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Nasopharyngeal CarcinomaPhase 2NCT07555860

Becotatug Vedotin Plus PD-1 Monoclonal Antibody and Radiotherapy for Unresectable Locally Recurrent Nasopharyngeal Carcinoma

A Phase 2 study testing Becotatug Vedotin, Toripalimab and Camrelizumab in people with Nasopharyngeal Carcinoma, run by Sun Yat-sen University.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This exploratory clinical study will enroll patients with unresectable locally recurrent nasopharyngeal carcinoma to receive two cycles of becotatug vedotin plus a PD-1 monoclonal antibody, followed by sequential radiotherapy and PD-1 monoclonal antibody maintenance until disease progression or unacceptable toxicity. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Nasopharyngeal Carcinoma
What is being tested?
Becotatug Vedotin, Toripalimab and Camrelizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
28 participants
Where
No sites listed yet
Study dates
20 Apr 2026to 31 Dec 2029
Phase
Phase 2
Are there results?
Not yet: the study is under way

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

  • Voluntarily participates in the study and provides written informed consent.
  • Aged 18-70 years, male or non-pregnant female, with an expected survival of ≥3 months and an ECOG performance status of 0 or 1.
  • Histologically or cytologically confirmed locally recurrent nasopharyngeal carcinoma, differentiated or undifferentiated carcinoma, corresponding to WHO type II or III, with clinical stage rT2-4N0-3M0, rIA-III according to the AJCC 9th edition.
  • Recurrence occurring more than 12 months after completion of initial radiotherapy, with no systemic or local antitumor treatment during this interval.
  • At least one measurable lesion according to RECIST v1.1.
  • Hemoglobin ≥90 g/L, white blood cell count ≥4.0 × 10⁹/L, and platelet count ≥100 × 10⁹/L.
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  • Adequate liver function: total bilirubin <2.0 × ULN; AST and ALT ≤2.5 × ULN in the absence of liver metastasis, or ALT or AST ≤3.0 × ULN in the presence of liver metastasis; ALP ≤1.5 × ULN, or ≤2 × ULN in the presence of liver metastasis; serum albumin ≥30 g/L.
  • Adequate coagulation function: INR or PT and APTT ≤1.5 × ULN, except for patients receiving anticoagulant therapy, whose anticoagulation level should be within the therapeutic range. These laboratory parameters should be closely monitored by the investigator if the patient is receiving anticoagulant therapy.
  • Adequate renal function, defined as serum creatinine ≤1.5 × ULN, or creatinine clearance ≥50 mL/min if serum creatinine is >1.5 × ULN. Creatinine clearance should be calculated using the corrected Cockcroft-Gault formula.
  • Female and male patients of childbearing potential must agree to use adequate contraception during treatment and for 180 days after the last dose.

