Low-temperature plasma radiofrequency ablation versus high-frequency electrocautery resection for localized recurrent nasopharyngeal carcinoma
Official title: A Randomized Controlled Trial of Plasma Radiofrequency Ablation at Low Temperature Versus Electrocautery Block Resection at High Frequency for Localized Recurrent Nasopharyngeal Carcinoma.
Run by Sun Yat-sen University · NCT04425265 · Data updated 2026-11-12
This trial will see if low-temperature plasma radiofrequency ablation works better than high-frequency electrocautery resection for adults with localized recurrent nasopharyngeal carcinoma.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 500 (estimated) |
| Sponsor | Sun Yat-sen University Academic / other |
| Locations | 3 sites (Guangzhou, Guangdong and 2 other locations) |
| Status | Recruiting |
| Started | June 30, 2020 |
| Main results expected | December 2026 |
| Study ends | December 2028 |
| Registry record updated | May 8, 2026 |
| Trial ID | NCT04425265 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–70 with histologically confirmed, resectable localized recurrent nasopharyngeal carcinoma (rT1-3N0-3M0), at least six months since prior radiotherapy, KPS >70, and who can provide informed consent are ideal candidates.
✕Probably not a fit
Patients with unresectable or metastatic disease, serious uncontrolled cardiac or pulmonary disease, other active malignancies, significant psychiatric illness, KPS ≤70, or who are pregnant or breastfeeding are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a randomized, multicenter trial comparing two surgical approaches for resectable localized recurrent nasopharyngeal carcinoma: low-temperature plasma radiofrequency ablation and high-frequency electrocautery block resection. Adults with rT1-3N0-3M0 recurrent disease occurring at least six months after prior radiotherapy and meeting performance and safety criteria will be randomized to one of the two procedures. Outcomes will include survival measures and perioperative surgical outcomes such as complications and recovery. The goal is to determine whether the low-temperature plasma technique yields better survival or surgical tolerability than standard electrocautery.
Why it matters
Potential benefit: If successful, the low-temperature plasma approach could offer a more convenient surgical option with better survival or fewer complications for patients with localized recurrent nasopharyngeal carcinoma.
How similar studies have gone: Smaller case series and nonrandomized reports suggest plasma radiofrequency ablation may reduce thermal injury and speed recovery, but direct randomized comparisons with electrocautery for recurrent nasopharyngeal carcinoma are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. At least 6 months disease free interval (defined as duration between the initial course of radiotherapy and recurrence) 2. Histopathologically diagnosed with undifferentiated or differentiated, nonkeratinizing nasopharyngeal carcinoma. 3. Resectable recurrent nasopharyngeal carcinoma: rT1-3N0-3M0 A) The tumor is confined to the nasopharyngeal mucosa, or the surface of the parapharyngeal space, or the bottom wall of the sphenoid sinus, and is more than 0.5cm away from the internal carotid artery B) The cervical lymph node lesions do not infiltrate the cervical spine, brachial plexus, cervical muscles, and internal carotid artery. 4. Age: 18-70 years old. 5. Subjects must sign an informed consent form. Exclusion Criteria: 1. Karnofsky score (KPS)≤70. 2. Has known Subjects with other malignant tumors. 3. Has seriously mental disease. 4. Uncontrolled clinically significant heart disease and Pulmonary dysfunction. 5. Pregnancy or breast feeding.
Where it's running
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Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, China Recruiting -
The Fifth Affiliated Hospital of Sun Yat-sen University
Zhuhai, Guangdong, China Recruiting -
The Nanchang Affiliated Hospital, Sun Yat-Sen University (Nanchang First Hospital)
Nanchang, Jiangxi, China Recruiting
Study contacts
- Study coordinator: Ming-Yuan Chen, MD, PhD
- Email: chmingy@mail.sysu.edu.cn
- Phone: 86-20-8734-3361
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.