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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.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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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.

Ming-Yuan Chen, MD, PhD contact

86-20-8734-3361

chmingy@mail.sysu.edu.cn

You-Ping Liu, MD, PhD contact

86-13751763276

liuyp78@mail.sysu.edu.cn

China3 sites, 3 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

    Recruiting

Other trials in China

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.

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 groups in NCT04425265
Study groupRoleWhat they receive
Plasma radiofrequency ablation armExperimentalPlasma radiofrequency ablation at low temperature for localized recurrent nasopharyngeal carcinoma
Receives: Procedure: Plasma radiofrequency ablation
Electrocautery block resection armActive comparatorElectrocautery 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.

  1. 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)
  1. Overall survival

    Time from randomisation to the date of death from any causes. whichever came first.

    Measured: 2 years

  2. Loco-regional relapse-free survival

    Time from randomisation to the date of loco-regional recurrence.

    Measured: 2 years

  3. Distant metastasis-free survival

    Time from randomisation to the date of distant metastasis.

    Measured: 2 years

  4. Incidence of surgery related complications

    the proportion of patients with surgery related complications

    Measured: 1 year

  5. 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

  6. 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.

  1. First posted11 Jun 2020
  2. Study start30 Jun 2020
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2028 (estimated)

Resources

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)
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

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