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Not yet recruitingNCT05816694Updated Apr 18, 2023

The Efficacy and Safety of Nanoparticle Albumin-bound (NAB)-Paclitaxel Plus Cisolation Versus CEP (Cisplatin, Epirubicin,Cyclophosphamide) in Induction Therapy for Thymoma: a Study for a Single-center Prospective Phase II Randomized Controlled Train.

A Phase 2 interventional study of NAB-Paclitaxel plus Cisplatin and Cisplatin plus Epirubicin plus Cyclophosphamide in Histological or Cytological Confirmed Stage Ⅲ and Ⅳa Thymoma, sponsored by Peng Liu. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-04-18.

Sponsored by Peng Liu · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Oct 2024, 2 years ago, but the record still lists the study as not yet recruiting.
Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study for a single-center prospective phase II randomized controlled train to assess the efficacy and safety of Induction therapy on thymoma .Methods patients with thymoma (stage Ⅲ and stage Ⅳa) were treated with 2 cycles of (NAB)-paclitaxel plus Cisolation (Paclitaxel For Injection(Aalbumin Bound)125 mg/m2 Day 1 、Day8 ,Cisplatin 75 mg/m2 Day 1of each 3-week cycle)or CEP(cisplatin 50 mg/m2 Day 1, epirubicin 75 mg/m2 Day 1,cyclophosphamide 500 mg/m2 Day 1 of each 3-week cycle). Following chemotherapy to evaluate the patient for operation. Patients without undergo surgery will be continued to receive 2 cycles of Primary chemotherap.

02

Conditions studied

  • Histological or Cytological Confirmed Stage Ⅲ and Ⅳa Thymoma

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Keywords

  • nanoparticle albumin-bound (NAB)-paclitaxel plus Cisolation
  • CEP (cisplatin, epirubicin,cyclophosphamide)
  • thymoma
03

In context

Thymoma

133 studies on the registry are indexed under Thymoma; 37 are open to participants now.

This study's planned enrollment of 50 is above the median of 44 across 108 interventional studies indexed under Thymoma.

Browse Thymoma studies →

Lead sponsor

Peng Liu is the lead sponsor of 7 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 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18-75 years;
  • Histological or cytological confirmed stage Ⅲ and Ⅳa thymoma;
  • PET/CT or CT/MRI with at least one objectively measurable or evaluable lesion;
  • >12months;
  • PS 0-1;

    --Patients with thymoma ;

  • No found the other malignant tumors (expect has been controlled Carcinoma in situ of the cervix and Basal Cell Carcinoma);
  • was signed before the study began;
  • Normal Bone marrow hematopoiesis and renal function,Blood routine: ≥1,500/uL,>8.0g/dL,>80×10*9/L,≤ 1.5 times the , ≤1.5 times the upper limit of normal,calculated ≤110µmol/L,blood urea nitrogen≤7.1mmol/L;
  • Cardiac function: ≥55%;
  • Patients who have not active bleeding or coagulopathy before enrollment;

Exclusion criteria

Exclusion Criteria:

  • -Patients who have been found thymoma ;
  • Patients with uncontrolled lung disease, Serious infection,active peptic ulcers, coagulation diaorders, Uncontrolled severe diabetes, connective tissue diseases or Bone marrow suppression and Induction therapy for intolerance;
  • Peripheral neuropathy ≥ Grade 2 ( version 5.0 );
  • Significant organ dysfunction: such as respiratory failure, classification Class III or IV, chronic congestive heart failure, decompensation Hepatic or renal insufficiency, high blood pressure(SBP> 180 mmHg or DBP> 100mmHg);
  • Pregnant and lactating women;
  • patients without undergo preoperative puncture or induction therapy;
  • Patients with active uncontrollable neurological, mental disease or mental disorder, poor compliance, unable to cooperate and describe the treatment response;
  • Patients who have received any other drug treatment or participated in any other clinical trials within 30 days prior to enrollment in this study;
  • Known infection or active infection with , . Patients who are infected with HBV but not active hepatitis at the same time are not excluded;
  • Patients with uncontrollable Stable myasthenia gravis or uncontrollable Serious disease such as fulminant DIC;
  • Patients who are known to be allergic or intolerant to chemotherapy drugs;
  • severe-trauma;
  • Patients who have received any other investigational drug treatment or participated in any other clinical trials within 30 days prior to enrollment in this study;
Terms in these criteria, in plain language(20)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
50 participants (estimated)

