SurgeryNCT04425265
Plasma Radiofrequency Ablation at Low Temperature Versus Electrocautery Block Resection at High Frequency for Localized Recurrent Nasopharyngeal Carcinoma
A study testing Plasma radiofrequency ablation and Electrocautery block resection in people with Surgery and Recurrent Nasopharyngeal Carcinoma, run by Sun Yat-sen University at 3 sites in China.
Trial summary
This study aims at exploring whether plasma radiofrequency ablation at low temperature is associated with better survival outcome in localized recurrent nasopharyngeal carcinoma by conducting a randomized controlled trial of plasma radiofrequency ablation at low temperature versus electrocautery block resection at… Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Surgery, Recurrent Nasopharyngeal Carcinoma
- What is being tested?
- Plasma radiofrequency ablation and Electrocautery block resection
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 500 participants
- Where
- 3 sitesChina
- Study dates
- 30 Jun 2020to Dec 2028
- Phase
- Interventional
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 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- At least 6 months disease free interval (defined as duration between the initial course of radiotherapy and recurrence)
- Histopathologically diagnosed with undifferentiated or differentiated, nonkeratinizing nasopharyngeal carcinoma.
- Resectable recurrent nasopharyngeal carcinoma: rT1-3N0-3M0 A) The tumor is confined to the nasopharyngeal mucosa, or the surface of the parapharyngeal space, or the bottom wall of the sphenoid sinus, and is more than 0.5cm away from the internal carotid artery B) The cervical lymph node lesions do not infiltrate the cervical spine, brachial plexus, cervical muscles, and internal carotid artery.
- Age: 18-70 years old.
- Subjects must sign an informed consent form.
Who cannot join
- Karnofsky score (KPS)≤70.
- Has known Subjects with other malignant tumors.
- Has seriously mental disease.
- Uncontrolled clinically significant heart disease and Pulmonary dysfunction.
- Pregnancy or breast feeding.
Trial locations and contacts
3 sites in 1 country. Contact the study team or a site near you to ask about taking part.
China3 sites, 3 recruiting
- Recruiting
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, 510060
Ming-Yuan Chen, Prof., 86-20-8734-3361, chmingy@mail.sysu.edu.cn
Ming-Yuan Chen, Prof.
- Recruiting
The Nanchang Affiliated Hospital, Sun Yat-Sen University (Nanchang First Hospital)
Nanchang, Jiangxi
Ming-Yuan Chen, Ph.D, 86-13903052650, chmingy@mail.sysu.edu.cn
- Recruiting
The Fifth Affiliated Hospital of Sun Yat-sen University
Zhuhai, Guangdong, 519000
Ming-Yuan Chen, Ph.D, 13903052650, chmingy@mail.sysu.edu.cn
You-Ping Liu, Ph.D, 13751763276, liuyp78@mail.sysu.edu.cn
About this study
Official title: A Randomized Controlled Trial of Plasma Radiofrequency Ablation at Low Temperature Versus Electrocautery Block Resection at High Frequency for Localized Recurrent Nasopharyngeal Carcinoma.
This study aims at exploring whether plasma radiofrequency ablation at low temperature is associated with better survival outcome in localized recurrent nasopharyngeal carcinoma by conducting a randomized controlled trial of plasma radiofrequency ablation at low temperature versus electrocautery block resection at high frequency for localized recurrent nasopharyngeal carcinoma. If the hypothesis is confirmed, it is expected to provide a convenient choice for the surgical treatment of localized recurrent nasopharyngeal carcinoma.
- Conditions
- Surgery, Recurrent Nasopharyngeal Carcinoma
- Being tested
- Plasma radiofrequency ablation, Electrocautery block resection
- Keywords
- recurrent nasopharyngeal carcinoma, Plasma Radiofrequency Ablation, Electrocautery Block Resection
- Medical subject headings
- Nasopharyngeal Carcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Plasma radiofrequency ablationProcedure or surgery
Under the guidance of nasal endoscope, the nasopharyngeal tumor and its sufficient safety margin are completely removed through the bilateral nasal cavity. Then investigators use plasma radiofrequency ablation at low temperature to ablate the tumor tissue and normal tissue of the margin along the upper and lower surgical margin until no obvious tumor remained under the naked eye.
Electrocautery block resectionProcedure or surgery
Under the guidance of nasal endoscope, the nasopharyngeal tumor and its sufficient safety margin are continuously and completely removed through the bilateral nasal cavity. Then investigators separate the posterior part of the nasal cavity and the top wall of the nasopharynx along the bone of the nasopharyngeal fornix, cut the pharyngeal suture, and cut the two sides along the edge of the carina, and then merge along the anterior vertebral muscle surface to the midline incision. Along the the soft palate under the inferior margin, investigators horizontally cut the mucosa of the posterior wall of the nasopharynx, and completely frees the entire soft tissue of the posterior wall of the nasopharynx.
| Study group | Role | What they receive |
|---|---|---|
| Plasma radiofrequency ablation arm | Experimental | Plasma radiofrequency ablation at low temperature for localized recurrent nasopharyngeal carcinoma Receives: Procedure: Plasma radiofrequency ablation |
| Electrocautery block resection arm | Active comparator | Electrocautery block resection at high frequency for localized recurrent nasopharyngeal carcinoma Receives: Procedure: Electrocautery block resection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival
Time from randomisation to the date of disease progression or death from any causes.
whichever came first.
Measured: 2 years
Secondary outcomes (6)
Overall survival
Time from randomisation to the date of death from any causes. whichever came first.
Measured: 2 years
Loco-regional relapse-free survival
Time from randomisation to the date of loco-regional recurrence.
Measured: 2 years
Distant metastasis-free survival
Time from randomisation to the date of distant metastasis.
Measured: 2 years
Incidence of surgery related complications
the proportion of patients with surgery related complications
Measured: 1 year
Score of survival quality according to the EORTC Quality of Life Questionnaire (QLQ)-C30 (V3.0)
Score of survival quality according to the EORTC Quality of Life Questionnaire (QLQ)-C30 (V3.0) before surgery, at the end of surgery, at 3 months after surgery, and at 6 months after surgery.
Measured: 1 year
Score of survival quality according to the EORTC Quality of Life Questionnaire Head and Neck (The QLQ-H&N35)
Score of survival quality according to the EORTC Quality of Life Questionnaire Head and Neck (The QLQ-H\&N35) before surgery, at the end of surgery, at 3 months after surgery, and at 6 months after surgery.
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jun 2020
- Study start30 Jun 2020
- Primary completionDec 2026 (estimated)
- Study completionDec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for SurgeryStudies of the same condition, open and under way.
- More trials run by Sun Yat-sen UniversityThe sponsor's other registered studies.
- 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- The sample size was updated according to external data from published study (PMID: 37974339).
- Masking
- None (open label)
- Enrolment
- 500 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sun Yat-sen University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ming-Yuan Chen, Sun Yat-sen University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04425265
- Sponsor's protocol ID
- SYSUCC-CMY-2020-2301
- Status last verified
- May 2026
- First submitted
- 4 Jun 2020
- Last updated
- 8 May 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No