Nasopharyngeal Carcinoma
Conditions
Keywords
Nasopharyngeal carcinoma, S-1, Oxaliplatin
Brief summary
The aim of the study is to evaluate the efficacy and safety of SOX regimen (S-1 plus oxaliplatin) as salvage treatment in patients with relapsed or metastatic nasopharyngeal carcinoma.
Detailed description
The treatment option in patients with platinum-resistant relapsed or metastatic nasopharyngeal carcinoma is limited. Previous studies showed that both S-1 and oxaliplatin were effective in head and neck cancer. Moreover, SOX (S-1 plus oxaliplatin) was proved to be tolerable in advanced stage gastric cancer. Therefore, we aim to evaluate this regimen in salvage setting of nasopharyngeal carcinoma.
Interventions
S-1 60 mg BID at day 1-14 Oxaliplatin 100 mg/m2 at day 1 Frequence of cycles: every 3 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Age range: 18-75 years old * Histological confirmed incurable relapsed or metastatic nasopharyngeal carcinoma * Prior exposure of at least one line of platinum-containing regimen * ECOG performance status 0-1 * Life expectancy of more than 3 months * Bone marrow function: ANC≧1.5×109/L, PLT≧100×109/L, Hb≧80g/L * Liver function: total bilirubin, ALT and AST \<1.5×UNL * Renal function: Cr\<1.5×UNL, CCR≧50ml/min * Without \> 1 grade of neuropathy
Exclusion criteria
* With curable treatment option * With CNS involvement * Prior platinum exposure only in neo-adjuvant/adjuvant setting or concurrently used with radiotherapy * Treated with \> 2 lines of palliative chemotherapy * With prior exposure of S-1 or oxaliplatin * History of other malignancies except cured basal cell carcinoma of skin and carcinoma in-situ of uterine cervix * Significant active infection * Pregnant or lactating women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Median progression-free survival | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Overall response rate | 6 weeks |
| Median overall survival | 1.5 year |
Countries
China