Study arms

  • Active comparator
    CEP

    Cisplatin was administered as 50 mg/m2 IV infusion on Day 1; Epirubicin was administered as 75 mg/m2 IV infusion on Day 1; Cyclophosphamide was administered as 500 mg/m2IV infusion on Day 1 of each 3-week cycle.Patients will receive maximum of 4 cycles if they do not meet the criteria for removal from the study.

    Drug: Cisplatin plus Epirubicin plus Cyclophosphamide

  • Experimental
    NAB-Paclitaxel

    NAB-Paclitaxel will be administered as 125 mg/m2 IV infusion on Day 1 、Day8 of each 3-week cycle. Cisplatin will be administered as 75 mg/m2 IV infusion on Day 1 of each 3-week cycle. Patients will receive maximum of 4 cycles if they do not meet the criteria for removal from the study.

    Drug: NAB-Paclitaxel plus Cisplatin

Interventions

  • DrugNAB-Paclitaxel plus Cisplatin

    Drug pages: Albumin-Bound Paclitaxel · Cisplatin

    NAB-Paclitaxel will be administered as 125 mg/m2 IV infusion on Day 1 、Day8 of each 3-week cycle. Cisplatin will be administered as 75 mg/m2 IV infusion on Day 1 of each 3-week cycle. Patients will receive maximum of 4 cycles if they do not meet the criteria for removal from the study.

  • DrugCisplatin plus Epirubicin plus Cyclophosphamide

    Drug pages: Cisplatin · Epirubicin · Cyclophosphamide

    Cisplatin was administered as 50 mg/m2 IV infusion on Day 1; Epirubicin was administered as 75 mg/m2 IV infusion on Day 1; Cyclophosphamide was administered as 500 mg/m2IV infusion on Day 1 of each 3-week cycle.Patients will receive maximum of 4 cycles if they do not meet the criteria for removal from the study.

06

What researchers measure

Primary outcomes

  1. overall response rate (ORR)

    the proportion of patients with complete response and partial response , using RECIST v 1.1

    Time frame: assessed up to 1 year

Secondary outcomes

  1. 3-year disease free survival (3yr-DFS)

    the percentage of Primary thymoma patients without recurrence/metastasis within 3 years in all enrolled patients

    Time frame: assessed up to 3 year

  2. overall survival rate (OS)

    from date of enrolment to date of death of any reason

    Time frame: assessed up to 3 year

  3. Incidence of adverse events

    Time frame: assessed up to 1 year

  4. Surgical conversion success rate

    Following chemotherapy to evaluate proportion of patients underwent timely operation

    Time frame: assessed up to 1 year

  5. Pathologic Complete Response(pCR)

    the proportion of patients with complete response , using RECIST v 1.1

    Time frame: assessed up to 1 year

  6. Main pathological Response

    the proportion of patients with complete response and partial response , using RECIST v 1.1

    Time frame: assessed up to 1 year

07

Study locations

1 site
  • Yian Zhang
    Shanghai, Shanghai 200032, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05816694
Lead sponsor
Peng Liu
Responsible party
Peng Liu (Director, Shanghai Zhongshan Hospital) — Sponsor-investigator
First posted
Apr 18, 2023
Start date
Apr 30, 2023 (estimated)
Primary completion
Oct 30, 2024 (estimated)
Completion
Apr 30, 2026 (estimated)
Last update
Apr 18, 2023

Study contacts

Bei Xu, Ph.D
Contact
xu.bei2@zs-hospital.sh.cn
13817687547
Yue Fan, Ph.D
Contact
fan.yue@zs-hospital.sh.cn
13901874150

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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Discussion

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Studies of the drugs tested here: Albumin-Bound Paclitaxel · Cisplatin

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