GNT Induction Treatment in Locally Advanced NPC

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-75
SponsorAir Force Military Medical University, China

About this trial

The goal of this clinical trial is to compare overall response rate between gemcitabine, nimotuzumab and toripalimab as induction treatment and gemcitabine combined with cisplatine in paitents with locally advanced nasopharyngeal carcinoma. It aims to answer whether gemcitabine, nimotuzumab and toripalimab as induction treatment show non-inferiority compared to GP induction chemotherapy. Participants will be randomly divided into two induction treatment groups.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 18 to 75 years old.

Pathologically or cytologically confirmed stage III-IVB nasopharyngeal keratinizing squamous cell carcinoma or non-keratinizing squamous cell carcinoma.

Patients suitable for radical radiochemotherapy.

ECOG PS score of 0-1.

Disqualifiers

Patients who have previously undergone immunotherapy or targeted therapy.

Participated in any other interventional clinical trials within 30 days before screening.

History of other malignancies (except for cured skin basal cell carcinoma).

History of primary immunodeficiency.

Trial design

Design model

Parallel

Treatments tested in this trial

  • gemcitabine,nimotuzumab, toripalimab

    Drug

    same as before

  • gemcitabine, cisplatin

    Drug

    same as before

Treatment groups

228 Participants
are divided into 2 treatment groups
Group A: gemcitabine, nimotuzumab and toripalimab induction treatmentExperimental treatment 1 intervention
Group B: gemcitabine and cisplatinActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

overall response rate

the proportion of patients who achieve complete response and partial response after induction therapy

Time frame
three weeks after induction therapy

Secondary outcomes

1

2-year overall survival

2-year survival rate of patients enrolled in this study

Time frame
From date of randomization until the date of death from any cause, whichever came first, assessed up to 100 months
2

2-year distant metastasis-free survival

2-year distant metastasis-free survival rate of patients enrolled in this study

Time frame
From date of randomization until the date of distant metastasis or last follow-up time,, whichever came first, assessed up to 100 months
3

2-year local regional recurrence-free survival

2-year local regional recurrence-free survival rate of patients enrolled in this study

Time frame
From date of randomization until the date of local and/or lymph node recurrence or last follow-up time,, whichever came first, assessed up to 100 months

Other outcomes

1

adverse events

treatment-related adverse events during treatment and follow-up time

Time frame
through study completion, an average of 1 year

Sponsors and contacts

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