ClinicalTrials.gg
Not yet recruitingNCT07756190RADIANCEUpdated Aug 10, 2026

Radscopal Radiotherapy Plus Immunotherapy for Chemotherapy-Ineligible Patients With Newly Diagnosed Metastatic Nasopharyngeal Cancer: A Single-Center, Open-Label, Phase II Study

A Phase 2 interventional study of Sintilimab and ipilimumab in Nasopharyngeal Carcinoma (NPC) and Metastatic Nasopharyngeal Carcinoma, sponsored by Sun Yat-sen University. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-08-10.

Sponsored by Sun Yat-sen University · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
28
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 186 studies in Nasopharyngeal Carcinoma by Sun Yat-sen University — 80 open to participants now, 107 under way, 43 of them phase 3. Nasopharyngeal Carcinoma · Sun Yat-sen University.

Planned enrollment
148th of 161
28 · median 162
Started
2026
with 13 others
Phase 2
72 of 186
30 open now
Primary completion
2029-12
later than 101 of 106 live
Registered
184th of 186
by date

Among the 186 studies in Nasopharyngeal Carcinoma by Sun Yat-sen University, this one is the 148th largest by planned enrollment of the 161 interventional ones that give a count, is one of 14 that started in 2026, is one of 72 in phase 2, reaches primary completion later than 101 of the 106 other live ones, and was the 184th registered.

Nasopharyngeal Carcinoma

683 studies on the registry are indexed under Nasopharyngeal Carcinoma; 270 are open to participants now.

Browse Nasopharyngeal Carcinoma studies →

Open to participants now

80 of the 186 studies in Nasopharyngeal Carcinoma by Sun Yat-sen University are open now, in 2 countries. Recruiting first, the newest first:

75 more — sign in →

By country, each count listing its studies:

All 80 open studies →

Where they have run

Who these studies take

Of the 186 Nasopharyngeal Carcinoma studies recruiting now, 42 (23%) set no upper age limit and 135 (73%) stop at 75 or younger; 9 take children under 18; 8 take healthy volunteers.

This study: 18 Years to 80 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 186 studies in Nasopharyngeal Carcinoma by Sun Yat-sen University, or all of them as a file.
02

Study summary

The RADIANCE trial plans to enroll patients with chemotherapy-ineligible de novo metastatic nasopharyngeal carcinoma (AJCC 9th edition, TxNxM1). Participants will receive Radscopal radiotherapy, consisting of low-dose radiotherapy to the primary lesions and stereotactic body radiotherapy to distant metastatic lesions, in combination with sintilimab and ipilimumab. The study will evaluate the objective response rate of the primary lesions, systemic disease control as measured by progression-free survival and overall survival, and the safety and tolerability of this treatment regimen.

The main questions this study aims to answer are:

Does this treatment improve efficacy with acceptable safety in chemotherapy-ineligible patients? Does Radscopal radiotherapy enhance systemic antitumor immunity, and what is the Radscopal Response Rate? What clinical and immunological factors are associated with the Radscopal effect, and what mechanisms may underlie this effect?

03

Conditions studied

  • Nasopharyngeal Carcinoma (NPC)
  • Metastatic Nasopharyngeal Carcinoma

Keywords

  • Metastatic Nasopharyngeal Carcinoma
  • Immunotherapy
  • Radiotherapy
  • Combined Modality Therapy
  • Tumor Immunity
04

Who can participate

Ages eligible
18 Years to 80 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

  • 1. Age 18-80 years.
  • 2. or cytologically confirmed de novo nasopharyngeal carcinoma (TxNxM1 according to AJCC 9th edition), with ≤10 measurable metastatic lesions.
  • 3. At least one measurable nasopharyngeal lesion suitable for low-dose radiotherapy and at least one distant metastatic lesion suitable for stereotactic body radiotherapy.
  • 4. performance status 0-2.
  • 5. combined positive score (CPS) ≥1.
  • 6. Chemotherapy-ineligible, including patients medically unsuitable for platinum-based chemotherapy or patients who refuse standard platinum-based chemotherapy after being fully informed.
  • 7. ≥6 months.
  • 8. Adequate organ function, including ≥1.0 × 10\^9/L, ≥75 × 10\^9/L, ≥80 g/L, /AST ≤3 × , ≤2 × ULN, ≥30 mL/min, and ≥45% or normal echocardiography.
  • 9. No major surgery within 1 month before enrollment.
  • 10. No or immunomodulatory therapy within 1 month before immune checkpoint inhibitor treatment.
  • 11. Written and ability to comply with study procedures and follow-up.

