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CompletedNCT02143388Updated Aug 31, 2022

Concurrent Cisplatin Chemoradiation With or Without Capecitabine as Adjuvant Chemotherapy in Local Advanced High Risk Nasopharyngeal Carcinoma: Randomized Control Clinical Trial

A Phase 3 interventional study of IMRT combine with cisplatin concurrent chemotherapy and IMRT combine with cisplatin concurrent chemotherapy plus capecitabine adjuvant chemotherapy in Local Advanced High Risk Nasopharyngeal Carcinoma, sponsored by Zhao Chong. Completed at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2022-08-31.

Sponsored by Zhao Chong · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
180
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This is an randomized controlled, multicenter clinical trial. The purpose of this study is to evaluate acute toxicity and efficacy of concurrent cisplatin chemoradiation with or without capecitabine as adjuvant chemotherapy in local advanced high risk nasopharyngeal carcinoma.

02

Conditions studied

  • Local Advanced High Risk Nasopharyngeal Carcinoma

Keywords

  • Local advanced
  • high risk
  • nasopharyngeal carcinoma
03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,163 are open to participants now.

This study's enrollment of 180 is above the median of 45 across 5,174 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Zhao Chong is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Newly histologic diagnosis of nasopharyngeal carcinoma(WHO II/III)
  • Clinical stage III\~IVb(UICC 7th)
  • Meet at least one factor below :1 primary tumor SUVmax>10 in 18F-FDG PET/CT;2 primary tumor volume>30cm3;3 mutiple metastatic cervical lymph node with at least one's short diameter>4cm; 4 T4N2M0; 5 T1-4N3M0;6 EBV-DNA>2×10E4 copy/l
  • Range from 18~70 years old
  • WBC count ≥ 4×109/L,Hemoglobin ≥ 100g/L, platelet count ≥ 100×109/L
  • ALT or AST \< 2.5×ULN、bilirubin \< 1.5×ULN
  • OSerum creatinine \< 1.5×ULN

Exclusion criteria

Exclusion Criteria:

  • Central nervous system metastases
  • Suitable for local treatment
  • Uncontrolled seizure disorder or other serious neurologic disease
  • Clinically significant cardiac or respiratory disease
  • Drug or alcohol addition
  • Do not have full capacity for civil acts
  • Severe complication, active infection
  • Concurrent immunotherapy or hormone therapy for other diseases
  • Pregnancy or lactation
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
180 participants (actual)

Study arms

  • Experimental
    Concurrent chemoradiation + adjuvant chemotherapy

    IMRT combine with cisplatin concurrent chemotherapy plus capecitabine adjuvant chemotherapy

    Drug: IMRT combine with cisplatin concurrent chemotherapy plus capecitabine adjuvant chemotherapy

  • Active comparator
    Concurrent chemoradiation

    IMRT combine with cisplatin concurrent chemotherapy

    Drug: IMRT combine with cisplatin concurrent chemotherapy

Interventions

  • DrugIMRT combine with cisplatin concurrent chemotherapy

    Patients in the control arm received radical radiotherapy with IMRT, and cisplatin (100mg/m2 on day 1) every three weeks for three cycles during RT.

  • DrugIMRT combine with cisplatin concurrent chemotherapy plus capecitabine adjuvant chemotherapy

    Patients in the experimental arm received radical radiotherapy with IMRT, and cisplatin (100mg/m2 on day 1) every three weeks for three cycles during RT,followed by adjuvant chemotherapy with oral capecitabine(1000mg/m2/ twice a day for 14 days)every three weeks for eight cycles.

06

What researchers measure

Primary outcomes

  1. Failure free survival

    Defined as the time from date of recruitment to documented relapse or death from any cause.

    Time frame: 3-year

Secondary outcomes

  1. Acute Toxicity

    To evaluate the acute toxicity with CTC 3.0 when concurrent cisplatin chemoradiation with or without capecitabine as adjuvant chemotherapy is used.

    Time frame: 18 months

Other outcomes

  1. Locoregional relapse free survival

    Defined as the time from date of recruitment to documented locoregional relapse or death from any cause.

    Time frame: 3-year

  2. Distance metastasis free survival

    Defined as the time from date of recruitment to documented distant metastatic recurrence or death from any cause.

    Time frame: 3-year

  3. Overall survival rate

    Defined as the time from date of recruitment to death from any cause.

    Time frame: 3-year

  4. Late Toxicity

    To evaluate the late toxicity with the RTOG/EORTC criterion when concurrent cisplatin chemoradiation with or without capecitabine as adjuvant chemotherapy is used.

    Time frame: 3 years

07

Study locations

1 site
  • Cancer Center, Sun Yat-sen University
    Guangzhou, Guangdong, China
08

References and documents

Publications

  • Miao J, Wang L, Tan SH, Li JG, Yi J, Ong EHW, Tan LLY, Zhang Y, Gong X, Chen Q, Xiang YQ, Chen MY, Guo Y, Lv X, Xia WX, Tang L, Deng X, Guo X, Han F, Mai HQ, Chua MLK, Zhao C. Adjuvant Capecitabine Following Concurrent Chemoradiotherapy in Locoregionally Advanced Nasopharyngeal Carcinoma: A Randomized Clinical Trial. JAMA Oncol. 2022 Oct 13;8(12):1776-85. doi: 10.1001/jamaoncol.2022.4656. Online ahead of print. PubMed 36227615 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 31, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02143388
Lead sponsor
Zhao Chong
Collaborators
Jiangxi Provincial Cancer Hospital, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, National Cancer Centre, Singapore
Responsible party
Zhao Chong (MD, Sun Yat-sen University) — Sponsor-investigator
First posted
May 21, 2014
Start date
Mar 31, 2014
Primary completion
Jul 27, 2018
Completion
Aug 5, 2022
Last update
Aug 31, 2022

Study contacts

zhao chong, M.D
principal investigator · Sun Yat-sen University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2022. You cannot join it, but the record below documents what was studied.

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