Who cannot join

  • Patients with surgically resectable locally recurrent disease, including rT2 disease limited to the superficial parapharyngeal space and located more than 0.5 cm from the internal carotid artery, or rT3 disease limited to the floor of the sphenoid sinus and located more than 0.5 cm from the internal carotid artery and cavernous sinus.
  • Nasopharyngeal necrosis, radiation-induced brain injury, severe cervical fibrosis, or other CTCAE v5.0 Grade ≥3 radiation-related complications, with extremely high radiotherapy risk as assessed by the investigator.
  • Grade ≥2 peripheral neuropathy according to CTCAE v5.0.
  • Receipt of systemic chemotherapy within 3 weeks before the first dose of study drug; small-molecule targeted therapy within 2 weeks or 5 half-lives, whichever is longer, before the first dose; antitumor biologic therapy, macromolecular targeted therapy, immunotherapy, or major surgery within 4 weeks before the first dose, except for minor surgery within 2 weeks with complete recovery.
  • Residual toxicity from prior antitumor therapy, including immunotherapy, targeted therapy, chemotherapy, or radiotherapy, except alopecia, fatigue, and Grade 2 hypothyroidism, or clinically significant laboratory abnormalities greater than Grade 1 according to CTCAE v5.0.
  • Uncontrolled or poorly controlled cardiac disease, including congestive heart failure (CHF) Grade ≥2 according to CTCAE v5.0 or New York Heart Association classification, myocardial infarction, unstable angina, history of ventricular tachycardia or torsades de pointes, or arrhythmia requiring treatment within 6 months before enrollment; QTcF >450 ms in males or >470 ms in females; complete left bundle branch block; or third-degree atrioventricular block. QTcF = QT/(RR^0.33).
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  • Pulmonary embolism or deep vein thrombosis within 3 months before the first dose of study drug, except catheter-related thrombosis from an infusion port or PICC line.
  • Known history of malignancy, except for radically treated basal cell carcinoma of the skin, superficial bladder cancer, squamous cell carcinoma of the skin, carcinoma in situ, or papillary thyroid carcinoma, unless the patient has received potentially curative treatment and has had no disease recurrence within 5 years after treatment initiation.
  • Any severe or uncontrolled systemic disease, including uncontrolled or poorly controlled hypertension, such as systolic blood pressure >160 mmHg or diastolic blood pressure >100 mmHg, or diabetes mellitus with HbA1c >8%.
  • Active bleeding, history of coagulation disorder, or treatment with coumarin anticoagulants.
  • Known hypersensitivity to any component or excipient of becotatug vedotin, including citric acid monohydrate, sodium citrate dihydrate, trehalose dihydrate, sodium chloride, and polysorbate 80; or known Grade ≥3 hypersensitivity reaction to prior anti-EGFR drugs, including investigational study drugs, or other monoclonal antibodies.
  • Known active hepatitis B or hepatitis C. Active hepatitis B is defined as known HBsAg positivity and HBV DNA ≥500 IU/mL. Active hepatitis C is defined as known hepatitis C antibody positivity and quantitative HCV RNA above the lower limit of detection. Other severe liver diseases, including chronic autoimmune liver disease, primary biliary cirrhosis or sclerosing cholangitis, alcoholic liver disease, or nonalcoholic steatohepatitis (NASH), are also excluded.
  • Severe uncontrolled infection; known human immunodeficiency virus (HIV) infection with positive HIV antibody; diagnosis of acquired immunodeficiency syndrome (AIDS); active autoimmune disease, except type 1 diabetes mellitus, hypothyroidism controlled by replacement therapy, and skin diseases not requiring systemic therapy, such as vitiligo, psoriasis, or alopecia; prior allogeneic tissue or organ transplantation, stem cell or bone marrow transplantation, or prior solid organ transplantation.
  • Active bacterial, viral, fungal, rickettsial, or parasitic infection requiring systemic anti-infective therapy, unless treated and resolved before study drug administration.
  • Receipt of a live viral vaccine within 30 days before the first dose of study drug.
  • History of or concurrent interstitial pneumonia, severe chronic obstructive pulmonary disease with respiratory failure, severe pulmonary insufficiency, symptomatic bronchospasm, or similar pulmonary conditions.
  • Receipt of immunology-based therapy for any reason, including chronic systemic steroid therapy equivalent to >10 mg/day prednisone within 7 days before the first dose of study drug or at any time during the study. Inhaled or topical steroids, systemic corticosteroids equivalent to ≤10 mg/day prednisone, and short-term corticosteroids equivalent to >10 mg/day prednisone, such as premedication before contrast administration, are permitted.
  • Uncontrolled pleural, abdominal, pelvic, or pericardial effusion requiring drainage at least once per month.
  • Positive pregnancy test or breastfeeding. Female and male patients who do not plan to use adequate contraception during treatment and for 180 days after the last dose are excluded.
  • Any other disease, clinically significant laboratory abnormality, severe medical or psychiatric condition, or substance abuse including alcoholism that, in the investigator's opinion, may compromise patient safety, study integrity, patient participation, or interfere with the study objectives and outcome analysis.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Yi-Jun Hua, MD contact

18820019088

huayj@sysucc.org.cn

About this study

Official title: An Open-Label, Single-Arm, Single-Center Phase II Study of Induction Becotatug Vedotin Plus a PD-1 Inhibitor Followed by Radiotherapy With PD-1 Maintenance in Patients With Unresectable Locally Recurrent Nasopharyngeal Carcinoma

This exploratory clinical study will enroll patients with unresectable locally recurrent nasopharyngeal carcinoma to receive two cycles of becotatug vedotin plus a PD-1 monoclonal antibody, followed by sequential radiotherapy and PD-1 monoclonal antibody maintenance until disease progression or unacceptable toxicity. The study aims to evaluate the efficacy and safety of this treatment strategy.

