Nasopharyngeal Carcinoma Clinical Trial
Official title:
Hepatic Artery Infusion Gemcitabine and Floxuridine in Patients With Nasopharyngeal Carcinoma Liver Metastases
A retrospective clinical trial to study the safety and effectiveness of hepatic arterial infusion (HAI) in treating patients who have nasopharyngeal carcinoma metastatic to the liver. Hepatic-direction drug administration improves the control power for intra-hapatic lesions.
OBJECTIVES:
I. Determine the safety and toxicity of hepatic arterial infusion with gemcitabine,
floxuridine and dexamethasone in combination with standard treatment (radiotherapy and
systemic chemotherapy) in patients with nasopharyngeal carcinoma metastases to liver.
II. Determine the objective response of intrahepatic lesions of patients treated with this
regimen.
III. Determine the median survival time or overall survival time in patients treated with
this regimen.
OUTLINE: This is a single-center retrospective study.
Patients receive DSA-guided implantation of HAI catheter system. HAI is initiated the next
day. Gemcitabine intra-arterially for 30 minutes on day 1,8, floxuridine, dexamethasone
intra-arterially continuously on days 1-14. Treatment repeats every 3 weeks in the absence of
serious technical catheter-related problems, progression of intrahepatic lesions or
unacceptable toxicity. Standard treatment of NPC, including radiotherapy and chemotherapy
(induction chemotherapy, concurrent chemotherapy and adjuvant chemotherapy) was performed as
desired.
Patients are followed every 2 HAI cycles or when necessary.
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