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OncoMatch/Clinical Trials/NCT06675214

Under Whole-course of Immunotherapy, Gradient Fractionated RT with CCT Versus CFRT with CCT for LANPC Who Achieved PR Post Induction Chemotherapy.

Is NCT06675214 recruiting? Yes, currently enrolling (Jun 2026). This Phase 3 trial studies multiple treatments including Full course of PD-1/PD-L1 blockades and Cisplatin-based induction chemotherapy for nasopharyngeal carcinoma.

Phase 3RecruitingSun Yat-sen UniversityNCT06675214Data as of Jun 2026Location: China

Treatment: Full course of PD-1/PD-L1 blockades · Cisplatin-based induction chemotherapy · Concurrent ChemotherapyThis prospective trial aims to enroll patients with stage III-IVA (AJCC 8th,) locoregionally advanced nasopharyngeal carcinoma (LANPC). Under the condition of full course of PD-1/PD-L1 blockades, patients who achieved radiological partial response after 3 cycles of platinum-based chemotherapy plus PD-1/PD-L1 blockades will be randomized in a 1:1 ratio to receive gradient radiotherapy (reducing the irradiation dose of PET-CT areas without metabolic abnormalities, while maintaining adequate irradiation dose of areas with metabolic abnormalities) or standard dose radiotherapy with concurrent chemotherapy. It is expected to provide a new therapeutic option for locally advanced nasopharyngeal carcinoma at moderate risk.

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Extracted eligibility criteria

Treatments studied

Chemotherapy

Cisplatin-based induction chemotherapy

Other

Full course of PD-1/PD-L1 blockadesConcurrent Chemotherapy

Cancer type

Head and Neck Squamous Cell Carcinoma

Disease stage

Required: Stage III, IVA

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Ages ≤ 65

Prior therapy

Must have received: platinum-based chemotherapy plus immunotherapy — induction

after 3 cycles of induction therapy of platinum-based chemotherapy plus immunotherapy

Cannot have received: chemotherapy

Exception: except diagnostic treatment

prior chemotherapy, immunotherapy, targeted therapy, or surgery (except diagnostic treatment)

Cannot have received: immunotherapy

Exception: except diagnostic treatment

prior chemotherapy, immunotherapy, targeted therapy, or surgery (except diagnostic treatment)

Cannot have received: targeted therapy

Exception: except diagnostic treatment

prior chemotherapy, immunotherapy, targeted therapy, or surgery (except diagnostic treatment)

Cannot have received: surgery

Exception: except diagnostic treatment

prior chemotherapy, immunotherapy, targeted therapy, or surgery (except diagnostic treatment)

Cannot have received: anti-PD-1 therapy

Patients who underwent anti-PD-1 /PD-L1 antibody or anti-CTLA-4 antibody (or any other antibody acting on T cell synergistic stimulation or checkpoint pathway) and anti-angiogenic drugs

Cannot have received: anti-PD-L1 therapy

Patients who underwent anti-PD-1 /PD-L1 antibody or anti-CTLA-4 antibody (or any other antibody acting on T cell synergistic stimulation or checkpoint pathway) and anti-angiogenic drugs

Cannot have received: anti-CTLA-4 therapy

Patients who underwent anti-PD-1 /PD-L1 antibody or anti-CTLA-4 antibody (or any other antibody acting on T cell synergistic stimulation or checkpoint pathway) and anti-angiogenic drugs

Cannot have received: anti-angiogenic therapy

Patients who underwent anti-PD-1 /PD-L1 antibody or anti-CTLA-4 antibody (or any other antibody acting on T cell synergistic stimulation or checkpoint pathway) and anti-angiogenic drugs

Lab requirements

Blood counts

neutrocyte count0D40910e9/L, hemoglobin 0D90g/L, platelet count 0D1000910e9/L

Kidney function

creatinine clearance rate 0D 60 ml/min or creatinine of no more than 1.5 times the upper normal limit

Liver function

ALT/AST 2.50D ULN, bilirubin 2.50D ULN

Adequate marrow function: neutrocyte count0D40910e9/L, hemoglobin 0D90g/L and platelet count 0D1000910e9/L. Adequate liver and kidney function: ALT/AST 2.50D ULN, bilirubin 2.50D ULN.; creatinine clearance rate 0D 60 ml/min or creatinine of no more than 1.5 times the upper normal limit.

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

Frequently asked questions

Is NCT06675214 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior chemotherapy, immunotherapy, targeted therapy disqualifies patients from enrollment.

What disease stage is eligible?

Stage III or IVA is required.

Is there an age limit?

Yes. Patients must be 65 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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