Single Arm Study of Induction Chemoradiotherapy Combined With Surgery in the Treatment of Locally Advanced SNMM

Last updated: August 16, 2021
Sponsor: Eye & ENT Hospital of Fudan University
Overall Status: Active - Recruiting

Phase

1

Condition

Melanoma

Treatment

N/A

Clinical Study ID

NCT05009446
SNMM-SA-RTNeo
  • Ages > 18
  • All Genders

Study Summary

Sinonasal mucosal melanoma (SNMM) is a very rare tumor, and SNMM is highly aggressive in nature, with a 5-year survival rate of about 20~30%. Most patients underwent local recurrence and distant metastasis within one or two years of treatment.

There is no unified standard for the treatment of SNMM.The principle of treatment for surgically resectable stage T3 and partial T4 SNMM is complete resection of the primary tumor, combined with postoperative radiotherapy. While locally unresectable SNMM has a poorer prognosis, lower incidence, fewer clinical data have been reported.

This study will explore the role of preoperative radiotherapy and chemotherapy in improving the 2-year OS rate, loco-regional control rate and distant metastasis rate.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Age over 18 years old;
  2. Pathologically confirmed with sinonasal mucosal melanoma;
  3. Eligible for assessment by enhanced contrast computed tomography scan or magneticResonance Imaging (MRI);
  4. T4N0-1M0 according to the 8th edition American Joint Committee on Cancer (AJCC)staging system, and breaks through the natural anatomical boundaries of orbital fasciaor dura mater; or 2) any Tumor stage, with retropharyngeal node metastasis.unresectable tumor after multi-disciplinary team (MDT) discussion.
  5. Eastern Cooperative Oncology Group (ECOG) score between 0 to 2;
  6. No distant metastasis;
  7. Adequate organ function;
  8. Sign the informed consent forms.

Exclusion

Exclusion Criteria:

  1. There is evidence or suspicious of distant metastasis on clinical examination orimaging examination;
  2. suffered from uncontrolled concurrent diseases that may interfere with treatment;
  3. Suffered from another malignant tumor or multiple primary tumors at the same timewithin 5 years (excluding fully treated basal cell or squamous cell skin cancer,cervical cancer in situ, etc.);
  4. With surgical contraindications: severe cardiopulmonary disease, coagulationdysfunction, etc;
  5. With and conditions that interfere with patient compliance or safety;
  6. With severe mental or neurological diseases;
  7. Uncontrolled active infection diseases;
  8. Pregnant or breastfeeding women;
  9. Patients without personal freedom or independent civil capacity;
  10. Other situations that are not suitable.

Study Design

Total Participants: 28
Study Start date:
August 10, 2021
Estimated Completion Date:
August 10, 2025

Connect with a study center

  • Eye& ENT Hospital, Fudan University

    Shanghai, Shanghai 200031
    China

    Active - Recruiting

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