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Status unknownNCT05229315Updated Apr 13, 2023

PD-1 Combined With Intensity Modulated Radiation Therapy in the Treatment of Intermediate-risk Nasopharyngeal Carcinoma

A Phase 2 interventional study of Toripalimab and Intensity modulated radiotherapy in Nasopharyngeal Carcinoma, T2-3N0 or T1-2N1 and EBV-DNA≤4000 Copy/ml, sponsored by XIANG YANQUN. Status unknown at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2023-04-13.

Sponsored by XIANG YANQUN · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Apr 2023), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
45
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

To evaluate the safety and efficacy of PD-1 immune checkpoint inhibitor combined with intensity modulated radiation therapy in the treatment of intermediate-risk nasopharyngeal carcinoma (T2-3N0 or T1-2N1 stage and EBV-DNA≤4000 copy/ml).

Read the detailed description

To evaluate the safety and efficacy of PD-1 immune checkpoint inhibitor combined with intensity modulated radiation therapy in the treatment of intermediate-risk nasopharyngeal carcinoma (T2-3N0 or T1-2N1 stage and EBV-DNA≤4000 copy/ml).The primary end point is safety, the secondary end points are short-term efficacy,overall survival (OS), progression-free survival (PFS),Distant metastasis-free survival(DMFS),adverse effects ,quality of life and immune status assessment.

02

Conditions studied

  • Nasopharyngeal Carcinoma
  • T2-3N0 or T1-2N1
  • EBV-DNA≤4000 Copy/ml
03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's planned enrollment of 45 is close to the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

XIANG YANQUN is the lead sponsor of 6 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Newly diagnosed patients who have not received radiotherapy or chemotherapy
  • Pathologically diagnosed as non-keratinizing nasopharyngeal carcinoma (differentiated or undifferentiated, WHO classification type II or type III).
  • T2-3N0 or T1-2N1 stage and EBV-DNA≤4000 copy/ml (AJCC 8th version) and EBV-DNA≤4000copies/ml
  • Male or non-pregnant female
  • Age between 18 and 65
  • Eastern Cooperative Oncology Group(ECOG)score of 0-1.
  • Hemoglobin (HGB) ≥90 g/L, white blood cell (WBC) ≥4×109/L, platelet (PLT) ≥100×109/L.
  • Liver function: Alanine aminotransferase (ALT), aspartate aminotransferase (AST) \<2.0 times the upper limit of normal (ULN); total bilirubin \<2.0×ULN.
  • Renal function: creatinine clearance rate ≥60ml/min or serum creatinine \<1.5×ULN.
  • The patient has signed the informed consent

Exclusion criteria

Exclusion Criteria:

  • The pathology is keratinizing squamous cell carcinoma (WHO classification is type I).
  • Patients with recurrence and distant metastasis.
  • Patients who have undergone radiotherapy or chemotherapy.
  • Active hepatitis B (HBV-DNA≥500).
  • Patients with autoimmune diseases.
  • Patients with HIV infection.
  • At the same time suffering from other uncontrolled serious diseases.
  • Persons with abnormal functions of the heart, brain, lungs and other important organs.
  • Age> 65 years.
  • pregnancy or breast feeding.
  • Persons with personality or mental illness, without or with limited capacity for civil conduct
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
45 participants (estimated)

Study arms

  • Experimental
    PD-1 Immune Checkpoint Inhibitor Combined With Intensity Modulated Radiation Therapy

    Intensity modulated radiation therapy combined with toripalimab in the treatment of nasopharyngeal carcinoma,once every 2 weeks, 10 cycles in total

    Drug: Toripalimab · Procedure: Intensity modulated radiotherapy

Interventions

  • DrugToripalimab

    PD-1 Immune Checkpoint Inhibitor Combined With IMRT,used at 2 weeks before radiotherapy, once every 2 weeks, 10 cycles in total

    Also known as: Programmed cell death protein 1(PD-1);Immune checkpoint inhibitors(ICIs)

  • ProcedureIntensity modulated radiotherapy

    Intensity modulated radiotherapy

06

What researchers measure

Primary outcomes

  1. Adverse events

    The severity of adverse events will be determined by the investigator based on CTCAE v 5.0

    Time frame: Recent evaluation: 3 months after the end of treatment;Long-term follow-up: 1~5 years after the end of treatment

Secondary outcomes

  1. overall survival (OS)

    Patients in clinical trials were randomized to the time of death from any cause

    Time frame: 2 years

  2. progression-free survival (PFS)

    The time from the commencement of a randomized clinical trial to the progression of tumorigenesis (in any respect) or death from any cause

    Time frame: 2 years

  3. Distant metastasis-free survival(DMFS)

    Patients in clinical trials were randomized to the time of distant metastasis

    Time frame: 2 years

  4. Response rate (based on RECIST ver1.1)

    According to the remission assessment criteria of solid tumors,divided into CR, PR, SD, PD. CR(complete response) All target lesions disappeared and no new lesions appeared PR ( partial response) reduction of the sum of the largest diameters of target lesions by ≥30%) SD(stable disease)the sum of the largest diameters of target lesions does not shrink to PR, or increases to PD PD(progressive disease) The sum of the largest diameters of target lesions increases by at least 20%, or new lesions appear

    Time frame: Recent evaluation: 3 months after the end of treatment;Long-term follow-up: 1~5 years after the end of treatment

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 13, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05229315
Lead sponsor
XIANG YANQUN
Responsible party
XIANG YANQUN (professor, Sun Yat-sen University) — Sponsor-investigator
First posted
Feb 8, 2022
Start date
Mar 12, 2022
Primary completion
Dec 2023 (estimated)
Completion
Dec 2023 (estimated)
Last update
Apr 13, 2023

Study contacts

Yanqun Xiang, Dr
Contact
xiangyq@sysucc.org.cn
+86-18666096623
Weixiong Xia, Dr
Contact
xiawx@sysucc.org.cn
+86-18520415699
Yanqun Xiang, Dr
principal investigator · Sun Yat-sen University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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