Read the detailed description

Detailed Description

This is an open-label, single-arm, single-center Phase II clinical study. The study will enroll patients with unresectable locally recurrent nasopharyngeal carcinoma. Eligible patients will receive two cycles of induction therapy with becotatug vedotin plus a PD-1 monoclonal antibody, followed by intensity-modulated radiotherapy. During and after radiotherapy, patients will continue PD-1 monoclonal antibody maintenance treatment until disease progression, unacceptable toxicity, withdrawal of consent, or other protocol-defined discontinuation criteria.

The study is designed to evaluate the efficacy and safety of this sequential treatment strategy. The primary endpoint is objective response rate assessed by RECIST v1.1. Secondary endpoints include locoregional recurrence-free survival, progression-free survival, distant metastasis-free survival, 12-month and 24-month progression-free survival rates, overall survival, disease control rate, duration of response, treatment-related adverse events assessed according to NCI-CTCAE v5.0, and quality of life.

Being tested
Becotatug Vedotin, Toripalimab, Camrelizumab, Intensity-Modulated Radiotherapy
Medical subject headings
Nasopharyngeal Carcinoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Becotatug VedotinDrug

    Becotatug vedotin will be administered at 2.0 mg/kg intravenously on Day 1 every 3 weeks for 2 cycles as induction therapy, in combination with a PD-1 monoclonal antibody.

  • ToripalimabDrug

    Toripalimab will be administered at 240 mg intravenously on Day 1 every 3 weeks. Toripalimab is one of the optional PD-1 monoclonal antibodies in this study and will be used as an alternative to camrelizumab, not in combination with camrelizumab. It will be given during induction therapy, concurrently with radiotherapy, and as maintenance therapy after radiotherapy until disease progression or unacceptable toxicity.

  • CamrelizumabDrug

    Camrelizumab will be administered at 200 mg intravenously on Day 1 every 3 weeks. Camrelizumab is one of the optional PD-1 monoclonal antibodies in this study and will be used as an alternative to toripalimab, not in combination with toripalimab. It will be given during induction therapy, concurrently with radiotherapy, and as maintenance therapy after radiotherapy until disease progression or unacceptable toxicity.

  • Intensity-Modulated RadiotherapyDrug

    Intensity-modulated radiotherapy will be delivered once daily, 5 days per week. Prescribed doses are 60 Gy in 27 fractions to PTVnx, 60-64 Gy in 27 fractions to PTVnd, and 54 Gy in 27 fractions to PTV1.

Study groups in NCT07555860
Study groupRoleWhat they receive
Experimental groupExperimentalBecotatug Vedotin Plus PD-1 Monoclonal Antibody Induction Followed by Radiotherapy With Concurrent and Maintenance PD-1 Monoclonal Antibody
Receives: Drug: Becotatug Vedotin; Drug: Toripalimab; Drug: Camrelizumab; Drug: Intensity-Modulated Radiotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Objective response rate

    The proportion of participants who achieve a complete response (CR) or partial response (PR), as assessed by the investigator according to RECIST v1.1, from the first dose until disease progression, initiation of new anticancer therapy, death, or the last tumor assessment, whichever occurs first.

    Measured: Baseline; end of 2 induction cycles (21 days/cycle); 8-12 weeks after radiotherapy; every 12 weeks through Month 24; then every 24 weeks thereafter until progression, new anticancer therapy, death, or study completion, up to 36months.

Secondary outcomes (10)
  1. Duration of Response (DoR)

    For participants who achieve a confirmed complete response (CR) or partial response (PR), duration of response is defined as the time from the first documented CR or PR to the first documented disease progression or death from any cause, whichever occurs first.

    Measured: From first documented CR or PR until first documented disease progression or death, whichever occurs first, assessed up to 36 months.

