About this trial
The aim of the study was to determine the efficacy and safety of toripalimab combined with radiotherapy in the treatment of oligometastatic nasopharyngeal carcinoma
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Must have signed written informed consent and able to comply with study procedure
18-75 years old
Histologically or cytologically confirmed nasopharyngeal carcinoma
Pathology or imaging confirmed metastatic nasopharyngeal carcinoma.( Clinical stage of IVB according to the 8th edition of AJCC)
Disqualifiers
Allergy to any component of toripalimab
With any active autoimmune disease or a history of autoimmune disease that may relapse
Any active malignancy ≤ 2 years before randomization except for the specific cancer under investigation in this study and any locally relapsed cancer that has been cured after treatment (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast)
Received corticosteroid therapy at a dose ≥ 10 mg prednisone per day or any other systemic immunosuppressive therapy within 14 days prior to enrollment.
Trial design
Single group
Treatments tested in this trial
Toripalimab
DrugToripalimab: 240mg, iv. Q3W for 1 year or until disease progression/intolerable toxicity Radiotherapy: Newly diagnosed patients: IMRT for nasopharynx lesions and cervical lymph nodes, pGTVnx 70 Gy, pGTVnd 99Gy, pCTV1, 60 Gy, pCTV2, 54 Gy, 33 times, completed in 7 weeks. Relapsed patients: IMRT for nasopharynx lesions and cervical lymph nodes, pGTVnx 60Gy, pGTVnd 60Gy, 20-25 times, completed in 4-5 weeks. Newly diagnosed and relapsed patients: SBRT for oligometastatic lesions, pGTV 25-40 Gy, 3-5 times, completed in 1-2 weeks.
Treatment groups
Trial outcomes
Primary outcomes
1-year progression-free survival rate according to RECIST v1.1
To evaluate the efficacy of Toripalimab plus radiotherapy in patients with oligometastatic nasopharyngeal carcinoma, as measured by 1-year progression-free survival rate according to RECIST v1.1
Secondary outcomes
PFS according to RECIST v1.1
To evaluate the efficacy of Toripalimab plus radiotherapy in patients with oligometastatic nasopharyngeal carcinoma, as measured by progression-free survival rate according to RECIST v1.1
OS
To evaluate the efficacy of Toripalimab plus radiotherapy in patients with oligometastatic nasopharyngeal carcinoma, as measured by overall survival (OS)
2-year progression-free survival rate according to RECIST v1.1
To evaluate the PFS rate at 2 years in the treatment arm
2-year overall survival
To evaluate the OS rate at 2 years in the treatment arm
Sponsors and contacts
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Xinqiao Hospital of Chongqing
Lead sponsor
Southwest Hospital, China
Collaborator
Daping Hospital and the Research Institute of Surgery of the Third Military Medical University
Collaborator
Chongqing University Cancer Hospital
Collaborator