Actively Recruiting

Phase 2
Age: 18Years - 70Years
All Genders
NCT05290194

Radiotherapy Combined With PD-1 Monoclonal Antibody and Capecitabine in the Treatment of Nasopharyngeal Carcinoma

Led by Fifth Affiliated Hospital, Sun Yat-Sen University · Updated on 2022-04-14

28

Participants Needed

1

Research Sites

248 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a single-arm, multicenter, prospective, open-label phase II clinical trial of multi-target radiotherapy combined with PD-1 monoclonal antibody and capecitabine maintenance therapy treating oligometastatic nasopharyngeal carcinoma, the main purpose of which is to evaluate the efficacy of multi-target radiotherapy combined with PD-1 monoclonal antibody and capecitabine maintenance therapy regimen in treating oligometastatic nasopharyngeal carcinoma.

CONDITIONS

Official Title

Radiotherapy Combined With PD-1 Monoclonal Antibody and Capecitabine in the Treatment of Nasopharyngeal Carcinoma

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosed with nasopharyngeal carcinoma by histology or cytology
  • Newly diagnosed with metastatic nasopharyngeal carcinoma
  • Completed 4-6 cycles of gemcitabine plus cisplatin combined with PD-1 monoclonal antibody regimen with at least stable disease
  • Less than 5 distant organ metastases excluding primary tumor and cervical lymph node metastasis, suitable for SBRT radiotherapy
  • ECOG performance status score 0-2
  • Age between 18 and 70 years
  • Adequate major organ function including neutrophil count 2.0  10^9/L, platelet count 100  10^9/L, hemoglobin 90 g/L
  • Serum albumin 28 g/L
  • ALT and AST 2.5  upper limit of normal; if liver metastasis present, ALT and AST 5  upper limit of normal
  • Serum creatinine 1.5  upper limit of normal or creatinine clearance 60 mL/min
  • INR 1.5  upper limit of normal and APTT 1.5  upper limit of normal
  • Life expectancy of at least 12 weeks
  • Voluntarily agrees to participate, signs informed consent, and cooperates with follow-up
Not Eligible

You will not qualify if you...

  • Recurrent and metastatic nasopharyngeal carcinoma after initial treatment
  • Prior treatment of primary lesion or metastasis except standard first-line gemcitabine plus cisplatin combined with PD-1 monoclonal antibody regimen
  • Central nervous system metastasis (confirmed or suspected)
  • Allergy or intolerance to PD-1 monoclonal antibody or capecitabine
  • Uncontrolled cardiac conditions including NYHA Grade II or higher heart failure, unstable angina, recent myocardial infarction, or arrhythmias requiring intervention
  • Severe infection within 4 weeks before study drug use
  • History of other malignancies within 5 years except certain cured cancers
  • Prior investigational drug use or participation in other clinical studies except observational or follow-up studies
  • Recent systemic corticosteroids or immunosuppressive treatments except certain local or hormone therapies
  • Recent anti-tumor or live vaccines within 4 weeks before study drug
  • Recent excessive surgery or severe trauma within 4 weeks
  • Active or recent autoimmune diseases within 2 years requiring intervention
  • History of immunodeficiency, organ or bone marrow transplantation
  • Active or recent pulmonary tuberculosis infection
  • Active hepatitis B or C infection
  • Coagulation abnormalities or bleeding disorders
  • Uncontrolled hypertension or cardiac arrhythmias grade II or higher
  • Significant proteinuria
  • Current diarrhea-related diseases
  • History of drug or alcohol abuse or current antiepileptic drug use
  • Pregnancy or lactation
  • Considered unsuitable for inclusion by investigator

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Fifth Affilliated Hospital of Sun Yat-sen University

Zhuhai, Guangdong, China

Actively Recruiting

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Research Team

Z

Zhigang MD Liu, PhD

CONTACT

Z

Zhigang MD Liu, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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