Study on Penpulimab for First-line Treatment of Recurrent or Metastatic Nasopharyngeal Cancer
Sponsor: Akeso
ClinicalTrials ID:NCT04974398
This clinical trial is testing the effectiveness and safety of the drug penpulimab, combined with chemotherapy, compared to a placebo with chemotherapy, for treating nasopharyngeal cancer that has returned or spread.
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Program Overview
This study aims to find out if penpulimab, when used with chemotherapy, is more effective and safe compared to a placebo with chemotherapy for patients with nasopharyngeal cancer that has come back or spread to other parts of the body. The trial involves multiple centers and is conducted in a randomized, double-blind manner, meaning neither the participants nor the researchers know who is receiving the actual drug or the placebo.
Eligibility Criteria
Inclusion Criteria
- Must voluntarily sign a consent form.
- Main study: Age between 18 and 75 years.
- Substudy: Age between 12 and 18 years, weighing at least 35 kg.
- Must be in good general health with an ECOG performance status of 0 or 1.
- Expected to live for at least 3 more months.
- Must have confirmed nasopharyngeal cancer.
- Cancer must be at an advanced stage (stage IVB) and not suitable for local or radical treatment, or must have returned or spread more than 6 months after previous treatment.
- Must not have received systemic treatment for recurrent or metastatic cancer.
- Must have at least one tumor that can be measured.
- Must have adequate organ function.
- Must agree to use effective birth control during and for 150 days after the study.
Exclusion Criteria
- Have nasopharyngeal adenocarcinoma or sarcoma.
- Have had another cancer within the last 3 years, except for certain cured cancers.
- Have participated in another drug or device study within 4 weeks before this study.
- Have received previous immunotherapy.
- Have an active autoimmune disease needing treatment in the last 2 years.
- Have a history of inflammatory bowel disease.
- Have a history of immunodeficiency or test positive for HIV.
- Have active tuberculosis or syphilis.
- Have had organ or stem cell transplants.
- Have active Hepatitis B or C.
- Have untreated cancer spread to the brain or spinal cord.
- Have peripheral nerve damage.
- Have unresolved side effects from previous cancer treatments.
- Have received a live vaccine within 30 days before the study.
- Have allergies to study drugs or serious reactions to monoclonal antibodies.
- Are pregnant or breastfeeding.
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