Prospective Study for Molecular Biomarkers and Spatial Transcriptomics of Stage IVa Nasopharyngeal Carcinoma
Study Details
Study Description
Brief Summary
This clinical research aims to explore potential biomarkers and validate molecular signatures' predictive and prognostic value in stage IVa nasopharyngeal carcinoma.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Primary endpoint: Evaluation of the major pathological response of stage IVa nasopharyngeal carcinoma patients.
Secondary endpoint: Evaluation of failure-free survival and overall survival of stage IVa nasopharyngeal carcinoma patients.
Outline: This is a prospective observational study. Patients of stage IVa nasopharyngeal carcinoma undergo inductive chemotherapy and concurrent chemoradiotherapy. Whole blood is obtained from patients when recruited, completing 10, 20, 32 fractions of radiation therapy, 3 months after radiation therapy and disease progression. Tumor tissue specimens are obtained from patients when recruited and disease progression. The samples are analyzed for biomarkers and spatial transcriptomics. The biomarkers and spatial transcriptomics are correlated with clinical outcomes (major pathological response, progression-free survival, overall survival, tumor response to treatment, distant metastasis, recurrence and death).
The analysis aims to explore potential biomarkers and validate molecular signatures' predictive and prognostic value in stage IVa nasopharyngeal carcinoma. This will lead to the definition of risk groups and stratification of patients and will help in precision medicine of stage IVa nasopharyngeal carcinoma.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Observation Group
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Radiation: Intensity modulated radiation therapy (IMRT) combined with chemotherapy
Intensity modulated radiation therapy (IMRT) combined with chemotherapy
Other Names:
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Outcome Measures
Primary Outcome Measures
- major pathological response [3 months after radiation therapy]
Secondary Outcome Measures
- Progression-free Survival [2 years after radiation therapy]
- Overall Survival [2 years after radiation therapy]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients with newly histologically confirmed stage IVa nasopharyngeal carcinoma
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No evidence of distant metastasis (M0)
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Written informed consent
Exclusion Criteria:
Treatment with palliative intent
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Jiangsu Cancer Hospital | Nanjing | China |
Sponsors and Collaborators
- Jiangsu Cancer Institute & Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Biomarkers-Stage IVa NPC