About this trial
This is a randomized, phase III, prospective, multi-center trial in newly diagnosed nasopharyngeal carcinoma (NPC) patients without distant metastasis. The aim of this study is to evaluate the efficacy and safety of modified IMRT, of which CTV delineation was only based on geometric expansion from GTV.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pathologic diagnosis (pathologically confirmed by nasopharyngeal biopsy) was nasopharyngeal carcinoma;
No distant metastatic;
Patients with baseline MRI date of nasopharynx and neck, and completed the first course of treatment in our hospital;
Eastern Cooperative Oncology Group (ECOG) score of 0 or 1;
Disqualifiers
Disease progression during IMRT;
Previous malignancy or other concomitant malignant diseases;
The evaluation information of tumor efficacy can not be obtained;
Receive blind treatment in other clinical research;
Trial design
Parallel
Treatments tested in this trial
CTV Delineation Based on Geometric Expansion From GTV in Nasopharyngeal Carcinoma
RadiationCTVp2 is generated by expanding GTVp by 10 mm and including the nasopharyngeal mucosa.
Treatment groups
Trial outcomes
Primary outcomes
Local failure-free survival (LFFS)
The duration of time to LFFS was calculated from the date of histological diagnosis until documented treatment local failure or death from any cause.
Secondary outcomes
overall survival
time from the date of the start of chemotherapy to death due to any cause
Regional failure-free survival
The regional relapse-free survival rate will be estimated using Kaplan-Meier method for each arm from the date of randomization to the date of nodal relapse or death from any cause, whichever occurred first. Their differences will be compared between treatment arms using the log-rank test.
Distant metastasis-free survival
The distant metastasis-free survival rate will be estimated using Kaplan-Meier
Patient's quality-of-life
uropean Organization for Research and Treatment of Cancer Quality-of-Life Head
Sponsors and contacts
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