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Trial Title: Prospective Study for Molecular Biomarkers and Spatial Transcriptomics of Stage IVa Nasopharyngeal Carcinoma

NCT ID: NCT05912582

Condition: Stage IVA Nasopharyngeal Carcinoma

Conditions: Official terms:
Carcinoma
Nasopharyngeal Carcinoma

Conditions: Keywords:
Nasopharyngeal Carcinoma
Biomarker
Spatial Transcriptomics

Study type: Observational

Overall status: Not yet recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Radiation
Intervention name: Intensity modulated radiation therapy (IMRT) combined with chemotherapy
Description: Intensity modulated radiation therapy (IMRT) combined with chemotherapy
Arm group label: Observation Group

Other name: IMRT

Summary: This clinical research aims to explore potential biomarkers and validate molecular signatures' predictive and prognostic value in stage IVa nasopharyngeal carcinoma.

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.

Criteria for eligibility:

Study pop:
Patients with newly histologically confirmed stage IVa nasopharyngeal carcinoma

Sampling method: Probability Sample
Criteria:
Inclusion Criteria: 1. Patients with newly histologically confirmed stage IVa nasopharyngeal carcinoma 2. No evidence of distant metastasis (M0) 3. Written informed consent Exclusion Criteria: Treatment with palliative intent

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: Jiangsu Cancer Hospital

Address:
City: Nanjing
Country: China

Contact:
Last name: Lirong Wu
Email: wulirong126@126.com

Start date: June 25, 2023

Completion date: December 25, 2025

Lead sponsor:
Agency: Jiangsu Cancer Institute & Hospital
Agency class: Other

Source: Jiangsu Cancer Institute & Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05912582

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