Nasopharyngeal CarcinomaNCT02575547
Effect of Chemoradiotherapy on Nutritional Status in Advanced NPC Patients
An observational study of Nasopharyngeal Carcinoma and Malnutrition, run by Zhao Chong at 1 site in China.
Trial summary
This is an prospective,open-label, none-interventional, observational, multicenter phase II clinical trial. The purpose of this study is to observe the effect of neoadjuvant chemotherapy followed by concurrent chemoradiation therapy(CCRT) on nutritional status in locoregionally advanced nasopharyngeal carcinoma(NPC)… Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Nasopharyngeal Carcinoma, Malnutrition
- What is being tested?
- cisplatin and docetaxel
- Type of treatment
- Injection or infusion
- How many people
- 186 participants
- Where
- 1 siteChina
- Study dates
- Jun 2015to Jun 2020
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: III-IVb(Union for International Cancer Control,UICC 7th) NPC patients with histologic diagnosis of World Health Organization(WHO) II
Who may be able to join
- Newly histologic diagnosis of nasopharyngeal carcinoma(WHO II)
- All genders,range from 18~65 years old
- Karnofsky performance status(KPS) ≥ 80
- Clinical stage III~IVb(UICC 7th)
- Without significant digestive system disease,nutritional and metabolic diseases or endocrine disease
- Without significant cardiac,respiratory,kidney or liver disease
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- Not received radiotherapy, chemotherapy and other anti-tumor treatment(including immunotherapy)
- white blood cell(WBC) count ≥ 4×109/L, neutrophile granulocyte(NE) count ≥ 1.5×109/L, Hemoglobin(HGB) ≥ 10g/L, platelet(PLT) count ≥ 100×109/L
- alanine aminotransferase (ALT) or aspartate aminotransferase(AST) < 1.5×upper limit of normal(ULN), bilirubin < 1.5×ULN, alanine aminotransferase (CCR) ≥ 30ml/min
- Inform consent form
Who cannot join
- Distance metastases
- Second malignancy within 5 years
- Drug or alcohol addition
- Do not have full capacity for civil acts
- Active systemic infections
- Chronic consumptions
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- Mental disorder
- Pregnancy or lactation
- Concurrent immunotherapy or hormone therapy for other diseases
- Severe complication, eg, uncontrolled hypertension
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effect of Neoadjuvant Chemotherapy Followed by Concurrent Chemo-radiotherapy on Nutritional Status in Locoregionally Advanced Nasopharyngeal Carcinoma Patients: Prospective Observational Study
This is an prospective,open-label, none-interventional, observational, multicenter phase II clinical trial. The purpose of this study is to observe the effect of neoadjuvant chemotherapy followed by concurrent chemoradiation therapy(CCRT) on nutritional status in locoregionally advanced nasopharyngeal carcinoma(NPC) patients, analyse the changes of patients' nutrition status during the treatment and the connection between nutrition changes and curative effects, evaluate nutritional risks under the neoadjuvant chemotherapy and CCRT and provide data and basis for further study。
- Conditions
- Nasopharyngeal Carcinoma, Malnutrition
- Being tested
- cisplatin and docetaxel
- Keywords
- Nutritional Status, Locoregionally Advanced Nasopharyngeal Carcinoma
- Medical subject headings
- Nasopharyngeal Carcinoma, Malnutrition
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
cisplatin and docetaxelDrug
Also called radiation, enteral nutrition and parenteral nutrition
NC:cisplatin 75 mg/m2 intravenous infusion in day1,docetaxel 75 mg/m2 intravenous infusion in day1,both drugs are given every 3 weeks, two courses.
CCRT: intensity modulation radiation therapy(IMRT) and cisplatin (100mg/m2 on day 1) every three weeks for three\three cycles during radiation therapy(RT).
