Induction Chemotherapy and Tazemetostat for Locally Advanced SMARCB1-deficient Sinonasal Carcinoma
NCT05151588 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2023-02-28
Summary
SMARCB1-deficient sinonasal carcinoma is very locally advanced malignancy at diagnosis which often precluded upfront radical resection. The investigators are now proposing a phase II single-arm study on tazemetostat in combination with docetaxel, cisplatin and 5-FU (known as TPF regimen) as preoperative therapy for locally advanced non-metastatic SMARCB1 (INI-1)-deficient sinonasal carcinoma, followed by radical resection and/or post-operative radiation therapy (with or without concurrent chemotherapy), and tazemetostat for another 6 months. It is hypothesized that addition of tazemetostat will improve objective response rate, resectability rate, orbit preservation rate after surgery, and hopefully survival outcomes with manageable safety profiles.
Conditions
- Sinonasal Carcinoma
Interventions
- DRUG
-
Docetaxel 75mg/m2 intravenous infusion on day 1 every 3 weeks for 3 cycles as induction therapy
- DRUG
-
Cis Platinum
Cisplatin 75mg/m2 intravenous infusion on day 1 every 3 weeks for 3 cycles as induction therapy
- DRUG
-
5-FU 750mg/m2 intravenous infusion from day 1 to day 5 every 3 weeks for 3 cycles as induction therapy
- DRUG
-
Tazemetostat
Tazemetostat 800mg twice per day orally in continuously for 3 cycles as induction therapy and maintenance therapy
- PROCEDURE
-
Surgery
Radical surgery
- OTHER
-
Chemoradiation
Chemoradiation as either radical treatment or post-operative treatment after surgery
Sponsors & Collaborators
-
Dr. Victor H.F. Lee
lead OTHER
Principal Investigators
-
Victor Ho Fun Lee, MD · Department of Clinical Oncology, The University of Hong Kong
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-09-01
- Primary Completion
- 2026-08-31
- Completion
- 2027-08-31
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