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Nivolumab as Treatment for Recurrent/Metastatic Nasopharyngeal Carcinoma After Failing 2 Lines or More Previous Chemotherapy

Primary Purpose

Nasopharyngeal Carcinoma

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Nivolumab
Sponsored by
The University of Hong Kong
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Nasopharyngeal Carcinoma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Recurrent or metastatic NPC incurable by local therapies and failed at least 2 lines of previous chemotherapy with at least 1 line including platinum based chemotherapy
  • Measurable disease (RECIST 1.1)
  • ECOG 2 or less
  • Life expectancy greater than 3 months
  • Adequate organ function
  • (Provided tissue for PD-L1 biomarker analysis from a core or excisional biopsy Paired biopsy of baseline tissue at first diagnosis and for recurrence if possible) - optional but encouraged

Exclusion Criteria:

  • Suitable for local therapy
  • Did not have prior platinum chemotherapy
  • Immunodeficiency; immunosuppressive treatment
  • Anti-cancer monoclonal antibody treatment within 4 weeks prior to Day 1
  • Other cancer treatment within 2 weeks prior to Day 1
  • Other malignancies (some exceptions)
  • CNS metastases; carcinomatous meningitis
  • Active temporal lobe necrosis or on steroid treatment
  • Autoimmune disease
  • Active, non-infectious pneumonitis
  • Active infection requiring systemic treatment
  • Hepatitis

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Intravenous nivolumab 240mg

    Arm Description

    Intravenous nivolumab 240mg every 2 weeks until radiologically-documented disease progression, unacceptable toxicity as judged by investigators or patient withdrawal.

    Outcomes

    Primary Outcome Measures

    Overall response rate of patients. Response will be assessed by RECISTS 1.1 criteria

    Secondary Outcome Measures

    Toxicities as defined by CTCAE criteria
    To characterize the safety and tolerability of nivolumab in subjects with recurrent/metastatic NPC. This will be based on subjects who experienced toxicities as defined by CTCAE criteria, receiving at least one dose of nivolumab.

    Full Information

    First Posted
    December 11, 2017
    Last Updated
    April 28, 2021
    Sponsor
    The University of Hong Kong
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03390738
    Brief Title
    Nivolumab as Treatment for Recurrent/Metastatic Nasopharyngeal Carcinoma After Failing 2 Lines or More Previous Chemotherapy
    Official Title
    Nivolumab as Treatment for Recurrent/Metastatic Nasopharyngeal Carcinoma After Failing 2 Lines or More Previous Chemotherapy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2021
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Sponsor withdrew funding for Nivolumab
    Study Start Date
    June 2018 (Anticipated)
    Primary Completion Date
    May 2019 (Anticipated)
    Study Completion Date
    June 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    The University of Hong Kong

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    Yes

    5. Study Description

    Brief Summary
    A phase II, open label, single arm, single agent study using nivolumab in patients who failed 2 or more lines of previous chemotherapy for recurrent/metastatic NPC (At least 1 line should include platinum based chemotherapy)

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Nasopharyngeal Carcinoma

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Intravenous nivolumab 240mg
    Arm Type
    Experimental
    Arm Description
    Intravenous nivolumab 240mg every 2 weeks until radiologically-documented disease progression, unacceptable toxicity as judged by investigators or patient withdrawal.
    Intervention Type
    Drug
    Intervention Name(s)
    Nivolumab
    Other Intervention Name(s)
    OPDIVO
    Intervention Description
    Intravenous nivolumab 240mg every 2 weeks until radiologically-documented disease progression, unacceptable toxicity as judged by investigators or patient withdrawal
    Primary Outcome Measure Information:
    Title
    Overall response rate of patients. Response will be assessed by RECISTS 1.1 criteria
    Time Frame
    1 year
    Secondary Outcome Measure Information:
    Title
    Toxicities as defined by CTCAE criteria
    Description
    To characterize the safety and tolerability of nivolumab in subjects with recurrent/metastatic NPC. This will be based on subjects who experienced toxicities as defined by CTCAE criteria, receiving at least one dose of nivolumab.
    Time Frame
    1 year

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Recurrent or metastatic NPC incurable by local therapies and failed at least 2 lines of previous chemotherapy with at least 1 line including platinum based chemotherapy Measurable disease (RECIST 1.1) ECOG 2 or less Life expectancy greater than 3 months Adequate organ function (Provided tissue for PD-L1 biomarker analysis from a core or excisional biopsy Paired biopsy of baseline tissue at first diagnosis and for recurrence if possible) - optional but encouraged Exclusion Criteria: Suitable for local therapy Did not have prior platinum chemotherapy Immunodeficiency; immunosuppressive treatment Anti-cancer monoclonal antibody treatment within 4 weeks prior to Day 1 Other cancer treatment within 2 weeks prior to Day 1 Other malignancies (some exceptions) CNS metastases; carcinomatous meningitis Active temporal lobe necrosis or on steroid treatment Autoimmune disease Active, non-infectious pneumonitis Active infection requiring systemic treatment Hepatitis

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided

    Learn more about this trial

    Nivolumab as Treatment for Recurrent/Metastatic Nasopharyngeal Carcinoma After Failing 2 Lines or More Previous Chemotherapy

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