Title
Induction Chemotherapy Followed By Chrono-chemotherapy Concurrent With IMRT Of Locally Advanced NPC Clinical Study
Induction Chemotherapy Followed By Chrono-chemotherapy Concurrent With Intensity-modulated Radiotherapy In The Treatment Of Locally Advanced Nasopharyngeal Carcinoma PhaseⅡClinical Randomized Study
Phase
Phase 2Lead Sponsor
Guiyang Medical UniversityStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Nasopharyngeal CarcinomaIntervention/Treatment
cisplatin ...Study Participants
160Comparing induction chemotherapy followed by cisplatin chrono-chemotherapy concurrent combined with intensity-modulated radiation therapy (chrono-chemotherapy group) with induction chemotherapy followed by cisplatin routine-chemotherapy concurrent combined with intensity-modulated radiation therapy (routine-chemotherapy group) in the treatment of locally advanced nasopharyngeal carcinoma, observing the adverse reaction and effects of two groups,expected chrono-chemotherapy group can achieve lower toxicity, improve the curative effect, for the treatment of nasopharyngeal carcinoma provides a more reasonable way.
Induction chemotherapy followed by cisplatin chrono-chemotherapy concurrent combined with intensity-modulated radiation therapy
Induction chemotherapy followed by cisplatin routine-chemotherapy concurrent combined with intensity-modulated radiation therapy
Inclusion Criteria: Pathological diagnosis of early cure Ⅲ - Ⅳ stage of patients with advanced nasopharyngeal carcinoma (according to the 2010 UICC staging criteria, T3-4, N0-3), no evidence of distant metastasis (M0). A measurable tumor lesions; Karnofsky score≥70; Age 18-70 years old, male or female; No major organ dysfunction; Normal bone marrow hematopoietic function (white blood cell ≥4.0×109/L,platelet≥100×109 /L. hemoglobin ≥100g/L),normal liver function (total bilirubin、alanine aminotransferase、 aspartate aminotransferase ≤1.5 times the upper limit of normal),normal renal function (creatinine ≤1.5 times the upper limit of normal) electrocardiogram does not affect the normal treatment; To understand this study and sign informed consent form. Exclusion Criteria: A distant metastasis; Patients with physical or mental illness, and researchers think that patients can't fully or adequately understand the possible complications of this study; Pregnancy (confirmed by serum or urine β-HCG test) or between lactation period; Serious complications, such as uncontrollable hypertension, heart function failure, diabetes, etc.; 5.Who had received radiation and chemotherapy.