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Trial Title: Iron Isomaltide for Iron-deficiency Anemia Patients With Locally Advanced Nasopharyngeal Carcinoma

NCT ID: NCT05913414

Condition: Nasopharyngeal Carcinoma
Iron-deficiency
Anemia

Conditions: Official terms:
Carcinoma
Nasopharyngeal Carcinoma
Anemia
Anemia, Iron-Deficiency
Iron Deficiencies
Iron
Iron isomaltoside 1000
Ferric Compounds

Conditions: Keywords:
Nasopharyngeal Carcinoma
iron-deficiency anemia

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Iron Isomaltoside 1000
Description: Patients receive Iron isomaltoside after IC and CCRT
Arm group label: Iron Isomaltide

Other name: Iron isomaltoside

Intervention type: Drug
Intervention name: Polysaccharide Iron Complex Pill
Description: Patients receive Polysaccharide Iron Complex Pill after IC and CCRT
Arm group label: Oral iron supplement

Intervention type: Radiation
Intervention name: Intensity-modulated radiotherapy
Description: All patients received intensity-modulated radiotherapy before enrolled.
Arm group label: Iron Isomaltide
Arm group label: Oral iron supplement

Summary: Primary purpose: To evaluate the difference of hematopoietic response rate at 1 month after concurrent chemoradiotherapy between iron isomaltide and oral iron supplement for treating iron-deficiency anemia patients with locally advanced nasopharyngeal carcinoma. Secondary purpose: To evaluate the difference of hematopoietic response rate, tolerance, acute side effects, qualtiy of life at 2 months and 3 months after concurrent chemoradiotherapy between Iron Isomaltide and oral iron supplement for treating iron-deficiency anemia patients with locally advanced nasopharyngeal carcinoma.

Detailed description: Iron-deficiency anemia patients with locally advanced nasopharyngeal carcinoma will be enrolled and receive iron Isomaltide or oral iron supplement after randomised. The hematopoietic response rate, tolerance, acute side effects, qualtiy of life and long time survival would be evaluated.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Volunteer and sign the informed consent in person. - Aged 18-65 - Pathological diagnosis of non-keratinizing NPC (differentiated or undifferentiated, as WHO II, III type). - Clinical stage of III-IVA(8thAJCC/UICC staging system) - Complete induction chemotherapy and concurrent chemoradiotherapy. - With ECOG score 0-1. - Female subjects: surgical sterilization or postmenopausal patients, or agree to use a medical approved contraceptive measure such as Intrauterine device (IUD), contraceptives or condoms during the study period. - HGB <130g/L(male),HGB<120g/L(female). - Serum ferritin≤800ug/L。 - Liver function: ALT, AST < 2.5 times the upper limit of normal (ULN), total bilirubin < 2.0 × ULN; - Renal function: serum creatinine <1.5×ULN. Exclusion Criteria: - Recurrence or distant metastasis nasopharyngeal carcinoma. - Keratinizing squamous cell carcinoma (WHO type I). - Pregnant or breastfeeding women, who are in their childbearing years and have not used effective contraception. - Previous or concurrently with other malignancies, exclude cured skin basal cell carcinoma and cervical carcinoma in situ. - Patients with severely diminished functions of the heart, liver, lung, kidney and bone marrow; - Serious, unmanaged medical conditions and infections. - Those with other therapeutic contraindications. - Use of other investigational medications or clinical studies concurrently. - Refused or incapacity to sign the informed consent to participate in the study. - People having mental or personality disorders, disability, or limited civil capacity. - Evidence of significant medical illness that in the investigator's judgment will substantially increase the risk associated with the subject's participation in and completion of the study. - HGB>130g/L(male),HGB >120g/L(female). - Received transfusion therapy before. - Receipt of oral or IV iron supplements or ESAs up to 4 weeks before inclusion - Ferritin > 800 ng/ml - Ongoing bleeding.

Gender: All

Minimum age: 18 Years

Maximum age: 65 Years

Healthy volunteers: No

Locations:

Facility:
Name: Department of Nasopharyngeal Carcinoma, Sun Yat-sen University Cancer Center

Address:
City: Guangzhou
Zip: 510060
Country: China

Status: Recruiting

Contact:
Last name: Haiqiang Mai, MD,Ph.D

Phone: 86-20-8734-3643
Email: maihq@mail.sysu.edu.cn

Contact backup:
Last name: Qiuyan Chen, MD,Ph.D

Phone: 86-20-8734-3380
Email: chenqy@mail.sysu.edu.cn

Investigator:
Last name: Haiqiang Mai, MD,Ph.D
Email: Principal Investigator

Investigator:
Last name: Qiuyan Chen, MD,Ph.D
Email: Principal Investigator

Investigator:
Last name: Shanshan Guo, MD,Ph.D
Email: Sub-Investigator

Start date: May 5, 2023

Completion date: May 30, 2026

Lead sponsor:
Agency: Sun Yat-sen University
Agency class: Other

Source: Sun Yat-sen University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05913414

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