About this trial
This is a non-inferiority, multicenter, randomized phase 3 trial aimed at investigating the impact of individualized primary clinical target volume based on margin expansion on patients' prognosis and complications compared with the consensus primary clinical target volume based on margin expansion and stepwise extension pattern for patients with newly diagnosed non-metastatic nasopharyngeal carcinoma.
Eligibility criteria
Qualifiers
Age: 18 Years to 65 Years.
Eastern Cooperative Oncology Group performance status ≤1.
Patients with newly diagnosed, histologically confirmed nasopharyngeal carcinoma (non-keratinizing subtype).
Tumor staged as T1-4N0-3M0 (AJCC 9th).
Disqualifiers
Active tuberculosis: active tuberculosis within the past 1 year should be excluded regardless of treatment; a history of active tuberculosis > 1 year ago is exclusionary unless prior adequate anti-tuberculosis treatment is documented.
Active infection requiring systemic treatment.
Previous or concurrent with other malignant tumors, except for adequately treated non-melanoma skin cancer, cervical carcinoma in situ and thyroid papillary cancer.
History of radiotherapy, except for non-melanoma skin cancer located outside the target volume of radiotherapy for nasophayngeal carcinoma.
Trial design
Treatments tested in this trial
- Comprehensive Therapy Based on Tumor Stage
- IMRT with Individualized Primary Clinical Target Volume Based on Margin Expansion
- IMRT with Consensus Primary Clinical Target Volume