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Radiation dose and volume de-escalation in lymphatic drainage area for nasopharyngeal carcinoma: A prospective randomized study

Radiation dose and volume de-escalation in lymphatic drainage area for nasopharyngeal carcinoma: A prospective randomized study

Status
Active, not recruiting
Phases
Phase 2
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2300071249
Enrollment
Unknown
Registered
2023-05-09
Start date
2023-05-15
Completion date
Unknown
Last updated
2023-06-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

nasopharyngeal carcinoma

Interventions

Experimental group:1. Do not irradiate the lower neck lymphatic drainage area of patients without lymph node metastasis
2. Reduce the dose of CTVn-2 to 57Gy.
Control group:1. Adopting the traditional plan of our center, prophylactic irradiation is performed on the lower neck lymphatic drainage area of patients without lymph node metastasis
2. The dose of CTVn-2 is 60Gy.

Sponsors

The First Medical Center, Chinese PLA General Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 70 Years

Inclusion criteria

Inclusion criteria: 1. The primary tumor was nasopharyngeal carcinoma, and the pathological type was keratinous squamous carcinoma or non-keratinous carcinoma; 2. The tumor had a definite pathological diagnosis, and the clinical stage (according to the 8th edition of UICC/AJCC staging system) was T1-4 N1-3 M0, but did not contain T1-2 N0 M0 nasopharyngeal carcinoma; 3. Treatment mode: induction chemotherapy + concurrent chemoradiotherapy; 4. Functional status Score (KPS) >=70 points, physical status score (ECOG) :0-1 points; 5. Aged 18-70 years; 6. Normal liver and kidney function, no serious hematological system toxicity and serious medical complications; 7. No surgical intervention was performed; 8. Voluntarily participate in and sign informed consent in person.

Exclusion criteria

Exclusion criteria: 1. Previous history of head and neck radiotherapy; 2. Patients with other malignant tumors; 3. Claustrophobia.

Design outcomes

Primary

MeasureTime frame
Regional recurrence free survival rate;

Secondary

MeasureTime frame
Radiotherapy related toxic side effects;

Countries

China

Contacts

Public ContactMa Lin

The First Medical Center, Chinese PLA General Hospital

malinpharm@sina.com+86 139 1119 7589

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026