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OncoMatch/Clinical Trials/NCT05145660

Optimization of Cervical Nodal CTV for Early and Medium Stage NPC

Is NCT05145660 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies Chemotherapy for nasopharyngeal carcinoma.

Phase 3RecruitingJun-Lin Yi, MDNCT05145660Data as of May 2026

Treatment: ChemotherapyCurrent radiotherapy guidelines and consensus statements uniformly recommend elective region irradiation (ERI) as the standard strategy for nasopharyngeal carcinoma (NPC). However, given the scarcity of skip-metastasis, the improved assessment accuracy of nodal involvement, and the striking advancements in chemotherapy for NPC, a one-fits-all delineation scheme for clinical target volumes for the nodal region (CTVn) may not be appropriate anymore, and modifications of the CTVn delineation strategy may be warranted. Involved site irradiation (ISI) covering merely the initially involved nodal site and potential extranodal extension has been confirmed to be as effective as ERI with decreased radiation-related toxicities in some malignancies, but has not yet been investigated in NPC. This study aims to compare the regional control, survival outcomes, radiation-related toxicities, and quality of life (QoL) of ISI with conventional ERI in NPC patients with a limited nodal burden.

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Extracted eligibility criteria

Cancer type

Head and Neck Squamous Cell Carcinoma

Disease stage

Required: Stage I, II, III

Lab requirements

Blood counts

hemoglobin ≥ 120 g/l, wbcs ≥ 4 × 109 /l, platelets ≥ 100 × 109 /l

Kidney function

kidney function-related indicators within 1.25*the normal upper limit

Liver function

liver function-related indicators within 1.25*the normal upper limit

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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