Nasopharyngeal Carcinoma Clinical Trial
Official title:
An Open Labeled, Multicentre, Randomized Phase II Trial of Combination Gemcitabine and Carboplatin Chemotherapy in Patients With Metastatic or Recurrent Nasopharyngeal Carcinoma
The aim of the study is to assess if gemcitabine in combination with carboplatin as 1st line
chemotherapy in patients with metastatic or recurrent nasopharyngeal carcinoma has
reasonable efficacy and a favourable toxicity profile that warrants further comparative
study. A parallel group of randomly selected patients of equal number to the carboplatin and
gemcitabine combination arm will be treated with the cisplatin and 5-FU combination
chemotherapy (active control arm).
The hypothesis is that this combination of chemotherapy is at least as active and less toxic
than the reference regimen of cisplatin in combination with 5-fluorouracil (5-FU).
52 patients with metastatic or recurrent nasopharyngeal carcinoma who meet
inclusion/exclusion criteria will be enrolled into the trial. After initial screening,
patients will attend clinic for baseline examination. Subjects will then be randomly
allocated to carboplatin and gemcitabine or cisplatin and 5-FU combinations in a ratio of
1:1. Study visits will occur depending on which arm the patient is on.
An economic evaluation of the costs and benefits of gemcitabine-carboplatin will be
implemented within this protocol.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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