Neoadjuvant vs Adjuvant in Locally Advanced Recurrent NPC

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-75
SponsorEye & ENT Hospital of Fudan University

About this trial

A multicenter randomized controlled study of surgery combined with neoadjuvant and adjuvant therapy for locally advanced recurrent nasopharyngeal carcinoma in comparison to surgery combined with adjuvant therapy

Eligibility criteria

Qualifiers

Pathologically diagnosed with recurrent nasopharyngeal carcinoma;

Resectable disease staging rT2 (deep parapharyngeal space, or distance to the internal carotid ≤5mm) or rT3 (excluding the lesions confined to the basal wall of sphenoid sinus), rT4, according to AJCC 8th edition;

Cervical lymph node metastasis can be controlled locally;

Aged 18 to 75 years;

Disqualifiers

Participate in other interventional clinical trials;

Uncontrolled illnesses that interfere with the therapy;

Suffering from another or multiple malignancy within 5 years (excluding fully treated basal cell or skin squamous cell carcinoma, cervical carcinoma in situ, etc.);

Any contradiction to surgery;

Trial design

Treatments tested in this trial

  • endoscopic surgery
  • Neoadjuvant therapy,Toripalimab Injection and Gemcitabine based therapy
  • Adjuvant therapy in experimental group,Toripalimab Injection and Gemcitabine based therapy
  • Adjuvant therapy in control group,Toripalimab Injection and Gemcitabine based therapy

Treatment groups

154 Participants
are divided into 2 treatment groups

Sponsors and collaborators

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