Nasopharyngeal Carcinoma Clinical Trial
Official title:
A Study of Adoptive Immunotherapy With Autologous Tumor Infiltrating Lymphocytes and Concurrent Chemoradiotherapy in Nasopharyngeal Carcinoma
This is a Phase II trial to study the effectiveness and security of cisplatin concurrent chemoradiotherapy plus TIL versus cisplatin concurrent chemoradiotherapy only with IMRT in treating patients with locoregionally advanced high risk nasopharyngeal carcinoma.
Nasopharyngeal carcinoma (NPC) is endemic in Southern China and Southeast Asia. For
locoregionally advanced NPC,especially for the high risk NPC (EB virus DNA ≥ 4000 copies/ml)
,the incidence of treatment failure is still high. Although concurrent chemoradiotherapy
(CCRT) can improve the treatment outcomes of these patients, approximately 25% of
locoregionally advanced NPCs relapse. Adjuvant chemotherapy or inducing chemotherapy
addition to CCRT did not significantly improve patient survival compared to CCRT alone.
Hence, there is an urgent need for novel therapies to improve disease-free survival and
reduce treatment-related toxicity in patients.
Accumulating evidence shows that tumor-infiltrating lymphocytes (TILs) selected for tumor
recognition and greatly expanded in vitro are especially effective for treating cancer
patients.The investigations phase I results showed that TILs following CCRT as a novel
treatment strategy in locoregionally advanced NPC patients resulted in sustained anti-tumor
activity and anti-EBV immune responses, associated with a good tolerance.
This is a Phase II trial to study the effectiveness and security of cisplatin CCRT plus TIL
versus cisplatin CCRT only with IMRT in treating patients with locoregionally advanced high
risk NPC.
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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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