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OncoMatch/Clinical Trials/NCT06093061

Tislelizumab and Metronomic Capecitabine as Maintenance in High-risk Locoregionally-advanced Nasopharyngeal Carcinoma

Is NCT06093061 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies CCRT with Maintenance Tislelizumab and Metronomic Capecitabine for nasopharyngeal carcinoma.

Phase 2RecruitingNational Cancer Centre, SingaporeNCT06093061Data as of May 2026

Treatment: CCRT with Maintenance Tislelizumab and Metronomic CapecitabinePatients with "high-risk" locoregionally-advanced nasopharyngeal carcinoma (LA-NPC), defined as AJCC/UICC 8th edition TNM-stage III-IVA and high Epstein-Barr virus (EBV) DNA viral load (≥4,000 copies/mL) will require induction chemotherapy (IC) prior to chemo-radiation (CCRT) as per standard treatment. Patients who persist to manifest DETECTABLE EBV DNA following 3 cycles of IC have a higher risk of relapse, and are typically recommended for a year of low-dose oral chemotherapy after CCRT. RIBBON-LA-01 is a single-arm, open-label, phase 2 clinical trial of maintenance tislelizumab and metronomic capecitabine (metroCap) for 52 weeks after IC and CCRT, targeting this specific group of patients who have persistent detectable EBV DNA after IC. The main objective is to evaluate the efficacy of maintenance tislelizumab and metroCap in patients with DETECTABLE EBV DNA levels after 3 cycles of IC.

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Extracted eligibility criteria

Cancer type

Head and Neck Squamous Cell Carcinoma

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: anti-PD-1/PD-L1/PD-L2 or co-inhibitory T-cell receptor therapy

Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (e.g., CTLA-4, OX 40, CD137)

Cannot have received: radiotherapy

Has received any prior radiotherapy (RT) or systemic anti-cancer therapy including investigational agents for NPC

Cannot have received: systemic anti-cancer therapy

Has received any prior radiotherapy (RT) or systemic anti-cancer therapy including investigational agents for NPC

Cannot have received: herbal medicine used to control cancer

Has received any herbal medicine used to control cancer within 14 days of the start of study

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

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