Combination of Capecitabine and Oxaliplatin in Metastatic Nasopharyngeal Carcinoma

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00363831
Recruitment Status : Unknown
Verified July 2010 by The University of Hong Kong.
Recruitment status was:  Recruiting
First Posted : August 15, 2006
Last Update Posted : July 28, 2010
Information provided by:
The University of Hong Kong

Brief Summary:


  • To evaluate the efficacy of capecitabine in combination with oxaliplatin (XELOX) in terms of overall response rate (based on RECIST criteria) in patients with metastatic NPC without prior chemotherapy for relapse.


  • To evaluate the efficacy profile of oxaliplatin (XELOX) in patients with metastatic NPC in terms of time to progression of disease, survival time, duration of response and complete response rate.
  • To study the safety and tolerability of the regimen in patients with metastatic NPC.

Condition or disease Intervention/treatment Phase
Nasopharyngeal Neoplasms Drug: Oxaliplatin Phase 2

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 42 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Multi-center Phase II Trial of Capecitabine in Combination With Oxaliplatin (Xelox) as First Line Chemotherapy in Patients With Metastatic Nasopharyngeal Carcinoma (NPC)
Study Start Date : July 2006
Estimated Primary Completion Date : December 2009

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: 1
Drug: Oxaliplatin
130mg/m² infusion day 1, repeat every 21 days

Primary Outcome Measures :
  1. Overall response rate (based on RECIST criteria) [ Time Frame: From the beginning to the end of the study ]

Secondary Outcome Measures :
  1. Time to progression [ Time Frame: From the beginning to the end of the study ]
  2. Overall survival time [ Time Frame: From the beginning to the end of the study ]
  3. Adverse events [ Time Frame: From the beginning to the end of the study ]

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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Histologically confirmed poorly differentiated or undifferentiated nasopharyngeal carcinoma (WHO type II and III) with distant metastasis (ie. other than loco-regional disease). Patients with stage IVc disease, ie. distant metastases on presentation are also eligible.
  • Have at least one measurable lesion according to RECIST which has not been irradiated.
  • WBC count ≥ 3 x 10^9 /L with neutrophils ≥ 1.5 x 10^9 /L, platelet count ≥ 100 x 10^9 /L and Hb ≥ 9g/dL.
  • Serum creatinine ≤ 1.25 ULN
  • Be ambulatory and have a Karnofsky Performance Status of ≥ 70% at study entry.
  • Recover from prior radiotherapy prior to study entry
  • Effective contraception for both male and female if the risk of conception exists.
  • Able to swallow and retain oral medication.

Exclusion Criteria:

  • Previous cytotoxic chemotherapy for recurrent or metastatic NPC.
  • Previous exposure to oxaliplatin and/or capecitabine.
  • Pregnant or lactating women. Women of childbearing potential with either positive or no pregnancy test at baseline. Women of childbearing potential not using a reliable and appropriate contraceptive method. (Postmenopausal women must have been amenorrheic for at least 12 months to be considered of non-childbearing potential)
  • Sexually active males unwilling to practice contraception during the study.
  • Clinically significant cardiac disease (eg. congestive heart failure, symptomatic coronary artery disease and cardiac arrhythmias not well controlled with medication) or myocardial infarction within the last 12 months.
  • Patients with a history of central nervous system disorders or psychiatric disability judged by the investigator to be clinically significant precluding informed consent or interfering with compliance for oral drug intake.
  • History of another malignancy within the last five years except cured basal cell carcinoma of skin and cured carcinoma in-situ of uterine cervix.
  • Abnormal blood counts, AST, ALT, bilirubin and/or serum creatinine beyond the limits specified in the inclusion criteria.
  • Radiotherapy within 4 weeks of treatment start or prior radiotherapy to the indicator lesion(s) being measured in the study (newly arising marker lesions in previously irradiated areas are acceptable).
  • Major surgery within 4 weeks of the start of study treatment, without complete recovery.
  • Participation in any investigational drug study within 4 weeks preceding the start of treatment.
  • Symptomatic peripheral neuropathy NCI-CTCAE grade ≥ 2.
  • Known allergic/hypersensitivity reaction to any of the components of study treatments.
  • Serious uncontrolled intercurrent infections.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00363831

Contact: Public Registry GMA

Hong Kong
Sanofi-aventis Recruiting
Hong Kong, Hong Kong
Sponsors and Collaborators
The University of Hong Kong
Study Director: Iris Chan Sanofi

Responsible Party: Medical Affairs Study Director, sanofi-aventis Identifier: NCT00363831     History of Changes
Other Study ID Numbers: L_9863
First Posted: August 15, 2006    Key Record Dates
Last Update Posted: July 28, 2010
Last Verified: July 2010

Additional relevant MeSH terms:
Nasopharyngeal Neoplasms
Pharyngeal Neoplasms
Otorhinolaryngologic Neoplasms
Head and Neck Neoplasms
Neoplasms by Site
Nasopharyngeal Diseases
Pharyngeal Diseases
Stomatognathic Diseases
Otorhinolaryngologic Diseases
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents