu H, Feng H, Yao S, Xu RH. Efficacy, Safety, and Correlative Biomarkers of Toripalimab in Previously Treated Recurrent or Metastatic Nasopharyngeal Carcinoma: A Phase II Clinical Trial (POLARIS-02). J Clin Oncol. 2021 Mar 1;39(7):704-712. doi: 10.1200/JCO.20.02712. Epub 2021 Jan 25.
- Li XY, Luo DH, Guo L, Mo HY, Sun R, Guo SS, Liu LT, Yang ZC, Yang JH, Qiu F, Sun XS, Wang P, Liu Q, Li JB, Tang QN, Lin C, Yang Q, Liu SL, Liang YJ, Jia GD, Wen DX, Guo CY, Yan JJ, Zhao C, Chen QY, Tang LQ, Mai HQ. Deintensified Chemoradiotherapy for Pretreatment Epstein-Barr Virus DNA-Selected Low-Risk Locoregionally Advanced Nasopharyngeal Carcinoma: A Phase II Randomized Noninferiority Trial. J Clin Oncol. 2022 Apr 10;40(11):1163-1173. doi: 10.1200/JCO.21.01467. Epub 2022 Jan 6.
- Tang LL, Guo R, Zhang N, Deng B, Chen L, Cheng ZB, Huang J, Hu WH, Huang SH, Luo WJ, Liang JH, Zheng YM, Zhang F, Mao YP, Li WF, Zhou GQ, Liu X, Chen YP, Xu C, Lin L, Liu Q, Du XJ, Zhang Y, Sun Y, Ma J. Effect of Radiotherapy Alone vs Radiotherapy With Concurrent Chemoradiotherapy on Survival Without Disease Relapse in Patients With Low-risk Nasopharyngeal Carcinoma: A Randomized Clinical Trial. JAMA. 2022 Aug 23;328(8):728-736. doi: 10.1001/jama.2022.13997.
- Tang LL, Huang CL, Zhang N, Jiang W, Wu YS, Huang SH, Mao YP, Liu Q, Li JB, Liang SQ, Qin GJ, Hu WH, Sun Y, Xie FY, Chen L, Zhou GQ, Ma J. Elective upper-neck versus whole-neck irradiation of the uninvolved neck in patients with nasopharyngeal carcinoma: an open-label, non-inferiority, multicentre, randomised phase 3 trial. Lancet Oncol. 2022 Apr;23(4):479-490. doi: 10.1016/S1470-2045(22)00058-4. Epub 2022 Feb 28.
- Mao YP, Wang SX, Gao TS, Zhang N, Liang XY, Xie FY, Zhang Y, Zhou GQ, Guo R, Luo WJ, Li YJ, Liang SQ, Lin L, Li WF, Liu X, Xu C, Chen YP, Lv JW, Huang SH, Liu LZ, Li JB, Tang LL, Chen L, Sun Y, Ma J. Medial retropharyngeal nodal region sparing radiotherapy versus standard radiotherapy in patients with nasopharyngeal carcinoma: open label, non-inferiority, multicentre, randomised, phase 3 trial. BMJ. 2023 Feb 6;380:e072133. doi: 10.1136/bmj-2022-072133.
- Guo SS, Yang JH, Sun XS, Liu LZ, Yang ZC, Liu LT, Liu SL, Li XY, Lv XF, Luo DH, Li JB, Liu Q, Wang P, Guo L, Mo HY, Sun R, Yang Q, Liang YJ, Jia GD, Zhao C, Chen QY, Tang LQ, Mai HQ. Reduced-dose radiotherapy for Epstein-Barr virus DNA selected staged III nasopharyngeal carcinoma: A single-arm, phase 2 trial. Eur J Cancer. 2023 Nov;194:113336. doi: 10.1016/j.ejca.2023.113336. Epub 2023 Sep 9.
- Ma BBY, Lim WT, Goh BC, Hui EP, Lo KW, Pettinger A, Foster NR, Riess JW, Agulnik M, Chang AYC, Chopra A, Kish JA, Chung CH, Adkins DR, Cullen KJ, Gitlitz BJ, Lim DW, To KF, Chan KCA, Lo YMD, King AD, Erlichman C, Yin J, Costello BA, Chan ATC. Antitumor Activity of Nivolumab in Recurrent and Metastatic Nasopharyngeal Carcinoma: An International, Multicenter Study of the Mayo Clinic Phase 2 Consortium (NCI-9742). J Clin Oncol. 2018 May 10;36(14):1412-1418. doi: 10.1200/JCO.2017.77.0388. Epub 2018 Mar 27.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Stomatognathic Diseases
- Neoplasms by Site
- Neoplasms
- Neoplasms by Histologic Type
- Head and Neck Neoplasms
- Neoplasms, Glandular and Epithelial
- Carcinoma
- Otorhinolaryngologic Diseases
- Pharyngeal Neoplasms
- Otorhinolaryngologic Neoplasms
- Nasopharyngeal Diseases
- Pharyngeal Diseases
- Nasopharyngeal Neoplasms
- Nasopharyngeal Carcinoma
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Nucleic Acids, Nucleotides, and Nucleosides
- Inorganic Chemicals
- Chlorine Compounds
- Nitrogen Compounds
- Deoxycytidine
- Cytidine
- Pyrimidine Nucleosides
- Pyrimidines
- Nucleosides
- Uracil
- Pyrimidinones
- Platinum Compounds
- Deoxyribonucleosides
- Fluorouracil
- Capecitabine
- Gemcitabine
- Cisplatin
- camrelizumab
Other Study ID Numbers
Other Study ID Numbers
- 2023-FXY-204-FLK
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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NCT03107962UnknownNatural Killer/T-Cell Lymphoma, Nasal and Nasal-Type