Combination Therapy for PD-1 Resistant Recurrent or Metastatic Nasopharyngeal Carcinoma: A Bayesian Adaptive Phase II Trial
A Bayesian Adaptive Phase II Randomized Trial Comparing Ivonescimab, Ivonescimab Plus Nimotuzumab, Liposomal Mitoxantrone Plus Anti-PD-1 Antibody, and Liposomal Irinotecan Plus S-1 in Patients With PD-1-Resistant Recurrent or Metastatic Nasopharyngeal Carcinoma
Sponsor: Ming-Yuan Chen
No open prediction endpoints
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Primary Endpoints (CT.gov)
Overall Response Rate (ORR)
Time frame: 1 year
Secondary Endpoints
Progression-free Survival (PFS)
Overall Survival (OS)
Duration of Response (DOR)
Eligibility Criteria
Inclusion Criteria: 1. Histologically and/or cytologically confirmed recurrent or metastatic non-keratinizing nasopharyngeal carcinoma (either differentiated or undifferentiated subtype, corresponding to WHO type II or III). 2. Age between 18 and 70 years. 3. Performance Status (PS) score of 0 or 1. 4. Disease progression after prior platinum-based doublet chemotherapy. 5. Received at least one line of systemic therapy previously. (Progression occurring during or within 6 months after definitive concurrent chemoradiotherapy, neoadjuvant/adjuvant therapy, or treatment completion may be counted as first-line treatment.) 6. Resistance to anti-PD-1 antibody therapy (either combination or sequential), including primary or secondary resistance(PD-1 exposure must be at least 6 weeks.) 7. At least one measurable lesion according to RECIST 1.1 criteria. 8. All acute toxicities from prior anti-tumor therapies have resolved to grade ≤1 (per NCI-CTCAE v5.0) or meet the specified inclusion/exclusi…
Read full criteria on CT.gov →✦ Analyst Commentary
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