Xerostomia-optimised IMRT Versus Standard IMRT in NPC

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorZhongshan People's Hospital, Guangdong, China

About this trial

This is a multi-center, non-inferiority, open-label, randomized controlled phase III clinical trial in primary diagnosed nasopharyngeal carcinoma (NPC) patients without distant metastasis. This study aims to compare the regional control, survival outcomes, radiation-related toxicities, and quality of life (QoL) of xerostomia-optimized intensity-modulated radiotherapy versus standard intensity-modulated radiotherapy in NPC patients

Eligibility criteria

Qualifiers

Newly histologic diagnosis of nasopharyngeal non-keratinizing carcinoma (WHO II/III);

All genders, range from 18-70 years old;

ECOG score 0-1;

Clinical stage I-IVa (AJCC/UICC 8th);

Disqualifiers

Level II involvement with extracapsular extension (ECE), and/or had a maximum nodal axial diameter (MAD) of greater than 3cm in level II ;

Radiologically suspicious or confirmed involvement in level II area between skull base and the lateral process of C1;

Parotid lymph node and/or parotid gland involvement;

History of parotid disease or surgery;

Trial design

Treatments tested in this trial

  • Optimised neck CTV
  • standard neck CTV

Treatment groups

524 Participants
are divided into 2 treatment groups