Exclusion criteria

Exclusion Criteria:

  • 1. Age \<18 years.
  • 2. >10 lesions, meningeal metastasis, spinal cord compression, or lesions unsuitable for safe stereotactic body radiotherapy.
  • 3. Other within 5 years, except cured basal cell carcinoma, squamous cell carcinoma of the skin, papillary thyroid carcinoma, or cervical carcinoma in situ.
  • 4. Prior systemic therapy or prior nasopharyngeal radiotherapy.
  • 5. Active infection, defined as HBsAg positivity with HBV DNA >200 IU/mL or >1000 copies/mL.
  • 6. Positive virus antibody.
  • 7. Active, known, or suspected disease, except type 1 diabetes, hypothyroidism requiring only hormone replacement, or skin disorders not requiring systemic treatment.
  • 8. Systemic equivalent to >10 mg prednisone daily or other therapy within 28 days before , except low-dose, inhaled, or topical corticosteroids.
  • 9. Active tuberculosis, active tuberculosis within the previous year, or prior active tuberculosis without documented adequate anti-tuberculosis treatment.
  • 10. History of interstitial lung disease.
  • 11. Uncontrolled diabetes mellitus (fasting blood glucose >13.9 mmol/L).
  • 12. within 30 days before informed consent or planned live vaccination.
  • 13. Known allergy to macromolecular protein preparations or to any component of sintilimab or ipilimumab.
  • 14. infection.
  • 15. Any condition that may affect participant safety or compliance, including uncontrolled cardiovascular disease, active infection requiring systemic treatment, psychiatric illness, severe cognitive impairment, suicidal tendency, or relevant psychological, family, or social factors.
Terms in these criteria, in plain language(22)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

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

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.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

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.

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.

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.

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).

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

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.

05

Study design

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

Study arms

  • Experimental
    Radscopal Radiotherapy Plus Sintilimab and Ipilimumab

    Participants will receive LDRT to the primary lesions, SBRT to selected metastatic lesions, and intravenous sintilimab and ipilimumab.

    Drug: Sintilimab · Drug: ipilimumab · Radiation: Radscopal Radiotherapy

Interventions

  • Sintilimab 200 mg will be administered by intravenous infusion once every 2 weeks, starting within 7 days after completion of stereotactic body radiotherapy, until unacceptable toxicity, disease progression, or for up to 6 months.

    Also known as: PD-1 antibody, IBI308

  • Ipilimumab 1 mg/kg will be administered by intravenous infusion once every 6 weeks for 2 cycles, beginning on the same day as the first sintilimab infusion.

    Also known as: CTLA-4 antibody, IBI310

  • RadiationRadscopal Radiotherapy

    Participants will receive low-dose radiotherapy to the primary tumors at 8 Gy in 8 fractions. Stereotactic body radiotherapy will also be delivered to distant metastatic lesions at 24 Gy in 3 fractions.

    Also known as: LDRT combined with SBRT

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR) of Primary Lesions

    The proportion of participants with confirmed complete response or partial response in measurable primary lesions (nasopharyngeal and neck), assessed according to RECIST version 1.1.

    Time frame: 6 months

Secondary outcomes

  1. Objective Response Rate by Lesion Irradiation Type

    The proportion of lesions achieving complete response or partial response among stereotactic body radiotherapy-treated, low-dose radiotherapy-treated, and non-irradiated lesions according to RECIST version 1.1.

    Time frame: 6 months

  2. Disease Control Rate (DCR)

    The proportion of patients achieving complete response, partial response, or stable disease according to RECIST version 1.1.

    Time frame: 6 months

  3. Duration of Response (DoR)

    The time from first documented complete response or partial response to disease progression or death from any cause.

    Time frame: 1 year

  4. One-Year Progression-Free Survival (PFS)

    Calculated from enrollment to the date of disease progression or death from any cause, whichever occurred first.

    Time frame: 1 year

  5. One-Year Overall Survival (OS)

    Calculated from enrollment to the date of death from any cause.

    Time frame: 1 year

  6. Adverse Events (AEs) and serious adverse events (SAEs)

    Graded according to CTCAE version 5.0.

    Time frame: 1 year

  7. Quality of Life (QoL): EORTC QLQ-C30

    Change in QoL from baseline will be assessed using the EORTC QLQ-C30 questionnaire. The questionnaire includes functional scales, symptom scales, a global health status scale, and single-item symptom scales. Scores will be calculated according to the EORTC scoring manual.

    Time frame: 1 year

  8. Quality of Life (QoL): EORTC QLQ-HN35

    Change in head and neck cancer-specific QoL from baseline will be assessed using the EORTC QLQ-HN35 questionnaire. Scores will be calculated according to the EORTC scoring manual.

    Time frame: 1 year

Other outcomes

  1. Objective Response Rate (ORR) by Prespecified Subgroups

    ORR will be summarized in prespecified subgroups defined by number of metastatic lesions, PD-L1 CPS level, metastatic pattern, and baseline plasma EBV DNA level.

    Time frame: 6 months

  2. Immune cell subsets of tissue samples

    Relative abundance and activation status of immune cell subsets in tumor tissue will be assessed by single-cell RNA sequencing of fresh biopsy samples and compared between responders and non-responders.

    Time frame: From baseline to tumor response assessment

  3. Serum cytokine levels

    Changes in Serum cytokine levels will be measured using a serum cytokine assay in serial peripheral blood samples to explore systemic immune response throughout the study.

