About this trial
Adjuvant Therapy Versus Endoscopic Surgery Alone in Early-stage Recurrent Nasopharyngeal Carcinoma: A Multicenter Randomized Controlled Trial
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pathologically diagnosed with recurrent nasopharyngeal carcinoma;
Stage rT1 or rT2(superficial parapharyngeal space, distance to internal carotid artery >5mm)or rT3 (confined to the bottom wall of the sphenoid sinus),according to AJCC 8th edition;
Cervical lymph node metastasis can be controlled locally
Age 18 to 75 years;
Disqualifiers
Participation in other interventional clinical trials;
Uncontrolled illnesses which will interfere with the ability to undergo therapy;
Suffering from another or multiple malignancy within 5 years (excluding fully treated basal cell or skin squamous cell carcinoma, cervical carcinoma in situ);
Any contradiction to immune and chemotherapy;
Trial design
Parallel
Treatments tested in this trial
Immunotherapy,Toripalimab Injection
DrugPatients in the experimental group would be implemented with adjuvant Immunotherapy and chemotherapy after endoscopic surgery. Four to six cycles chemotherapy and 10 cycles immunotherapy,or until unacceptable side effects.
Chemotherapy,Gemcitabine based regimen
DrugPatients in the experimental group would be implemented with adjuvant Immunotherapy and chemotherapy after endoscopic surgery. Four to six cycles chemotherapy and 10 cycles immunotherapy,or until unacceptable side effects.
Treatment groups
Trial outcomes
Primary outcomes
DFS
Disease free survival
Secondary outcomes
OS
Overall Survival
LRFS
Local recurrence free survival
DMFS
Distant metastasis free survival
1-and 2-year DFS rate
one- and two-year disease free survival
Sponsors and contacts
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Eye & ENT Hospital of Fudan University
Lead sponsor
Shanghai Zhongshan Hospital
Collaborator
Shanghai 6th People's Hospital
Collaborator
Changhai Hospital
Collaborator
Fujian Medical University Union Hospital
Collaborator
People's Hospital of Guangxi Zhuang Autonomous Region
Collaborator
Shenzhen Second People's Hospital
Collaborator