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Yuan JJ, Ding JW, Li JW, Hu RH, Gong D, Hu JL, Zhu KB, Liu Y, Ding YH, Wei JW, Zeng JL, Lu ZB, Yin WH, Ai SF, Zha GH, Zhang ZL, Zou R, Zeng L. Nimotuzumab plus induction chemotherapy followed by radiotherapy/concurrent chemoradiotherapy plus nimotuzumab for locally advanced nasopharyngeal carcinoma: protocol of a multicentre, open-label, single-arm, prospective phase II trial. BMJ Open 2022; 12:e051594. [PMID: 36008072 PMCID: PMC9422822 DOI: 10.1136/bmjopen-2021-051594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/08/2022] Open
Abstract
UNLABELLED Epidermal growth factor receptor (EGFR) is a therapeutic target in nasopharyngeal carcinoma (NPC). The optimal combined modality of optimal combined modality of anti--EGFR monoclonal antibodies, induction chemotherapy (ICT), concurrent chemotherapy and radiotherapy for NPC remains poorly defined. None of previous studies have developed subsequent treatment strategies on the basis of stratification according to the efficacy following ICT plus anti-EGFR mAbs. This study aims to increase treatment intensity for patients with poor efficacy of ICT and reduce treatment toxicity for patients with favourable efficacy of ICT by assessing whether the efficacy of this treatment regimen is non-inferior to ICT plus concurrent chemoradiotherapy (historic controls). INTRODUCTION METHODS AND ANALYSIS: Pathology-confirmed WHO type II/III NPC patients at clinical stage III-IVA (eighth American Joint Committee on Cancer/Union for International Cancer Control staging system) will be included in the study. They will receive ICT plus nimotuzumab (NTZ), followed by radiotherapy plus NTZ or concurrent chemoradiotherapy plus NTZ (stratified based on the efficacy of ICT plus NTZ). The primary endpoint is 3-year failure-free survival rate; while the secondary endpoints are 3-year overall survival rate, distant metastasis-free survival rate and locoregional recurrence-free survival rate, and short-term remission rate of tumour and treatment toxicity. ETHICS AND DISSEMINATION The study protocol has been approved by the Ethics Committee of the Second Affiliated Hospital of Nanchang University. Our findings will be disseminated in a peer-reviewed journal. Implementation strategies are in place to ensure privacy and confidentiality of participants. TRIAL REGISTRATION NUMBER ChiCTR2000041139.
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Affiliation(s)
- Jing-Jing Yuan
- Department Of Oncology, Nanchang University Second Affiliated Hospital, Nanchang, China
- The First Clinical Medical College, Nanchang University, Nanchang, China
| | - Jian-Wu Ding
- Department Of Oncology, Nanchang University Second Affiliated Hospital, Nanchang, China
- Jiangxi Key Laboratory of Clinical Translational Cancer Research, Nanchang, China
| | - Jin-Wei Li
- Department of Radiotherapy, Ganzhou Cancer Hospital, Ganzhou, China
| | - Rong-Huan Hu
- Department Of Oncology, Nanchang University Second Affiliated Hospital, Nanchang, China
- Jiangxi Key Laboratory of Clinical Translational Cancer Research, Nanchang, China
| | - Dan Gong
- Department Of Oncology, Nanchang University Second Affiliated Hospital, Nanchang, China
- Jiangxi Key Laboratory of Clinical Translational Cancer Research, Nanchang, China
| | - Jia-Li Hu
- Department Of Oncology, Nanchang University Second Affiliated Hospital, Nanchang, China
- Jiangxi Key Laboratory of Clinical Translational Cancer Research, Nanchang, China
| | - Kai-Bin Zhu
- Department Of Oncology, Nanchang University Second Affiliated Hospital, Nanchang, China
- Jiangxi Key Laboratory of Clinical Translational Cancer Research, Nanchang, China
| | - Yan Liu
- Department Of Oncology, Nanchang University Second Affiliated Hospital, Nanchang, China
- Jiangxi Key Laboratory of Clinical Translational Cancer Research, Nanchang, China
| | - Yu-Hai Ding
- Department of Oncology, Ganzhou People's Hospital, Ganzhou, Jiangxi, China
| | - Jia-Wang Wei
- Department of Oncology, Ganzhou People's Hospital, Ganzhou, Jiangxi, China
| | - Jian-Lun Zeng
- Department of Oncology, Pingxiang People's Hospital, Pingxiang, China
| | - Zhi-Bing Lu
- Department of Oncology, Pingxiang People's Hospital, Pingxiang, China
| | - Wei-Hua Yin
- Department of Oncology, Yichun People's Hospital, Yichun, China
| | - Su-Fen Ai
- Department of Oncology, Yichun People's Hospital, Yichun, China
| | - Guo-Hua Zha
- Department of Oncology, Fuzhou First People's Hospital, Fuzhou, China
| | - Zhi-Lin Zhang
- Department of Otorhinolaryngology Head and Neck Surgery, Nanchang University Second Affiliated Hospital, Nanchang, China
| | - Rui Zou
- Department Of Oncology, Nanchang University Second Affiliated Hospital, Nanchang, China
- The First Clinical Medical College, Nanchang University, Nanchang, China
| | - Lei Zeng
- Department Of Oncology, Nanchang University Second Affiliated Hospital, Nanchang, China
- Jiangxi Key Laboratory of Clinical Translational Cancer Research, Nanchang, China
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