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NCT07070479PHASE2RECRUITING

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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Key Facts

Study type
INTERVENTIONAL
Conditions
Recurrent or Metastatic Nasopharyngeal Carcinoma
Interventions
Ivonescimab, Nimotuzumab, Irinotecan liposome, S-1
Enrollment
208 participants
Primary completion
Jan 2027
Study completion
Jan 2028
First posted
Jul 2025
Last updated
Sep 2025

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

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✦ Analyst Commentary

Expert commentary on why this trial matters and what to watch for.

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Source

Open on ClinicalTrials.gov