Dietary supplement: enteral nutrition and parenteral nutrition
| Study group | Role | What they receive |
|---|---|---|
| NC+CCRT | Patients treated with neoadjuvant chemotherapy(NC) (cisplatin and docetaxel) and CCRT (cisplatin) Receives: Drug: cisplatin and docetaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Body weight
Measured: baseline and 36 months
Secondary outcomes (9)
Acute Toxicity
To evaluate the acute toxicity with Common Terminology Criteria For Adverse Events (CTCAE) 3.0 when adjuvant chemotherapy and concurrent chemoradiation is used.
Measured: 3 months
Number of Participants With Abnormal Laboratory Values
To observe patients' complete blood cell count and blood biochemical examination during the treatment and three years after the treatment.
Measured: 36 months
Adverse Events That Are Related to Treatment
Using European Organization for Research and Treatment of Cancer(EORTC) quality of life questionnaire(QLQ)-C30(version 3.0) and EORTC QLQ-H\&N35(Version 1.0) to access the quality of life. Collecting data before treatment, 1 week after each 4/5 cycles of chemotherapy, 3 years after all treatment finished.
Measured: 36 months
Tumor regressive rate after treatment
Measured: 36 months
Late toxicity
To evaluate the late toxicity with the SOMA criterion after 1/2/3 years of treatment.
Measured: 36 months
Three-year locoregional relapse free survival rate
Measured: 36 months
Three-year distance metastasis free survival rate
Measured: 36 months
Three-year overall survival rate
Measured: 36 months
Three-year disease free survival rate
Measured: 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Oct 2015 (estimated)
- Study startJun 2015
- Primary completionJan 2020
- Study completionJun 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Nasopharyngeal CarcinomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case only
- Time perspective
- Prospective
- Enrolment
- 186 participants (actual)
Sponsor and investigators
- Lead sponsor
- Zhao Chong
- Sponsor type
- University, hospital or other
- Collaborators
- Wuhan University, Fudan University, Fujian Cancer Hospital, Zhejiang Cancer Hospital, First Affiliated Hospital of Guangxi Medical University, The First Affiliated Hospital of Xiamen University, Cancer Hospital of Guizhou Province, Hainan People's Hospital, First People's Hospital of Foshan
- Responsible party
- Sponsor-investigator, Zhao Chong, Sun Yat-sen University
- Investigators
- Chong Zhao, M.D, Principal investigator, Sun Yat-sen University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02575547
- Sponsor's protocol ID
- 2015-FXY-034-Nutrition and NPC
- Status last verified
- Jul 2020
- First submitted
- 19 Sep 2015
- Last updated
- 30 Jul 2020
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Miao J, Wang L, Ong EHW, Hu C, Lin S, Chen X, Chen Y, Zhong Y, Jin F, Lin Q, Lin S, Hu X, Zhang N, Wang R, Wang C, Guo X, Yit NLF, Shi H, Tan SH, Mai H, Xie C, Chua MLK, Zhao C. Effects of induction chemotherapy on nutrition status in locally advanced nasopharyngeal carcinoma: a multicentre prospective study. J Cachexia Sarcopenia Muscle. 2023 Apr;14(2):815-825. doi: 10.1002/jcsm.13196. Epub 2023 Mar 5.
