Adjuvant Therapy, Locoregionally Advanced Nasopharyngeal Carcinoma, Nasopharyngeal Carcinoma (NPC)
Conditions
Keywords
Nasopharyngeal Carcinoma, Adjuvant therapy, Becotatug Vedotin
Brief summary
This is a phase 2, multicentre, open-label, randomised, controlled trial with a parallel-group design. The study aims to evaluate the efficacy and safety of single-agent Becotatug Vedotin as adjuvant therapy in patients with high-risk locoregionally advanced nasopharyngeal carcinoma (NPC).
Detailed description
Eligible patients with high-risk locoregionally advanced NPC, defined as T4N1M0 disease, any T with N2-3M0 disease, stable disease (SD) or progressive disease (PD) after induction chemotherapy, or detectable plasma EBV DNA following induction chemotherapy, who have completed curative-intent chemoradiotherapy, will be randomly assigned to either the adjuvant Becotatug Vedotin group or the observation group. Participants assigned to the experimental group will receive Becotatug Vedotin at a dose of 2.3 mg/kg administered intravenously on Day 1 of each 21-day cycle for a total of three cycles. Participants assigned to the control group will undergo observation alone. The primary endpoint is event-free survival (EFS). Secondary endpoints include overall survival (OS), distant metastasis-free survival (DMFS), locoregional failure-free survival (LRFFS), and safety. All efficacy analyses will be performed in the intention-to-treat (ITT) population. Safety analyses will be conducted in the safety population, defined as all randomized patients.
Interventions
DRUGBecotatug Vedotin
This group will receive Becotatug Vedotin at a dose of 2.3 mg/kg on day 1 of each 3-week cycle for a total of 3 cycles.
Sponsors
Kai Hu
Wuzhou Red Cross Hospital
First People's Hospital of Yulin
Guigang People's Hospital
Hainan Cancer Hospital
Affiliated Hospital of North Sichuan Medical College
Lingshan people's Hospital
LiuZhou People's Hospital
The Third people's hospital of Hechi
the second People's Hospital of qinzhou
Hunan Cancer Hospital
Fujian Cancer Hospital
Guangxi Nanxishan Hospital
Liuzhou Workers' Hospital
Affiliated Hospital of Youjiang Medical University for Nationalitie
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. Histologically confirmed non-keratinizing nasopharyngeal carcinoma(WHO II/III). 2. Eligible patients with high-risk locoregionally advanced NPC, defined as AJCC (9th edition) stage T4N1M0 or Tany N2-3M0 disease, or persistent high-risk features after induction chemotherapy (SD, PD, or detectable plasma EBV DNA). 3. ECOG performance status ≤1. 4. Induction and concurrent chemoradiotherapy with the recommended regimen have been completed. 5. No later than 6 weeks after the completion of the last radiotherapy treatment. 6. Adequate hematologic (neutrophil count \> 1.5×10\^9/L, hemoglobin \> 90g/L and platelet count \> 100×10\^9/L), hepatic (alanine aminotransferase, aspartate aminotransferase ≤ 1.5×ULN, bilirubin ≤ 1.5×ULN, alkaline phosphatase \< 2.5×ULN) and renal function (creatinine clearance \> 50 ml/min) 7. Patients must be informed of the investigational nature of this study and give written informed consent. 8. Women of childbearing potential (WOCBP) who are sexually active must be willing to adhere to effective contraception during treatment and for 1 year after the last dose of the study drug. Men who are sexually active with WOCBP must be willing to adhere to effective contraception during treatment and for 1 year after the last dose of the study drug.
Exclusion criteria
1. Patients who could not tolerate or were allergic to Becotatug Vedotin. 2. Patients with severe chronic or active infection that must be treated with systemic antibacterial, antifungal, or antiviral therapy before randomization, including but not limited to tuberculosis infection. 3. Prior malignancy except adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer. 4. Pregnancy or lactation (consider pregnancy test in women of child-bearing age and emphasize effective contraception during the treatment period). 5. Interstitial lung disease or pneumonia requiring oral or intravenous steroid therapy within 1 year. 6. Patients who are known to be intolerant or sensitive to any therapeutic agents. 7. Any severe intercurrent disease, which may bring unacceptable risk or affect the compliance of the trial, for example, unstable cardiac disease requiring treatment, renal disease, chronic hepatitis, diabetes with poor control (fasting plasma glucose \> 1.5×ULN), and emotional disturbance.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| event-free survival | 2 years | calculated from the date of randomisation to the date of locoregional failure, distant failure, or death from any cause, whichever occurred first |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| overall survival | 2 years | calculated from the date of randomisation to death |
| distant metastasis-free survival | 2 years | calculated from the date of randomisation to the first distant metastasis |
| Locoregional failure-free survival | 2 years | calculated from the date of randomisation to the first locoregional failure |
| Treatment-Related Adverse Events | 2 years | graded according to NCI CTCAE v5.0 |
Countries
China
Contacts
CONTACTkai hu
Outcome results
None listed