Chemotherapy, Radiation Therapy and Immunotherapy Prior to Surgery in Operable Esophageal Cancer

NCT ID: NCT00393068

Last Updated: 2022-03-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-02-28

Study Completion Date

2011-08-31

Brief Summary

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The purpose of this study is to see if adding two targeted drugs (bevacizumab and erlotinib) further improves the response to chemotherapy (5-FU, paclitaxel, carboplatin) and radiation therapy in patients with operable esophageal cancer.

Side effects (toxicity) information will also be collected.

Detailed Description

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Surgical removal has been the standard treatment for operable esophageal cancer. However, recent studies have shown improved results when patients receive a short course of chemotherapy and radiation therapy prior to surgery.

Prior to surgery study treatment will be given over a 6 weeks (Days 1-42) period. Beginning Day 1 and continuing through Day 35 patients will receive a continuous infusion of 5-FU by vein. A small portable pump will be used to administer this drug into a tube that has been surgically inserted into the patient's vein. On Day 1 and 22 patients will also receive the drugs paclitaxel, carboplatin and bevacizumab by vein. Erlotinib is given by mouth beginning on Day 1 and continuing through Day 45. Patients will receive radiation therapy daily, Monday through Friday, beginning Day 1-35 (approximately 5 weeks).

Surgery will be performed approximately 12-14 weeks after beginning this combined treatment.

Conditions

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Esophageal Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment

Prior to surgery study treatment will be given over a 6 weeks (Days 1-42) period. Beginning Day 1 and continuing through Day 35 patients will receive a continuous infusion of 5-FU by vein. A small portable pump will be used to administer this drug into a tube that has been surgically inserted into the patient's vein. On Day 1 and 22 patients will also receive the drugs paclitaxel, carboplatin and bevacizumab by vein. Erlotinib is given by mouth beginning on Day 1 and continuing through Day 45. Patients will receive radiation therapy daily, Monday through Friday, beginning Day 1-35 (approximately 5 weeks).

Surgery will be performed approximately 12-14 weeks after beginning this combined treatment.

Group Type EXPERIMENTAL

Erlotinib

Intervention Type DRUG

Erlotinib

Bevacizumab

Intervention Type DRUG

Bevacizumab

Paclitaxel

Intervention Type DRUG

Paclitaxel

Carboplatin

Intervention Type DRUG

Carboplatin

5-FU

Intervention Type DRUG

5-FU

Radiation therapy

Intervention Type PROCEDURE

Radiation therapy

Surgery

Intervention Type PROCEDURE

Surgery

Interventions

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Erlotinib

Erlotinib

Intervention Type DRUG

Bevacizumab

Bevacizumab

Intervention Type DRUG

Paclitaxel

Paclitaxel

Intervention Type DRUG

Carboplatin

Carboplatin

Intervention Type DRUG

5-FU

5-FU

Intervention Type DRUG

Radiation therapy

Radiation therapy

Intervention Type PROCEDURE

Surgery

Surgery

Intervention Type PROCEDURE

Other Intervention Names

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Tarceva Avastin Taxol Paraplatin Fluorouracil

Eligibility Criteria

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Inclusion Criteria

* Clinically confirmed esophageal or gastroesophageal junction cancer stage I, II or III
* No prior treatment for esophageal cancer
* Must be surgical candidate based on stage and location of disease
* Measurable or evaluable disease
* Able to be up and perform self care
* Adequate liver, renal function and bone marrow function
* Patients will have to have a central venous access device placed
* Able to give written informed consent.
* Age 18 or older

Exclusion Criteria

* Stage IV disease
* Prior cancer treatment for advanced cancer in the last 5 years
* Pregnant or lactating women
* History of stroke, transient ischemic attacks, or acute MI within the past 6 months or any other serious cardiovascular disease
* History of neurological disease
* Recent history of blood in the sputum or vomitus
* Non-healing wounds, ulcer or long bone fractures
* History of bleeding problems or coagulation problems
* History of abdominal fistula, gi perforation or intrabdominal abscess within 6 months
* History of uncontrolled hypertension
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role collaborator

SCRI Development Innovations, LLC

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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John D Hainsworth, MD

Role: PRINCIPAL_INVESTIGATOR

SCRI Development Innovations, LLC

Locations

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Florida Cancer Specialists

Fort Myers, Florida, United States

Site Status

Integrated Community Oncology Network

Jacksonville, Florida, United States

Site Status

Northeast Georgia Medical Center

Gainesville, Georgia, United States

Site Status

Consultants in Blood Disorders and Cancer

Louisville, Kentucky, United States

Site Status

Hematology Oncology Associates of Northern NJ

Morristown, New Jersey, United States

Site Status

Aultman Hospital

Canton, Ohio, United States

Site Status

Oncology Hematology Care

Cincinnati, Ohio, United States

Site Status

Chattanooga Oncology Hematology Associates

Chattanooga, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Site Status

Countries

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United States

References

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Bendell JC, Meluch A, Peyton J, Rubin M, Waterhouse D, Webb C, Burris HA 3rd, Hainsworth JD. A phase II trial of preoperative concurrent chemotherapy/radiation therapy plus bevacizumab/erlotinib in the treatment of localized esophageal cancer. Clin Adv Hematol Oncol. 2012 Jul;10(7):430-7.

Reference Type BACKGROUND
PMID: 22895283 (View on PubMed)

Other Identifiers

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SCRI GI 91

Identifier Type: -

Identifier Source: org_study_id

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