    Time frame: From baseline to the end of treatment

07

Study locations

1 site
08

References and documents

Publications

  • Huang J, Theelen WSME, Belcaid Z, Najjar M, van der Geest D, Singh D, Cherry C, Balan A, White JR, Wehr J, Karchin R, Niknafs N, van den Heuvel MM, Velculescu VE, Smith KN, Baas P, Anagnostou V. Combination of pembrolizumab and radiotherapy induces systemic antitumor immune responses in immunologically cold non-small cell lung cancer. Nat Cancer. 2025 Oct;6(10):1676-1692. doi: 10.1038/s43018-025-01018-w. Epub 2025 Jul 22. PubMed 40696153 ↗
  • Zhou X, Zhou L, Yao Z, Huang M, Gong Y, Zou B, Zhu J, Liu Y, Peng F, Zhang Y, Yu M, Li Y, Na F, Wu Y, Kang K, Xiu W, Zhang X, Zhou L, Xu Y, Wang J, Wang Y, Yang X, Wu Y, Li R, Zhang Y, Yang Z, Zhou Z, Bai J, Yi X, Tong R, Yin L, Chen C, Niedermann G, Lu Y, Xue J. Safety and Tolerability of Low-Dose Radiation and Stereotactic Body Radiotherapy + Sintilimab for Treatment-Naive Stage IV PD-L1+ Non-Small Cell Lung Cancer Patients. Clin Cancer Res. 2023 Oct 13;29(20):4098-4108. doi: 10.1158/1078-0432.CCR-23-0315. PubMed 37581611 ↗
  • Zhang Z, Liu X, Chen D, Yu J. Radiotherapy combined with immunotherapy: the dawn of cancer treatment. Signal Transduct Target Ther. 2022 Jul 29;7(1):258. doi: 10.1038/s41392-022-01102-y. PubMed 35906199 ↗
  • Ngwa W, Irabor OC, Schoenfeld JD, Hesser J, Demaria S, Formenti SC. Using immunotherapy to boost the abscopal effect. Nat Rev Cancer. 2018 May;18(5):313-322. doi: 10.1038/nrc.2018.6. Epub 2018 Feb 16. PubMed 29449659 ↗
  • Darragh LB, Knitz MM, Hu J, Clambey ET, Backus J, Dumit A, Samedi V, Bubak A, Greene C, Waxweiler T, Mehrotra S, Bhatia S, Gadwa J, Bickett T, Piper M, Fakhoury K, Liu A, Petit J, Bowles D, Thaker A, Atiyeh K, Goddard J, Hoyer R, Van Bokhoven A, Jordan K, Jimeno A, D'Alessandro A, Raben D, McDermott JD, Karam SD. A phase I/Ib trial and biological correlate analysis of neoadjuvant SBRT with single-dose durvalumab in HPV-unrelated locally advanced HNSCC. Nat Cancer. 2022 Nov;3(11):1300-1317. doi: 10.1038/s43018-022-00450-6. Epub 2022 Nov 25. PubMed 36434392 ↗
  • Lim DW, Kao HF, Suteja L, Li CH, Quah HS, Tan DS, Tan SH, Tan EH, Tan WL, Lee JN, Wee FY, Jain A, Goh BC, Chua MLK, Liao BC, Ng QS, Hong RL, Ang MK, Yeong JP, Iyer NG. Clinical efficacy and biomarker analysis of dual PD-1/CTLA-4 blockade in recurrent/metastatic EBV-associated nasopharyngeal carcinoma. Nat Commun. 2023 May 15;14(1):2781. doi: 10.1038/s41467-023-38407-7. PubMed 37188668 ↗

Individual participant data

Plan to share: Yes — Complete de-identified patient data set underlying the results reported in the primary trial publication.

Supporting information: Study protocol, Statistical analysis plan, Analytic code

Time frame: For 2 years starting 12 months after publication of the primary trial report.

Access criteria: Authoritative researchers who provide a methodologically sound proposal for individual participant data meta-analysis.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Dec 2029, 39 months later.

Of 128 non-industry phase 2 interventional studies under Nasopharyngeal Carcinoma, half reached primary completion within 49 months of starting (the median), counting those still running; a quarter within 31 and three quarters within 74. This study's planned 39 months is below that.

Counting every sponsor, half of 143 studies reached it within 43 months; a quarter within 28 and three quarters within 65.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 31, 2026
First posted
Aug 10, 2026
StartEst.
Sep 1, 2026
Primary completionEst.
Dec 30, 2029
CompletionEst.
Jun 30, 2030
Last update
Aug 10, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07756190
Responsible party
Mao Yanping (Professor and Principal Investigator, Sun Yat-sen University) — Principal investigator
First posted
Aug 10, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
Dec 30, 2029 (estimated)
Completion
Jun 30, 2030 (estimated)
Last update
Aug 10, 2026

Study contacts

Yanping Mao, MD, PhD
Contact
maoyp@sysucc.org.cn
+86 02087343545
Yanping Mao, MD, PhD
principal investigator · Sun Yat-Sen University Cancer Center

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 not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Sintilimab · Ipilimumab

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