Nasopharyngeal Carcinoma Clinical Trial
Official title:
Randomized Trial to Evaluate Therapeutic Gain by Changing Chemoradiotherapy From Concurrent-adjuvant to Induction-concurrent Sequence, and Radiotherapy From Conventional to Accelerated Fractionation for Advanced Nasopharyngeal Carcinoma
The objectives of this clinical study are threefold:
1. To compare the benefits in cancer control and survival obtained from adding
induction-concurrent chemotherapy to radiation with those from adding
concurrent-adjuvant chemotherapy to radiation.
2. To test whether replacing fluorouracil with Xeloda in combining with cisplatin in the
chemotherapy plan will maintain or improve further the chemotherapy benefits while
reducing the duration of hospital stay.
3. To see if accelerated fractionation radiotherapy can improve the outcome of patients as
compared with conventional fractionation radiotherapy.
1. primary objectives include
1. comparing induction chemotherapy with Cisplatin + 5-Fluorouracil versus adjuvant
chemotherapy with Cisplatin + 5-Fluorouracil(PF-Pvs P-PF)
2. comparing induction chemotherapy with Cisplatin + Capecitabine versus adjuvant
chemotherapy with Cisplatin + 5-Fluorouracil(PX-P vs P-PF)
3. comparing accelerated fractionation versus conventional fractionation (AF vs
CF)radiotherapy.
2. secondary objectives include
1. comparing induction chemotherapy with Cisplatin + Capecitabine versus induction
chemotherapy with Cisplatin + 5-Fluorouracil(PX-P vs PX-P)
2. Comparing concurrent-adjuvant (CA) versus induction-concurrent (IC) chemotherapy
sequence.
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