Promising drug cocktail aims to shrink aggressive nasal tumors before surgery
NCT ID NCT07616141
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether giving a combination of anlotinib (a targeted therapy) and epirubicin (chemotherapy) before surgery can improve outcomes for people with advanced sinonasal adenoid cystic carcinoma, a rare and aggressive cancer of the nasal cavity and sinuses. About 76 participants will receive two cycles of the drugs, then undergo surgery and radiation. The main goal is to see if this approach increases the 3-year survival without cancer progression compared to historical rates.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- anlotinib (a targeted therapy) plus epirubicin (a chemotherapy drug)
- What this could lead to
- If successful, this drug combination before surgery could become a new standard treatment for advanced sinonasal adenoid cystic carcinoma, potentially improving survival and reducing the need for disfiguring surgeries.
- What could go wrong
- This is an early phase II trial with only 76 participants and no comparison group. The combination may cause side effects like fatigue, bleeding, or heart problems, and may not improve outcomes over current treatments.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 76 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 to 75 years, any sex. * Histopathologically confirmed sinonasal adenoid cystic carcinoma (any subtype). * Stage T4a or T4b according to AJCC 8th edition. If lymph node metastasis is present, it must be surgically resectable. If distant metastasis is present, metastatic lesions must be stable. * Multidisciplinary team (MDT) assessment confirms that the tumor is technically resectable but with high risk (invasion of skull base, orbit, dura, etc.). * Eastern Cooperative Oncology Group (ECOG) performance status 0-1. * Adequate bone marrow, liver, kidney, and cardiac function: absolute neutrophil count ≥1.5×10⁹/L, platelet count ≥100×10⁹/L, hemoglobin ≥90 g/L; ALT/AST ≤2.5×upper limit of normal (ULN), total bilirubin ≤1.5×ULN; creatinine ≤1.5×ULN or creatinine clearance ≥60 mL/min; left ventricular ejection fraction (LVEF) ≥50%. * Willing to participate and able to provide written informed consent (including for clinical treatment and translational research). Exclusion Criteria: * Prior radiotherapy to the head and neck region. * Prior anthracycline therapy with cumulative dose ≥300 mg/m². * Known hypersensitivity to any component of anlotinib or epirubicin. * Uncontrolled hypertension, severe cardiovascular disease, or active infection. * Pregnant or breastfeeding women. * Any medical or psychosocial condition that, in the investigator's judgment, may interfere with study compliance or conduct.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
5 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Eye & ENT Hospital of Fudan University
Shanghai, Shanghai Municipality, 200031, China
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The Affiliated Hospital of Qingdao University
Qingdao, Shandong, 266000, China
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The Third Affiliated Hospital of Sun Yat-sen University
Guangzhou, Guangdong, 510630, China
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Xuanwu Hospital, Capital Medical University
Beijing, Beijing Municipality, 100053, China
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Zhongshan Hospital, Fudan University
Shanghai, Shanghai Municipality, 200030, China
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Other studies related to the condition(s) this trial covers.
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- Rare sinus cancer study aims to clarify treatment outcomes