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Maintenance Capecitabine Plus Best Supportive Care Versus Best Supportive Care for Metastatic Nasopharyngeal Carcinoma

NCT02460419 — Phase 3, Completed, 104 participants, Sun Yat-sen University

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Maintenance Capecitabine Plus Best Supportive Care Versus Best Supportive Care for Metastatic Nasopharyngeal Carcinoma: a Multicenter, Randomised, Phase 3 Study.

RegistryNCT02460419
StatusCompleted
PhasePhase 3
Study typeInterventional; randomized, parallel, masking: none, treatment
Enrollment104 (Actual)
SponsorSun Yat-sen University (Other); collaborators: Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Affiliated Cancer Hospital of Shantou University Medical College
ConditionsNasopharyngeal Carcinoma
Interventionscapecitabine, Best supportive care (BSC) (Drug, other)
Datesstart 2015-04-01, primary completion 2020-05-01, completion 2020-05-01, first posted 2015-06-02, last updated 2022-10-28
Locations1 site in China

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-Summary

This multicenter, randomised, phase 3 study is to evaluate the survival benefit of maintenance capecitabine plus best supportive care versus best supportive care for metastatic nasopharyngeal carcinoma patients after disease controlled with TPC palliative chemotherapy.

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+Detailed description

Firstly diagnosed metastatic nasopharyngeal carcinoma patients will receive 4-6 cycles of palliative chemotherapy with taxol,cisplatin and capecitabine. After disease controlled, they will be randomly assigned to maintenance capecitabine plus best supportive care(BSC) or BSC alone. The primary end point is progression-free survival, the secondary end points are overall survival, duration of response, objective response rate, adverse effects and quality of life.

+Arms and interventions

ArmTypeInterventionsDescription
maintenance capecitabineExperimentalDrug: capecitabine; Other: Best supportive care (BSC)maintenance capecitabine plus best supportive care(BSC)
best supportive careOtherOther: Best supportive care (BSC)Best supportive care and following-up every 6-8 weeks
  • capecitabine (Drug), also known as Xeloda: capecitabine 1250mg/m2 bid, oral, for 14 days, every 3 weeks. Number of Cycles: until progression or unacceptable toxicity develops.
  • Best supportive care (BSC) (Other): Best supportive care and following-up every 6-8 weeks

+Outcome measures

Primary outcomes

  • progression-free survival [up to 6 years]: the time from randomization to the progression of disease

Secondary outcomes

  • overall survival [up to 6 years]: the time from randomization to death
  • duration of response [up to 6 years]: the time from the date of the first cycle of chemotherapy to the progression of disease
  • objective response rate [up to 6 years]: CR, PR and SD rate
  • adverse effects [up to 6 years]: chemotherapy side effects
  • quality of life of the patients during the Maintenance Capecitabine and/or Best Supportive Care [up to 6 years]: evaluate with FACT-H\&N every 3 months after randomiztion

+Eligibility

Sex: All, ages: 18 Years to 65 Years

Inclusion Criteria:

* Firstly diagnosed metastatic nasopharyngeal carcinoma patients
* Disease controlled after 4-6 cycles of palliative chemotherapy with taxol,cisplatin and capecitabine
* Eastern Cooperative Oncology Group (ECOG) 0-2
* Life expectation at least 12 weeks
* No systemic chemotherapy within 6 months, except for induction chemotherapy or concurrent chemotherapy
* With at least one measurable lesion
* Enough blood test
* Signed informed consent

Exclusion Criteria:

* Sever heart disease
* HIV infection
* Sever infection
* Brain metastasis, except received radical therapy 6 months ago and stable in 4 weeks
* Allogeneic organ transplantation
* Malignancy other than nasopharyngeal carcinoma, except:cervical carcinoma in situ, cured basal cell carcinoma,bladder cancer of Ta,Tis or T1, or any cured cancer for at least 3 years
* Pregnancy or breast feeding
* Difficulty in swallowing
* Received other test drugs

+Locations (1)

FacilityCityCountryStatus
SunYat-senUGuangzhou, GuangdongChina

+Publications

  • Jin Y, Shi YX, Cai XY, Xia XY, Cai YC, Cao Y, Zhang WD, Hu WH, Jiang WQ. Comparison of five cisplatin-based regimens frequently used as the first-line protocols in metastatic nasopharyngeal carcinoma. J Cancer Res Clin Oncol. 2012 Oct;138(10):1717-25. doi: 10.1007/s00432-012-1219-x. Epub 2012 Jun 10. PMID 22684794
  • Chua DT, Yiu HH, Seetalarom K, Ng AW, Kurnianda J, Shotelersuk K, Krishnan G, Hong RL, Yang MH, Wang CH, Sze WK, Ng WT. Phase II trial of capecitabine plus cisplatin as first-line therapy in patients with metastatic nasopharyngeal cancer. Head Neck. 2012 Sep;34(9):1225-30. doi: 10.1002/hed.21884. Epub 2011 Nov 11. PMID 22076785
  • Leong SS, Wee J, Rajan S, Toh CK, Lim WT, Hee SW, Tay MH, Poon D, Tan EH. Triplet combination of gemcitabine, paclitaxel, and carboplatin followed by maintenance 5-fluorouracil and folinic acid in patients with metastatic nasopharyngeal carcinoma. Cancer. 2008 Sep 15;113(6):1332-7. doi: 10.1002/cncr.23687. PMID 18615622
  • Results publication: Han J, Lan X, Tian K, Shen X, He J, Chen N. Cost-effectiveness analysis of capecitabine maintenance therapy plus best supportive care vs. best supportive care alone as first-line treatment of newly diagnosed metastatic nasopharyngeal carcinoma. Front Public Health. 2023 Jan 26;10:1086393. doi: 10.3389/fpubh.2022.1086393. eCollection 2022. PMID 36777769
  • Results publication: Liu GY, Li WZ, Wang DS, Liang H, Lv X, Ye YF, Zhao C, Ke LR, Lv SH, Lu N, Bei WX, Cai ZC, Chen X, Liang CX, Guo X, Xia WX, Xiang YQ. Effect of Capecitabine Maintenance Therapy Plus Best Supportive Care vs Best Supportive Care Alone on Progression-Free Survival Among Patients With Newly Diagnosed Metastatic Nasopharyngeal Carcinoma Who Had Received Induction Chemotherapy: A Phase 3 Randomized Clinical Trial. JAMA Oncol. 2022 Apr 1;8(4):553-561. doi: 10.1001/jamaoncol.2021.7366. PMID 35175316

+Investigators

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