RecruitingPhase 2NCT05343325

The Efficacy and Safety of Neoadjuvant Low-dose Radiotherapy Combined With Chemoimmunotherapy in Locally Advanced HNSCC

Neoadjuvant Low-dose Radiotherapy, Tislelizumab, Combined With Albumin-bound Paclitaxel and Cisplatin in Resectable Locally Advanced Head and Neck Squamous Cell Carcinoma (NeoRTPC02): an Open Label, Single-arm, Phase II Clinical Trial


Sponsor

Fifth Affiliated Hospital, Sun Yat-Sen University

Enrollment

25 participants

Start Date

Mar 9, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

This is an open-label, single-arm, phase II clinical trial to explore the efficacy and safety of neoadjuvant low-dose radiotherapy combined with chemoimmunotherapy in resectable locally advanced head and neck squamous cell carcinoma. The eligible patients are scheduled to administered neoadjuvant low-dose radiotherapy, tislelizumab, combined with albumin-bound paclitaxel and cisplatin for two cycles. Radical resection will be performed in 3-4 weeks after two cycles of neoadjuvant therapy. The overall primary study hypothesis is that the novel neoadjuvant combination regime improves the pathological complete response (pCR) rate, with tolerable side effects.


Eligibility

Min Age: 18 YearsMax Age: 70 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether giving a small dose of radiation (low-dose radiotherapy) before chemotherapy and immunotherapy — as a 'neoadjuvant' strategy — can improve outcomes for patients with locally advanced head and neck squamous cell carcinoma (HNSCC) who are candidates for surgery. **You may be eligible if...** - You are between 18 and 70 years old - You have newly diagnosed, untreated head and neck squamous cell carcinoma (oral cavity, oropharynx, hypopharynx, or larynx), stage III–IVB - A surgeon has determined your cancer can be surgically removed - Your ECOG performance status is 0 or 1 - Your life expectancy is more than 6 months - Your blood counts and organ function meet the required levels **You may NOT be eligible if...** - You have received any prior treatment for head and neck cancer - Your cancer has spread to distant organs (metastasis) - You have conditions that prevent surgery or chemoimmunotherapy Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGTislelizumab

Tislelizumab: 200 mg D1, Q3W for two cycles. Albumin-bound paclitaxel: 100mg/m2, D1, D8, D15, Q3W for two cycles. Cisplatin: 25mg/m2, D1, D8, D15, Q3W for two cycles.

RADIATIONLow-dose radiotherapy

Low-dose radiotherapy: 1GY/1F, D1, D2, D8, D15, Q3W for two cycles. The total radiation dose will be GTV 8Gy/8F, GTVnd 8 Gy/8F.


Locations(2)

Fifth Affiliated Hospital of Sun Yat-sen University

Zhuhai, Guangdong, China

Zhigang Liu

Dongguan, China

View Full Details on ClinicalTrials.gov

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NCT05343325


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