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Brief Title: Early Recurrent Nasopharyngeal Cancer: the Effect of Surgery vs IMRT
Official Title: A Multicenter Randomized Controlled Trial for Comparing Endonasal Surgery and Radiation Therapy (IMRT) for T1-T2 Recurrent Nasopharyngeal Carcinoma
Study ID: NCT04215510
Brief Summary: This study is a multicenter RCT to compare 3-year overall survival(OS) rate, progression free survival(PFS),local progression free survival(LPFS),regional progression free survival(RPFS),distant metastasis free survival(DMFS), and toxicities of endonasal endoscopic surgery versus IMRT.
Detailed Description: Local and regional recurrence is a common cause of failure after primary radiotherapy for nasopharyngeal carcinoma. Radiotherapy and surgery are the treatments of choice for recurrent NPC. This study aims to compare 3 year overall survival(OS) rate of surgery versus IMRT.A stratified-block randomized approach will be used to randomly assign patients into two treatment groups after stratification according to N staging (N0 vs non-N0). Patients with rNPC will be recruited and randomized into two groups in 1:1 ratio. The primary outcomes will be 3 year overall survival(OS), the secondary outcome measures will be PFS,LPFS,RPFS,DMFS,and toxicities.Assessment will be performed at baseline and during 3 years post-randomization.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Fujian Medical University Union Hospital, Fuzhou, Fujian, China
The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
Fudan University Shanghai cancer center, Shanghai, Shanghai, China
Name: Hongmeng Yu, MD
Affiliation: Eye&ENT Hospital,Fudan University
Role: PRINCIPAL_INVESTIGATOR