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OncoMatch/Clinical Trials/NCT07327216

Sapylin Versus Dexamethasone Inhalation for CCRT-Induced Oral Mucositis in Nasopharyngeal Carcinoma

Is NCT07327216 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including Sapylin and Dexamethasone for nasopharyngeal carcinoma (npc).

Phase 3RecruitingAffiliated Hospital of Guangdong Medical UniversityNCT07327216Data as of May 2026

Treatment: Sapylin · Dexamethasone · CCRT with CisplatinRadiation therapy is the main treatment for nasopharyngeal carcinoma (NPC), and standard care for advanced NPC often includes combination chemotherapy and radiation (CCRT). However, many patients experience serious side effects, such as painful mouth sores (Radiation-Induced Oral Mucositis, RTOM). These side effects can be so severe that they lower a patient's ability to adhere to treatment, potentially making the CCRT less effective. Studies have shown that a significant number of patients stop treatment early due to this toxicity. Current clinical guidelines from organizations like MASCC/ISOO and ESMO agree that preventing RTOM is crucial, but there is currently no specific drug that works for everyone. This study aims to investigate a new approach: using Sapylin, a biological immune regulator, delivered through an atomized inhaler. Preliminary research suggests Sapylin delivered this way may enhance the effectiveness of chemotherapy and boost the body's immunity. The main purpose of this study is to determine the effect of Sapylin inhalation on the incidence and severity of RTOM, and to evaluate its safety and impact on the overall success of CCRT. By participating, you will help researchers find a high-efficiency, low-toxicity method to improve CCRT outcomes and manage RTOM for future NPC patients and specialists.

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Extracted eligibility criteria

Cancer type

Head and Neck Squamous Cell Carcinoma

Disease stage

Required: Stage III, IVA

Prior therapy

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

Cannot have received: radiotherapy

No previous radiotherapy

Cannot have received: chemotherapy

No previous chemotherapy

Cannot have received: surgery

No previous surgery

Cannot have received: immunization

No previous immunization

Cannot have received: targeted therapy

No previous targeted therapy

Cannot have received: chemoradiotherapy

Who have undergone surgery, chemoradiotherapy, and targeted immunotherapy

Cannot have received: targeted immunotherapy

Who have undergone surgery, chemoradiotherapy, and targeted immunotherapy

Lab requirements

Blood counts

white blood cell count ≥4.0×10^9/l, hemoglobin ≥100g/l, neutrophil count ≥1.5×10^9/l, platelet count ≥100×10^9/l

Kidney function

estimated glomerular filtration rate ≥60 ml/min

Liver function

total bilirubin ≤1.5×uln, alt and ast ≤2×uln

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

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