Concurrent and Adjuvant PD1 Treatment Combined With Chemo-radiotherapy for High-risk Nasopharyngeal Carcinoma

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-70
SponsorSun Yat-sen University

About this trial

Through multicenter, open-label, randomised clinical trials, we intend to demonstrate that concurrent and adjuvant PD-1 treatment added to chemo-radiotherapy could further decrease the rate of disease progression and improve the survival outcome of high risk patients with nasopharyngeal carcinoma compared with those treated with chemo-radiotherapy alone.

Eligibility criteria

Qualifiers

Histologically confirmed non-keratinizing nasopharyngeal carcinoma (differentiated or undifferentiated type, i.e., WHO type II or type III).

Staged as T4N0-2M0,T1-4N3M0 (stage IVa) at diagnosis (according to the 8th AJCC edition).

Staged as T1-3N1-2M0, T2-3N0M0 (stage II-III) with SD/PD according to RECIST criteria or EBV DNA of >0 copies/mL after 3 cycles of GP induction chemotherapy.

Aged between 18-70 years.

Disqualifiers

Histologically confirmed keratinized squamous cell carcinoma (WHO type I) or basal squamous cell carcinoma.

Recurrent or metastatic nasopharyngeal carcinoma.

Staged as II-III which is evaluated as PR or CR and EBV DNA of 0 copies/mL after 3 cycles of GP induction chemotherapy.

Has known allergy to large molecule protein products or any compound of study therapy.

Trial design

Treatments tested in this trial

  • Camrelizumab plus chemo-radiotherapy
  • Chemo-radiotherapy alone

Treatment groups

388 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Sun Yat-sen University

Lead sponsor

Affiliated Cancer Hospital & Institute of Guangzhou Medical University

Collaborator

Zhongshan People's Hospital, Guangdong, China

Collaborator

Yuebei People's Hospital

Collaborator

Wuzhou Red Cross Hospital

Collaborator

Fifth Affiliated Hospital, Sun Yat-Sen University

Collaborator