OncoMatch/Clinical Trials/NCT05508347
Nituzumab (Taixinsheng ®) A Prospective, Randomized, Double-blind, Placebo-controlled, Multicenter Phase II Clinical Study on the Efficacy and Safety of Combined Induction Chemotherapy for Locally Advanced Nasopharyngeal Carcinomatreatment of Locally Advanced Nasopharyngeal Carcinoma
Is NCT05508347 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies non-drug interventions for nasopharyngeal carcinoma.
Nasopharyngeal carcinoma (NPC) is a head and neck tumor. Studies have shown that more than 70% of patients are diagnosed with locally advanced nasopharyngeal carcinoma at the time of initial diagnosis. The 3-year survival rate of locally advanced nasopharyngeal carcinoma after chemotherapy is over 90%, but 30% of patients still have recurrence and distant metastasis. Therefore, while improving the level of radiation therapy technology, we should study multidisciplinary comprehensive treatment methods and put forward the biological concept of "cure". Induction chemotherapy can effectively create better radiotherapy conditions for locally advanced nasopharyngeal carcinoma, especially for patients with large lesions, improve the treatment response rate, and may reduce the local recurrence and distant metastasis rate. After the end of neoadjuvant chemotherapy, compared with patients who only reached SD, patients who reached CR had a significant survival benefit; Other patients had a reduced rate of distant metastasis, which aroused our interest, although there was no obvious survival benefit. The national multicenter phase II clinical study showed that nitumab combined with radiotherapy significantly improved the 3-year survival rate of patients with locally advanced nasopharyngeal carcinoma compared with radiotherapy alone. According to the previous related research results, nitumab combined with induction chemotherapy or concurrent chemoradiotherapy has a certain effect on nasopharyngeal carcinoma without obvious adverse reactions. However, prospective studies on the short-term efficacy and safety of local advanced nasopharyngeal carcinoma combined with induction chemotherapy and concurrent chemoradiotherapy are still lacking (Taisheng ®)。
Check if I qualifyExtracted eligibility criteria
Cancer type
Head and Neck Squamous Cell Carcinoma
Biomarker criteria
Required: EGFR positive (positive)
Disease stage
Required: Stage T2-4N2M0 (WITH LYMPH NODE RISK FACTORS), T1-4N3M0 (2018 AJCC (Eighth Edition))
Excluded: Stage DISTANT METASTASIS
Nasopharyngeal carcinoma 2018 AJCC (Eighth Edition) staging: t2-4n2m0 (metastatic lymph nodes have one of the following risk factors: the shortest length of the largest lymph node is ≥ 3cm or the lymph node is liquefied and necrotic or the lymph node envelope is invaded) or t1-4n3m0
Prior therapy
Cannot have received: surgery
Exception: biopsy
The primary tumor or lymph node has been treated surgically (except biopsy)
Cannot have received: radiotherapy
Patients with primary focus or lymph nodes who have received radiotherapy
Cannot have received: EGFR-targeted therapy
Those who have received epidermal growth factor targeted therapy
Cannot have received: chemotherapy
The primary lesion has received chemotherapy
Cannot have received: immunotherapy
The primary lesion has received immunotherapy
Lab requirements
Blood counts
Hgb >= 90 g/L; WBC >= 4 × 10^9/L; PLT >= 90 × 10^9/L
Kidney function
serum creatinine < 1.5x ULN; creatinine clearance rate >= 60 ml/min
Liver function
ALT and/or AST < 1.5x ULN; TBIL < 1.5x ULN
Hemoglobin (Hgb) ≥ 90 g / L, white blood cell (WBC) ≥ 4 × 109 / L, platelet (PLT) ≥ 90 × 109 /L. Liver function: ALT and / or ast < 1.5 times the upper limit of normal value (ULN), and TBIL < 1.5 times the upper limit of normal value (ULN). Renal function: serum creatinine < 1.5 times the upper limit of normal value (ULN); Creatinine clearance rate shall not be lower than 60ml / min.
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