Nasopharyngeal Carcinoma
Conditions
Brief summary
A phase II, open label, single arm, single agent study using nivolumab in patients who failed 2 or more lines of previous chemotherapy for recurrent/metastatic NPC (At least 1 line should include platinum based chemotherapy)
Interventions
Intravenous nivolumab 240mg every 2 weeks until radiologically-documented disease progression, unacceptable toxicity as judged by investigators or patient withdrawal
Sponsors
Study design
Eligibility
Inclusion criteria
* Recurrent or metastatic NPC incurable by local therapies and failed at least 2 lines of previous chemotherapy with at least 1 line including platinum based chemotherapy * Measurable disease (RECIST 1.1) * ECOG 2 or less * Life expectancy greater than 3 months * Adequate organ function * (Provided tissue for PD-L1 biomarker analysis from a core or excisional biopsy Paired biopsy of baseline tissue at first diagnosis and for recurrence if possible) - optional but encouraged
Exclusion criteria
* Suitable for local therapy * Did not have prior platinum chemotherapy * Immunodeficiency; immunosuppressive treatment * Anti-cancer monoclonal antibody treatment within 4 weeks prior to Day 1 * Other cancer treatment within 2 weeks prior to Day 1 * Other malignancies (some exceptions) * CNS metastases; carcinomatous meningitis * Active temporal lobe necrosis or on steroid treatment * Autoimmune disease * Active, non-infectious pneumonitis * Active infection requiring systemic treatment * Hepatitis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall response rate of patients. Response will be assessed by RECISTS 1.1 criteria | 1 year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Toxicities as defined by CTCAE criteria | 1 year | To characterize the safety and tolerability of nivolumab in subjects with recurrent/metastatic NPC. This will be based on subjects who experienced toxicities as defined by CTCAE criteria, receiving at least one dose of nivolumab. |