At the initial diagnosis of locally advanced nasopharyngeal carcinoma, a considerable proportion of patients have developed distant metastasis, forming subclinical lesions. Nowadays, with the advent of intensity modulated radiotherapy, the local-regional area is under well controlled. However, distant metastasis is still the main cause of failure in treatment of stage N2-3 nasopharyngeal carcinoma.The severe toxicity of synchronous chemotherapy and the dose intensity of single drug is not enough to effectively control existing subclinical lesions. Neoadjuvant chemotherapy with sufficient intensity (four cycles) can possible effectively kill subclinical lesions prior to the initiation of concurrent chemoradiotherapy, thereby reducing distant metastasis of stage N2-3 nasopharyngeal carcinoma. Meanwhile, four cycles of chemotherapy have been shown to be well tolerated in other tumors. In conclusion, 4-cycle neoadjuvant chemotherapy in combination with radiotherapy is expected to further control the distant metastasis rate of N2-3 nasopharyngeal carcinoma and improve the survival rate.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
246
4 Cycles of Neoadjuvant Chemotherapy With Definitive Radiotherapy, instead of Concurrent Chemoradiotherapy
3 cycles of Neoadjuvant Chemotherapy With concurrent chemoradiotherapy, instead of definitive radiotherapy
Fujian Medical University Union Hospital
Fuzhou, Fujian, China
NOT_YET_RECRUITINGCancer prevention and treatment center, sun yat-sen university
Guandong, Guangdong, China
NOT_YET_RECRUITINGThe first affiliated hospital, college of medicinle, Zhejiang University
Hangzhou, Zhejiang, China
NOT_YET_RECRUITINGZhejiang Cancer Hospital
Hangzhou, Zhejiang, China
NOT_YET_RECRUITINGZhejiang Provincial People's Hospital
Hangzhou, Zhejiang, China
NOT_YET_RECRUITING2nd Affiliated Hospital, School of Medicine, Zhejiang University, China
Hangzhou, Zhejiang, China
RECRUITINGZhejiang Xiaoshan Hospital
Hangzhou, Zhejiang, China
NOT_YET_RECRUITINGJinhua Central Hospital
Jinhua, Zhejiang, China
NOT_YET_RECRUITINGLishui City Central Hospital
Lishui, Zhejiang, China
NOT_YET_RECRUITINGNingbo Yinzhou People's Hospital
Ningbo, Zhejiang, China
NOT_YET_RECRUITING...and 2 more locations
5-year overall survival
the duration between the date of diagnosed and date of patient death
Time frame: 5 years
5-year metastatic free survival
the duration between the date of diagnosed and date of metastasis
Time frame: 5 years
5-year disease-free survival
the duration between the date of diagnosed and date of related disease
Time frame: 5 years
5-year recurrence-free survival
the duration between the date of diagnosed and date of recurrence
Time frame: 5 years
Safety (incidence of grade 3/4 adverse reactions)
treatment related toxic effects
Time frame: 5 years
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