Stage IV Nasopharyngeal Carcinoma
Conditions
Brief summary
This is an open-label, uncontrolled, multicenter phase II clinical trial. The purpose of this study is to evaluate acute toxicity and efficacy of cisplatin and 5-Fu combined with nimotuzumab in patients with untreated metastatic nasopharyngeal carcinoma.
Interventions
DDP+5-Fu DDP 100 mg/m2 intravenous infusion in day1, 5-Fu 1000mg/m2/d continuous intravenous infusion on days 1 through 4, both drugs are given every 3 weeks. Nimotuzumab 200mg/d, intravenous infusion every week
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologic diagnosis of nasopharyngeal carcinoma * Distance metastasis at least 6 months after radical treatment * Not suitable for local treatment, e.g. surgery, TACE * At least one measurable lesion * Estimate survival \>3months * Range from 18~70 years old * PS 0\ 1 * WBC count ≥ 4×109/L,Hemoglobin ≥ 100g/L, platelet count ≥ 100×109/L * ALT or AST \< 2.5×ULN、bilirubin \< 1.5×ULN * 0Serum creatinine \< 1.5×ULN
Exclusion criteria
* Central nervous system metastases * Suitable for local treatment * Second malignancy within 5 years * Precious therapy with an investigational agent * Uncontrolled seizure disorder or other serious neurologic disease * ≥ Grade Ш allergic reaction to any drug including in this study * Clinically significant cardiac or respiratory disease * Creatinine clearance \< 30ml/min * Drug or alcohol addition * Do not have full capacity for civil acts * Severe complication, active infection * Concurrent immunotherapy or hormone therapy for other diseases * Pregnancy or lactation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Objective response rate | study period of 19 Months | To be determined by measurement of target lesions according to RECIST criteria |
| Progression free survival | 19 Months | Defined as the time in months from first dose of Nimotuzumab until PD is observed or death occurs due to any cause. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | 19 Months | Defined as the time in months from first dose of Nimotuzumab to the date of death is observed or to last follow-up visit. |
| Quality of life | 8 Months | Using EORTC QLQ-C30(version 3.0) and EORTC QLQ-H&N35(Version 1.0) to access the quality of life. Collecting data before treatment, 1 week after each 2 cycles of chemotherapy, 1 months after all treatment finished. |
Countries
China