Esophageal Neoplasms
Conditions
Keywords
Chronomodulated Chemotherapy, Intensity Modulated Radiation Therapy, Advanced Nasopharyngeal Cancer
Brief summary
1. Observe and compare the chrono-chemotherapy IMRT and conventional chemotherapy and intensity modulated radiotherapy term efficacy of the treatment of locally advanced nasopharyngeal carcinoma. 2. Evaluation chrono-chemotherapy IMRT and conventional chemotherapy and intensity modulated radiotherapy in locally advanced nasopharyngeal carcinoma safety and tolerability. 3)observing the adverse reaction and effects of two groups,expected chrono-chemotherapy group can achieve lower toxicity, improve the curative effect, for the treatment of nasopharyngeal carcinoma provides a more reasonable way.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* initial treatment of advanced nasopharyngeal carcinoma Ⅲ-Ⅳ patients with pathologically confirmed (according to 2010 UICC staging, T3-4, N0-3), without evidence of distant metastasis (M0). Have measurable tumor lesions. * KPS≥70 points. * the age of 18-70 years old, male or female. * no major organ dysfunction; normal bone marrow function (WBC ≥4.0 × 109 / L, platelets ≥100 × 109 / L, hemoglobin ≥90g / L), normal liver function (total bilirubin, alanine aminotransferase, aspartate aminotransferase ≤1.5 times the upper limit of normal), normal renal function (creatinine ≤ 1.5 times upper limit of normal). * understand this study and signed informed consent.
Exclusion criteria
* distant metastasis. * who had received prior chemotherapy. * patients have physical or mental illness, and by researchers believe that patients can not be completely or fully understood in this study possible complications. * pregnancy (via the urine or serum β-HCG test confirmed) or during lactation. * serious complications, such as uncontrolled hypertension, heart failure, diabetes and so on.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants with curative effect | 1 year | Evaluate the immediate effect at 1year after Concurrent chemo-radiotherapy by RECIST. |
| Number of Participants with Adverse Events as a Measure of Safety | 5 years | To assess and record nausea, vomiting, oral mucositis, diarrhea and other adverse drug reactions by CTC 3.0. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression-free survival | 5 years | Evaluate the Progression-free survival at five years after Concurrent chemo-radiotherapy by RECIST. |
| Overall survival | 5 years | Evaluate the Overall survival at five years after Concurrent chemo-radiotherapy by RECIST. |
Countries
China