Both cohort 1 and 2 meets primary end point. In exploratory molecular analyses, B cell marker and tertiary lymphoid structure shows a positive associated with higher ORR in cohort 1, while a higher expression of PD-L1, VEGF Receptor 2 (KDR) and angiogenesis gene expression signatures are related with the higher efficiency in cohort 2....Camrelizumab plus apatinib combination effectiveness is associated with high expression of PD-L1, VEGF Receptor 2 and B-cell-related genes signatures. Camrelizumab plus apatinib shows promising efficacy with a measurable safety profile in RM-NPC patients.