PubMed 36872457
Study at a glance
From the registry record, last updated by the sponsor on 30 Jul 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Neoadjuvant Chemotherapy Followed by Concurrent Chemo-radiotherapy on Nutritional Status in Locoregionally Advanced Nasopharyngeal Carcinoma Patients: Prospective Observational Study
- ClinicalTrials.gov ID
- NCT02575547
- Acronym / sponsor ID
- 2015-FXY-034-Nutrition and NPC
- Conditions
- Nasopharyngeal Carcinoma, Malnutrition
- Keywords
- Nutritional Status, Locoregionally Advanced Nasopharyngeal Carcinoma
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 186 participants (actual)
- Lead sponsor
- Zhao ChongUniversity, hospital or other
- Collaborators
- Wuhan University, Fudan University, Fujian Cancer Hospital, Zhejiang Cancer Hospital, First Affiliated Hospital of Guangxi Medical University, The First Affiliated Hospital of Xiamen University, Cancer Hospital of Guizhou Province, Hainan People's Hospital, First People's Hospital of Foshan
- Study start
- Jun 2015 (actual)
- Primary completion
- Jan 2020 (actual)
- Study completion
- Jun 2020 (actual)
- First posted
- 14 Oct 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an prospective,open-label, none-interventional, observational, multicenter phase II clinical trial. The purpose of this study is to observe the effect of neoadjuvant chemotherapy followed by concurrent chemoradiation therapy(CCRT) on nutritional status in locoregionally advanced nasopharyngeal carcinoma(NPC) patients, analyse the changes of patients' nutrition status during the treatment and the connection between nutrition changes and curative effects, evaluate nutritional risks under the neoadjuvant chemotherapy and CCRT and provide data and basis for further study。
Study design
- Observational model
- Case only
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| NC+CCRT | – | Drug: cisplatin and docetaxelPatients treated with neoadjuvant chemotherapy(NC) (cisplatin and docetaxel) and CCRT (cisplatin) |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- III-IVb(Union for International Cancer Control,UICC 7th) NPC patients with histologic diagnosis of World Health Organization(WHO) II
Key inclusion criteria (10 listed)
- Newly histologic diagnosis of nasopharyngeal carcinoma(WHO II)
- All genders,range from 18~65 years old
- Karnofsky performance status(KPS) ≥ 80
- Clinical stage III~IVb(UICC 7th)
- Without significant digestive system disease,nutritional and metabolic diseases or endocrine disease
Key exclusion criteria (10 listed)
- Distance metastases
- Second malignancy within 5 years
- Drug or alcohol addition
- Do not have full capacity for civil acts
- Active systemic infections
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| cisplatin and docetaxelAlso: radiation, enteral nutrition and parenteral nutritionNC:cisplatin 75 mg/m2 intravenous infusion in day1,docetaxel 75 mg/m2 intravenous infusion in day1,both drugs are given every 3 weeks, two courses. CCRT: intensity modulation radiation therapy(IMRT) and cisplatin (100mg/m2 on day 1) every three weeks for three\three cycles during radiation therapy(RT). Dietary supplement: enteral nutrition and parenteral nutrition | Drug | NC+CCRT |
Primary outcome
Change in Body weight
Time frame: baseline and 36 months
9 secondary outcomes
Acute Toxicity
Time frame: 3 months
Number of Participants With Abnormal Laboratory Values
Time frame: 36 months
Adverse Events That Are Related to Treatment
Time frame: 36 months
Tumor regressive rate after treatment
Time frame: 36 months
Late toxicity
Time frame: 36 months
Three-year locoregional relapse free survival rate
Time frame: 36 months
Three-year distance metastasis free survival rate
Time frame: 36 months
Three-year overall survival rate
Time frame: 36 months
Three-year disease free survival rate
Time frame: 36 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jul 2020.
- Derived from this study: PubMed 36872457Miao J, Wang L, Ong EHW, Hu C, Lin S, Chen X, Chen Y, Zhong Y, Jin F, Lin Q, Lin S, Hu X, Zhang N, Wang R, Wang C, Guo X, Yit NLF, Shi H, Tan SH, Mai H, Xie C, Chua MLK, Zhao C. Effects of induction chemotherapy on nutrition status in locally advanced nasopharyngeal carcinoma: a multicentre prospective study. J Cachexia Sarcopenia Muscle. 2023 Apr;14(2):815-825. doi: 10.1002/jcsm.13196. Epub 2023 Mar 5.
- Home Page of Cancer Center, Sun Yat-sen UniversityLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Chong Zhao, M.D principal investigator
Sun Yat-sen University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Nasopharyngeal Carcinoma and Malnutrition, run by Zhao Chong at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Body weight (time frame: baseline and 36 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02575547, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jul 2020.