RecruitingPhase 2NCT06851247

GAPP Induction and Concurrent Chemoradiotherapy Followed by Toripalimab Maintenance for Nasopharyngeal Carcinoma.

Toripalimab Plus Anlotinib Combined with GP Induction Chemotherapy and Concurrent Chemoradiotherapy Followed by Toripalimab Maintenance Therapy for High-risk, Locally Advanced Nasopharyngeal Carcinoma:A Single-arm, Phase II Clinical Trial


Sponsor

Sun Yat-sen University

Enrollment

47 participants

Start Date

Jan 3, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

In order to explore the efficacy and safety of targeted therapy and immunotherapy combined with GP chemotherapy in the treatment of high risk advanced nasopharyngeal carcinoma, the investigators design a single-arm, Phase II clinical trial targeted high-risk patients with local stage nasopharyngeal carcinoma (stage IVa: TanyN3M0/T4N0-2M0,8th AJCC/UICC staging) for Toripalimab Plus Anlotinib Combined With GP Induction Chemotherapy and Concurrent Chemoradiotherapy Followed by Toripalimab Maintenance Therapy.


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a treatment approach for advanced nasopharyngeal carcinoma (a head and neck cancer at the back of the nose) that combines induction chemotherapy (GAPP regimen), concurrent chemoradiation, and then maintenance immunotherapy with toripalimab — to see if this sequence improves outcomes. **You may be eligible if...** - You are between 18 and 65 years old - You have been diagnosed with non-keratinizing nasopharyngeal carcinoma (WHO type II or III) confirmed by biopsy - Your cancer is at stage IVa (T4 N0-2 M0 or Tany N3 M0, using the 8th edition staging system) - You have not received any prior anti-cancer treatment - You have no history of other cancers - You are male or a non-pregnant female **You may NOT be eligible if...** - Your disease is at an earlier or more advanced stage than IVa - You have received prior chemotherapy, radiation, or other anti-cancer treatment - You have another active cancer - You are pregnant - You have significant heart, liver, or kidney problems 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

DRUGToripalimab

Fixed dose: 240mg/ time, add 100ml normal saline, intravenous infusion for 30 minutes (not less than 20 minutes, not more than 60 minutes). The first course of induction chemotherapy (D1) is used on the first day of each cycle, and every 21 days is a course of treatment up to 18 courses or one year. After intravenous infusion of triplelizumab, GP regimen induction chemotherapy was administered at an interval of 30-60 minutes.

DRUGAnlotinib

Oral administration before breakfast, 10mg/ time/day, once a day (d1-14), repeated every 3 weeks, using three courses, one week before radiotherapy discontinuation. Use on the day the first course of induction chemotherapy begins (D1).

DRUGGemcitabine

1000mg/m2, D1, D8, add 0.9% normal saline 500ml, intravenous infusion. Every 21 days is a treatment cycle. If the recovery of toxicity in the subject is not sufficient for the next course of chemotherapy, the start of the next course of chemotherapy may be appropriately delayed, but the delay cannot exceed 21 days. The treatment was continued for 3 courses.

DRUGCisplatin

Induction Chemotherapy: 80mg/m2, D1, add 1000ml 0.9% normal saline, intravenous infusion for 3 hours. Concurrent Chemoradiotherapy100mg/m2, add 5% glucose 500ml, intravenous drip. Use on the first day of each cycle, every 21 days for a treatment cycle

RADIATIONradiation

IMRT, 33Fx


Locations(1)

Sun yat-sen University Cancer Center

Guangzhou, Guangdong, China

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NCT06851247


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