Intensity-modulated Radiotherapy With or Without Concurrent Chemotherapy for Stage II Nasopharyngeal Carcinoma
NCT02610010 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 462
Last updated 2015-11-20
Summary
A prior phase III randomized trial showed considerable survival benefit from the combined treatment of cisplatin-based concurrent chemotherapy and two-dimensional conventional radiotherapy (2DCRT) for patients with stage II (the Chinese 1992 staging system) nasopharyngeal carcinoma. However, since intensity-modulated radiotherapy (IMRT) was known to be superior to 2DCRT in local control, progression free survival and even overall survival, it is a pivotal question whether stage II \[T1N1M0 and T2N0-1M0, based on the 2010 International Union against Cancer/American Joint Committee on Cancer (UICC/AJCC) staging system\] patients can still obtain significant benefit from the additional concurrent chemotherapy in the IMRT era.
The investigators' retrospective study (PMID:26528755 ) indicated that low risk nasopharyngeal carcinoma (T1N1M0, T2N0-1M0 or T3N0M0, the 2010 UICC/AJCC staging system) patients who underwent IMRT could not benefit from cisplatin-based concurrent chemotherapy. Therefore, the investigators perform this randomized controlled trial to address this question, on a prudent assumption that IMRT alone was not inferior to IMRT plus concurrent chemotherapy in stage II patients.
Conditions
- Nasopharyngeal Carcinoma
Interventions
- DRUG
-
Cisplatin 100 mg/m² every 3 weeks for 3 cycles during radiotherapy.
- RADIATION
-
Intensity-modulated radiotherapy
Intensity-modulated radiotherapy
Sponsors & Collaborators
-
Affiliated Cancer Hospital & Institute of Guangzhou Medical University
collaborator OTHER -
The First Affiliated Hospital of Guangzhou Medical University
collaborator OTHER -
The First Affiliated Hospital of Guangdong Pharmaceutical University
collaborator OTHER -
Sun Yat-sen University
lead OTHER
Principal Investigators
-
Fang-Yun Xie, M.D. · Sun Yat-sen University Cancer Center,Guangzhou, Guangdong, China
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-11-30
- Primary Completion
- 2022-11-30
- Completion
- 2025-11-30
Countries
- China
Study Locations
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