The study is to observe the efficacy and toxicity of demethylating drug decitabine and cisplatin induced chemotherapy for 3 cycles followed by concurrent chemoradiotherapy in the treatment of regionally advanced nasopharyngeal carcinoma,followed up for 2 years, observing the 2-year survival rate and variation of degrees of methylation before and after treatment,providing clinical basis for the clinical study of stage II-III.
Recent studies and previous studies in the investigator's research group have found that nasopharyngeal carcinoma is a disease with hypermethylation changes, and epigenetic treatment has not yet been carried out in nasopharyngeal carcinoma. In this study, Simon's two-stage design method was used to select 30 patients with nasopharyngeal carcinoma, treated with demethylating drug decitabine 7mg/m2 d1-5 + cisplatin 80mg/m2 d1 induced chemotherapy for 3 cycles followed by concurrent chemoradiotherapy with cisplatin 80mg/m2. observing the efficacy and toxicity of decitabine in the treatment of regionally advanced nasopharyngeal carcinoma, followed up for 2 years, observing the 2-year survival rate,evluating the relationship between different degrees of methylation and survival before and after treatment,provide clinical basis for the clinical study of stage II-III.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Induced treatment by demethylating drug decitabine 7mg/m2 d1-5 and cisplatin 80mg/m2 d1 for 3 cycles to regionally advanced nasopharyngeal carcinoma followed by concurrent chemoradiotherapy with cisplatin 80mg/m2 d1 for 3 cycles.
Guilin Hospital of Traditional Chinese Medicine
Guilin, Guangxi, China
RECRUITINGGuilin Medical University
Guilin, Guangxi, China
RECRUITINGProgression-free survival
The time from the first day of therapy to death or last follow-up
Time frame: 2 years
Overall survival
The time from the first day of therapy to death or last follow-up
Time frame: 2 years
Locoregional recurrence-free survival
The time from the first day of therapy to death or last follow-up
Time frame: 2 years
Distant metastasis-free survival
The time from the first day of therapy to death or last follow-up
Time frame: 2 years
Dgree of methylation Carcinoma
The variations of the dgree of methylation before and after 2 months treatment
Time frame: 2 months
Treatment toxicity
The time from the first day of therapy to death or last follow-up
Time frame: 2moths to 2 years
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