Ireland
--:--IST
Recruiting Phase 2

MRG003 Induction and Capecitabine Maintenance With PD-1 in Locally Recurrent NPC

NCT07331428 · tracked via the Priya Life Science China tracker
Phase
Phase 2
Started
2026-06-16
Last updated
2026-10-19

Condition(s) studied

Nasopharyngeal CarcinomaLocal Recurrence

Investigational drug(s) / intervention(s)

MRG003 →Tislelizumab →Capecitabine →

MRG003: MRG003 at 2.0 mg/kg (D1) will be administered every three weeks for 6 cycles

Tislelizumab: Tislelizumab 200 mg (D1) will be administered every three weeks for 6 cycles. Upon achieving an objective response, maintenance therapy will continue for up to one year or until disease progression is observed.

Capecitabine: After achieving an objective response (ORR) with the combination of MRG003 and Tislelizumab, maintenance therapy will consist of Capecitabine (650 mg/m², administered twice daily on Days 1-21) in conjunction with Tislelizumab. This maintenance phase will continue for up to one year or until disease progression is observed.

Study summary

This study enrolls patients who have experienced local recurrence of nasopharyngeal carcinoma (NPC) with or without regional recurrence. The treatment regimen includes an induction phase with MRG003 at 2.0 mg/kg (D1) combined with Tislelizumab 200 mg (D1), administered weekly for 6 cycles. This is followed by maintenance therapy consisting of Capecitabine (650 mg/m², twice daily on days 1-21) in combination with Tislelizumab, continued for up to 1 year or until disease progression.

Eligibility

Sex
ALL
Min age
18 Years
Max age
70 Years
Healthy volunteers
No
Inclusion Criteria: \*\*Inclusion Criteria:\*\* 1. Patients with locally recurrent nasopharyngeal carcinoma (NPC) more than 1 year after initial radical treatment for non-metastatic NPC, with or without regional recurrence, but without distant metastasis. 2. Age 18-70 years. 3. Pathologically confirmed local recurrence of NPC, staged as rT1-rT4 according to the 9th edition of the AJCC/UICC classification. 4. ECOG performance status score of 0-1. 5. No prior radiotherapy, chemotherapy, immunotherapy, or biological therapy for recurrent NPC. 6. No contraindications to immunotherapy or chemotherapy. 7. Adequate organ function. Exclusion Criteria: \*\*Exclusion Criteria:\*\* 1. Previous treatment with other PD-1 antibodies or immunotherapy targeting PD-1/PD-L1 resulting in Grade III or higher immune-related adverse reactions. 2. Residual toxic effects from prior anti-tumor treatments (including immunotherapy, targeted therapy, chemotherapy, or radiotherapy) (excluding alopecia, fatigue, and Grade 2 hypothyroidism) or clinically significant laboratory abnormalities higher than Grade 1 (CTCAE v5.0). 3. Congenital or acquired immunodeficiency (e.g., HIV infection), active hepatitis B (HBV-DNA ≥10 copies/ml), or hepatitis C (positive hepatitis C antibody and HCV-RNA above the detection limit of the assay). 4. Known allergy to MRG003, capecitabine, or any component of anti-PD-1 antibodies.

Primary outcome measure(s)

  • Objective Response Rate — Day 21 after the completion of six cycles of MRG003 treatment
    The Objective Response Rate (ORR) is defined as the proportion of patients achieving Complete Response (CR) or Partial Response (PR) by Day 21 after the completion of six cycles of MRG003 treatment, starting from the date of enrollment.

Trial sites (1)

FacilityCityRegionStatus
Fujian Cancer Hospital Fuzhou Fujian Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07331428 on ClinicalTrials.gov ↗ ← All trials in China