Overview
To explore the effect of Camrelizumab and chemotherapy combining with endoscopic surgery in the treatment of recurrent nasopharyngeal carcinoma.
Eligibility
Inclusion Criteria:
- Pathologically confirmed recurrent nasopharyngeal carcinoma
- American Joint Committee on Cancer recurrent rT2(recurrent T2)(including deep parapharyngeal space), recurrent T3, recurrent T4 which can be surgically removed
- Age ≥18 years old
- Informed consent signed
- With or without lymph node metastasis, which can be surgically removed
- No massive hemorrhage risk recently
- No distant metastasis
- ≥6 months from initial radiotherapy to recurrence
- Radical radiation only once
- Sufficient organ function
- Eastern Cooperative Oncology Group score 0-2
Exclusion Criteria:
- With a history of allergic to platinum drugs and similar compounds
- Evidence of distant metastasis or radiation encephalopathy or leptomeningeal disease (LMD)
- Have received radioactive seed implantation in the treatment area
- Suffer from uncontrolled disease which could interfere with treatment
- Suffered from another malignant tumor or multiple primary tumors at the same time within 5 years (excluding fully treated basal cell or squamous cell skin cancer, cervical cancer in situ, etc.)
- The patient has surgical contraindications: such as severe cardiopulmonary disease, coagulation dysfunction and so on
- The patients have autoimmune diseases
- The patient is using immunosuppressive agents or systemic glucocorticoid to achieve the purpose of immunosuppression (dose>10mg/day prednisone or other), and continues to use it within 2 weeks before the first administration
- Severe allergic reaction to other monoclonal antibodies
- Previously received PD-1 monoclonal antibody, CTLA-4 monoclonal antibody (or any other antibody that acts on T cell co-stimulation or checkpoint pathway) treatment
- Live vaccines have been inoculated within 4 weeks before the first administration or during the study period
- The patient has any situation that may hinder study compliance or the safety during the study period
- Existence of serious neurological or psychiatric diseases, such as dementia and seizures
- Uncontrolled active infection
- Pregnant or breastfeeding women
- Those who have no personal freedom and independent capacity for civil conduct
- There are other situations that are not suitable for entry into the study