Nasopharyngeal Carcinoma Clinical Trial
Official title:
A Multicenter Trial Evaluating the Efficacy and Safety of Nedaplatin Plus Docetaxel in Neoadjuvant Chemotherapy Followed by Nedaplatin in Concurrent Chemoradiation for Patients With Locoregionally Advanced Nasopharyngeal Carcinoma
This study is a multicenter trial.The primary objective is to estimate short-term efficacy
and acute toxicities of nedaplatin to the combination of docetaxel in neoadjuvant
chemotherapy followed by nedaplatin in concurrent chemoradiotherapy, compared to cisplatin
to the combination of docetaxel in neoadjuvant chemotherapy followed by cisplatin in
concurrent chemoradiotherapy for patients with locoregionally advanced nasopharyngeal
carcinoma.
Secondary objectives are to evaluate the overall survival, the distant metastases free
survival, and disease free survival of patients with locoregionally advanced nasopharyngeal
carcinoma treated with these regimens.Furthermore,analyze the cost-effectiveness of the
regimens.
Patients with clinical stage T3-4N1/N2-3 (UICC 7th edition)are divided into two groups according to informed consent:intensity-modulated radiation therapy(IMRT)group and conventional fractionation radiotherapy(CRT)group. Then the patients in IMRT group/CRT group are randomly assigned to receive nedaplatin+docetaxel in neoadjuvant chemotherapy plus nedaplatin alone in concurrent chemoradiotherapy or cisplatin+docetaxel in neoadjuvant chemotherapy plus cisplatin alone in concurrent chemoradiotherapy.Evaluate the overall survival, the distant metastases free survival, and disease free survival of the patients treated with these regimens.Furthermore,analyze the cost-effectiveness of the regimens. ;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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