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Withdrawn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
About this trial
This is an interventional treatment trial for Nasopharyngeal Carcinoma
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
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
NCT ID
NCT03390738
First Posted
December 11, 2017
Last Updated
April 28, 2021
Sponsor
The University of Hong Kong
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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