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רדאר קליני AI
הניסוי הקליני NCT07090707 עבור HNSCC (קרצינומה של תאי קשקש של ראש וצוואר), PD-1, רדיותרפיה הוא טרם החל גיוס. לכל הפרטים, עיינו בתצוגת הכרטיסים של רדאר ניסויים קליניים ובכלי הגילוי של AI. אפשר גם לשאול כל דבר כאן.
מחקר אחד תואם לקריטריוני המסנן
תצוגת כרטיסים

PD-1 Inhibitor Therapy Versus Radiotherapy in MPR Patients With Locally Advanced HNSCC After Neoadjuvant Immunochemotherapy (HNC-SYSU-006) שלב II 50 אימונותרפיה טיפול ממוקד אקדמי הישרדות כוללת

טרם החל גיוס
פרטי הניסויים הקליניים זמינים בעיקר באנגלית. רדאר קליני AI יכול לעזור! לחץ על 'הסבר את המחקר' כדי לצפות ולשוחח על מידע מהמחקר בשפה המועדפת עליך.
הניסוי הקליני NCT07090707 מתוכנן לבדוק את טיפול עבור HNSCC (קרצינומה של תאי קשקש של ראש וצוואר), PD-1, רדיותרפיה. זהו מחקר שלב II מסוג התערבותי שנמצא במצב טרם החל גיוס. גיוס המשתתפים צפוי להתחיל ב-1 באוגוסט 2025, במטרה לכלול 50 משתתפים. המחקר ינוהל על ידי Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University וצפוי להסתיים ב-31 בדצמבר 2031. מידע זה עודכן לאחרונה באתר ClinicalTrials.gov ב-29 ביולי 2025.
סיכום קצר
Head and neck malignant tumors rank as the sixth most common type of malignancy worldwide, with approximately 90% being squamous cell carcinoma (Head and Neck Squamous Cell Carcinoma, HNSCC). Globally, there are about 650,000 new cases of HNSCC annually, with China contributing approximately 350,000 new cases each year. At initial diagnosis, 60% of patients already present with locally advanced HNSCC, necessitating c...הצג עוד
כותרת רשמית

Prospective Exploratory Phase II Study of PD-1 Inhibitor Therapy Versus Radiotherapy in MPR Patients After Neoadjuvant Immunochemotherapy for Advanced Head and Neck Squamous Cell Carcinoma

מצבים רפואיים
HNSCC (קרצינומה של תאי קשקש של ראש וצוואר)PD-1רדיותרפיה
מזהי מחקר נוספים
  • SYSKY-2024-1094-02
מספר NCT
תחילת המחקר (בפועל)
2025-08-01
עדכון אחרון שפורסם
2025-07-29
סיום המחקר (מוערך)
2031-12-31
משתתפים (מתוכנן)
50
סוג המחקר
התערבותי
שלב
שלב II
סטטוס
טרם החל גיוס
מילות מפתח
HNSCC
PD-1
radiotherapy
מטרה ראשית
טיפול
הקצאת טיפול
אקראי
דגם מתערב
קבוצות מקבילות
עיוורון
אין (מחקר פתוח)
זרועות / התערבויות
קבוצת משתתפים/זרועהתערבות/טיפול
ניסיArm 1(PD-1)
Radiotherapy free treatment: the experimental group took PD-1 inhibitor maintenance regimen.
PD-1inhibitor
The PD-1 monoclonal antibody was the same as the neoadjuvant therapy before surgery, and the postoperative level was maintained at Q3\*6.
משווה פעילArm 2(radiotherapy)
conventional radiotherapy (chemoradiotherapy) regimen, and received comprehensive treatment according to the guidelines (radiotherapy or platinum-based concurrent chemoradiotherapy as stipulated in the guidelines).
רדיותרפיה
According to the guidelines, concurrent chemoradiotherapy is required, and carboplatin (50mg/m2) plus concurrent radiotherapy or cisplatin (30mg/m2) plus concurrent radiotherapy is optional.
מדדי תוצאה ראשיים
מדד תוצאהתיאור המדידהטווח זמן
Disease-free survival (DFS)
DFS(by months) is defined as the time from treatment until the date of the first relapse (local/regional recurrence or distant metastasis) or death (from any cause) whichever comes firsts and regardless of whether the patient withdraws from treatment or receives another anti-cancer therapy prior to disease DFS is defined as the time from treatment until the date of the first relapse (local/regional recurrence or distant metastasis) or death (from any cause) whichever comes firsts and regardless of whether the patient withdraws from treatment or receives another anti-cancer therapy prior to disease relapse.
2 years
Percentage of adverse events graded by CTCAE v5.0 and RTOG
Percentage of adverse events that are possibly, probably or definitely related to study treatment per Criteria for Adverse Events version 5 (CTCAE v5.0) and RTOG. Change From Baseline 90 days after surgery.
90 days after surgery
מדדי תוצאה משניים
מדד תוצאהתיאור המדידהטווח זמן
Overall survival(OS)
The time(measured by months) from day 1 of study treatment until death from any cause.
5 years
regional recurrence-free survival (RRFS)
The time( by months) from randomization to clinically confirmed recurrence in the lymph node drainage area. Deaths were counted in RRFS.
2 years
distant metastasis free survival (DMFS)
The time( by months) from randomization to clinically confirmed distant metastasis.
2 years
Number and percentage of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v5.0 and RTOG
The detail number and percentage of adverse events by every systems Assessed by CTCAE v5.0 and RTOG.
2 years
עוזר השתתפות
קריטריוני זכאות

גילאים מוערכים למחקר
מבוגר, גיל שלישי
גיל מינימלי למחקר
18 Years
מגדרים מוערכים למחקר
הכל
  • In this study, patients with locally advanced head and neck squamous cell carcinoma (AJCC 8th) who underwent standard surgical treatment after neoadjuvant immunochemotherapy and showed MPR in both primary lesions and lymph node pathology were selected. Locally advanced squamous cell carcinoma of head and neck includes: i) T3, N0, M0; 2) T1-T3, N1-N2, M0; 3) T4a, N0-2, M0.

