About this trial
This trial aims to study the role of Adebrelimab combined with induction chemotherapy plus concurrent chemoradiotherapy (IC+CCRT) for high-risk locoregionally advanced nasopharyngeal carcinoma(LANPC).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with histologically confirmed nasopharyngeal carcinoma.
Tumor staged as IVA+T3N2M0 (AJCC 8th).
Eastern Cooperative Oncology Group performance status ≤1.
Adequate marrow function: neutrocyte count≥1.5×10e9/L, hemoglobin ≥90g/L and platelet count ≥100×10e9/L.
Disqualifiers
Age > 65 or < 18.
Hepatitis B surface antigen (HBsAg) positive and hepatitis B virus DNA >1×10e3 copies/ml or 200IU/ml
Hepatitis C virus (HCV) antibody positive
Has active autoimmune disease, except type I diabetes, hypothyroidism treated with replacement therapy, and skin disease that doesn't require systemic treatment (e.g., vitiligo, psoriasis, or alopecia).
Trial design
Single group
Treatments tested in this trial
Adebrelimab
DrugDrug: Adebrelimab Adebrelimab 1200mg will be given every 3 weeks for 3 cycles in induction chemotherapy and for 9 cycles in adjuvant chemotherapy, started on day 1 of induction chemotherapy and adjuvant chemotherapy, respectively. Other Names: PD-L1 antibody Drug: Gemcitabine Gemcitabine 1g/m2, d1 \& 8 of every cycle, every 3 weeks for 3 cycles before radiation. Other Names: GEM Drug: Cisplatin Induction cisplatin 80mg/m2, every 3 weeks for 3 cycles before radiation; Concurrent cisplatin 100mg/m2, every 3 weeks for 2 cycles during radiation Other Names: DDP Radiation: Intensity-modulated radiotherapy Definitive intensity-modulated radiotherapy (IMRT) of 6996cGy will be given in 33 fractions. Other Names: IMRT
Treatment groups
Trial outcomes
Primary outcomes
Failure-free survival (FFS)
calculated from enrolment to the date of locoregional recurrence, distant metastasis, or death from any cause, whichever occurred first.
Secondary outcomes
Overall survival (OS)
calculated from enrolment to the date of death from any cause.
Distant metastasis-free survival (DMFS)
calculated from enrolment to the date of first distant metastasis.
Locoregional recurrence-free survival (LRRFS)
calculated from enrolment to the date of locoregional persistence or 1st locoregional recurrence.
Adverse events (AEs) and serious adverse events (SAEs)
Graded according to CTCAE V5.0.
Sponsors and contacts
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Sun Yat-sen University
Lead sponsor
Nanfang Hospital, Southern Medical University
Collaborator
West China Hospital
Collaborator
The First Affiliated Hospital of Xiamen University
Collaborator