  2. Locoregional Recurrence-Free Survival (LRFS)

    Locoregional recurrence-free survival is defined as the time from the first dose to the first documented locoregional recurrence/progression or death from any cause, whichever occurs first.

    Measured: From the first dose until the first documented locoregional recurrence/progression or death from any cause, whichever occurs first, assessed up to 36 months.

  3. Treatment-Related Adverse Events

    Treatment-related adverse events will be assessed and graded according to NCI-CTCAE v5.0. The incidence and severity of adverse events, Grade 3 or higher adverse events, serious adverse events, and adverse events leading to dose modification, treatment interruption, or treatment discontinuation will be summarized.

    Measured: From first dose to 90 days after last study treatment; late radiotherapy-related toxicities followed until Month 24 or study completion.

  4. Overall Survival (OS)

    OS is defined as the time from the first dose to death from any cause. Participants who are alive will be censored at the date of last confirmed survival status.

    Measured: From the first dose until death from any cause, assessed up to 36 months.

  5. 12-Month Progression-Free Survival Rate

    The 12-month PFS rate is defined as the proportion of participants who remain alive and progression-free at 12 months, estimated using the Kaplan-Meier method based on PFS.

    Measured: From the first dose to 12 months.

  6. 24-Month Progression-Free Survival Rate

    The 24-month PFS rate is defined as the proportion of participants who remain alive and progression-free at 24 months, estimated using the Kaplan-Meier method based on PFS.

    Measured: From the first dose to 24 months.

  7. Progression-Free Survival (PFS)

    Progression-free survival is defined as the time from the first dose to the first documented disease progression according to RECIST version 1.1 or death from any cause, whichever occurs first.

    Measured: From the first dose until the first documented disease progression according to RECIST version 1.1 or death from any cause, whichever occurs first, assessed up to 36 months.

  8. Disease Control Rate (DCR)

    The proportion of participants who achieve a best overall response of complete response (CR), partial response (PR), or stable disease (SD), as assessed by the investigator according to RECIST version 1.1.

    Measured: Baseline; end of 2 induction cycles (21 days/cycle); 8-12 weeks after radiotherapy; every 12 weeks through Month 24; then every 24 weeks thereafter until progression, death, or study completion, up to 36 months.

  9. Distant Metastasis-Free Survival (DMFS)

    DMFS is defined as the time from the first dose to the first documented distant metastasis or death from any cause, whichever occurs first. Distant metastasis will be assessed by imaging examinations, including chest CT, abdominal imaging, bone scan, PET/CT, or other clinically indicated examinations.

    Measured: From first dose until first documented distant metastasis or death, whichever occurs first, assessed up to 36 months.

  10. Quality of Life (QoL)

    Quality of life will be assessed using the EORTC QLQ-C30 questionnaires. Scores for each domain and health status will be calculated according to the questionnaire scoring manuals, and changes from baseline will be summarized.

    Measured: Baseline; end of 2 induction cycles (21 days/cycle); end of radiotherapy; 8-12 weeks after radiotherapy; every 12 weeks through Month 24; then every 24 weeks thereafter until study completion, up to 36 months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Apr 2026
  2. Study start20 Apr 2026 (estimated)
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2029 (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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Becotatug Vedotin Plus PD-1 Monoclonal Antibody and Radiotherapy for Unresectable Locally Recurrent Nasopharyngeal Cancer
Masking
None (open label)
Enrolment
28 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07555860
Sponsor's protocol ID
2025-FXY-540-NPC
Status last verified
Apr 2026
First submitted
14 Apr 2026
Last updated
29 Apr 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Researchers who has been approved can share.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Becotatug Vedotin, Toripalimab and Camrelizumab in people with Nasopharyngeal Carcinoma, run by Sun Yat-sen University.

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 20 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: opening soon, as of the sponsor's last update on 29 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

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.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Yi-Jun Hua, MD (18820019088, huayj@sysucc.org.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Objective response rate (time frame: Baseline; end of 2 induction cycles (21 days/cycle); 8-12 weeks after radiotherapy; every 12 weeks through Month 24; then every 24 weeks thereafter until progression, new anticancer therapy, death, or study completion, up to 36months.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 29 Apr 2026.

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