  • No history of other malignant tumors

  • Ages 18-75

  • Normal baseline inspection:

    1. The absolute value of neutrophil granulocyte (ANC) ≥1.5x109/L in the last 14 days without the use of granulocyte colony stimulating factor;
    2. Platelets ≥100×109/L without blood transfusion in the past 14 days;
    3. Hemoglobin &gt without blood transfusion or use of erythropoietin within the last 14 days; 9g/dL;
    4. Total bilirubin ≤1.5× upper limit of normal value (ULN);
    5. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5×ULN (ALT or AST ≤5×ULN in patients with liver metastasis);
    6. Serum creatinine ≤1.5×ULN and creatinine clearance (calculated by Cockcroft-Gault formula) ≥60 ml/min;
    7. Good coagulation function, defined as International Standardized ratio (INR) or prothrombin time (PT) ≤1.5 times ULN;
    8. Normal thyroid function, defined as thyroid stimulating hormone (TSH) within the normal range. Subjects whose baseline TSH is outside the normal range can be enrolled if total T3 (or FT3) and FT4 are within the normal range;
    9. The myocardial enzyme profile was within the normal range (if the researchers comprehensively judged that the simple laboratory abnormality was not clinically significant, it was also allowed to be included);
    10. For female subjects of childbearing age, a urine or serum pregnancy test should be tested negative within 3 days prior to receiving the first study drug administration (day 1 of Cycle 1). If the urine pregnancy test results cannot be confirmed negative, a blood pregnancy test is requested. Women of non-reproductive age were defined as at least one year after menopause or having undergone surgical sterilization or hysterectomy;
    11. If there is a risk of conception, all subjects (male or female) shall use contraception with an annual failure rate of less than 1% for the entire duration of treatment up to 120 days after the last study drug administration (or 180 days after the last chemotherapeutic drug administration).

    5 Sign informed consent

  • 1 HNSCC is not the initial diagnosis of other malignant tumors or neoadjuvant therapy.
  • Prior to treatment An active autoimmune immune disease requiring systemic therapy (e.g. the use of disease-modifying drugs, glucocorticoids, or immunosuppressants) has occurred in the last 2 years. Alternative therapies (such as thyroxine, insulin, or physiologic glucocorticoids for adrenal or pituitary insufficiency) are not considered systemic therapy;
  • Known allogeneic organ transplantation (except corneal transplantation) or allogeneic hematopoietic stem cell transplantation;
  • Known history of human immunodeficiency virus (HIV) infection (i.e. HIV 1/2 antibody positive);
  • Untreated active hepatitis B (defined as HBsAg positive and HBV-DNA copy number detected greater than the upper limit of normal value in the laboratory of the study center);

Note: Hepatitis B subjects who meet the following criteria can also be enrolled:

1) HBV viral load &lt before initial administration; At 1000 copies /ml (200 IU/ml), subjects should receive anti-HBV therapy to avoid viral reactivation throughout the study treatment period 2) For subjects with anti-HBC (+), HBsAg (-), anti-HBS (-), and HBV viral load (-), prophylactic anti-HBV therapy is not required, but close monitoring of viral reactivation is required

  • Active HCV infected subjects (HCV antibody positive and HCV-RNA level above the lower limit);

  • Pregnant or lactating women;

  • The presence of any serious or uncontrolled systemic disease, such as:

    1. The resting electrocardiogram (ECG) presents significant and severely uncontrollable abnormalities in rhythm, conduction or morphology, such as complete left bundle branch block, Ⅱ degree or above heart block, ventricular arrhythmia or atrial fibrillation;
    2. Unstable angina pectoris, congestive heart failure, and NYHA grade ≥ 2 chronic heart failure;
    3. Any arterial thrombosis, embolism or ischemia, such as myocardial infarction, unstable angina pectoris, cerebrovascular accident or transient ischemic attack, occurred within 6 months before treatment;
    4. Poor blood pressure control (systolic > 140 mmHg, diastolic > 90 mmHg);
    5. A history of non-infectious pneumonia requiring glucocorticoid therapy or clinically active interstitial lung disease within 1 year prior to initial administration;
    6. Active pulmonary tuberculosis;
    7. There is an active or uncontrolled infection that requires systemic treatment;
    8. Clinically active diverticulitis, abdominal abscess, gastrointestinal obstruction;
    9. Liver diseases such as cirrhosis, decompensated liver disease, acute or chronic active hepatitis;
    10. Poor diabetes control (fasting blood glucose (FBG) > 10mmol/L);
    11. Urine routine indicated urine protein ≥++, and confirmed 24 hours urine protein quantity > 1.0 g;
    12. Patients with mental disorders and unable to cooperate with treatment;
  • Medical history or evidence of disease that may interfere with test results, prevent subjects from fully participating in the study, abnormal values of treatment or laboratory tests, or other conditions that the investigator considers unsuitable for enrollment. The investigator considers other potential risks unsuitable for participation in the study.

Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University logoSun Yat-Sen Memorial Hospital of Sun Yat-Sen University
איש קשר מרכזי למחקר
איש קשר: Jinsong Li, MD, 008618583879908, [email protected]
איש קשר: Haotian Cao, MD, 008618583879908, [email protected]
1 מיקומי המחקר ב-1 מדינות

Guangdong

Sun yat-sen memorial hospital, Guangzhou, Guangdong, 510000, China
Haotian Cao, איש קשר, 18583879908, [email protected]