Trial of Docetaxel, Cisplatin, Fluorouracil (5-FU) for Unresectable Advanced Esophageal Squamous Cell Carcinoma (ESCC)

NCT ID: NCT00915850

Last Updated: 2010-09-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1/PHASE2

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-08-31

Study Completion Date

2015-08-31

Brief Summary

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This phase I/II study is being conducted to determine the maximum-tolerated dose (MTD), dose-limiting toxicity (DLT), and efficacy of a combination chemotherapy using docetaxel, cisplatin and 5-fluorouracil (DCF) in unresectable advanced esophageal cancer. The usefulness of the this regimen is evaluated by RECIST, time to progression and median survival time.

Detailed Description

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\<Phase I\>

Primary Objective:

To establish the safety of combination chemotherapy comprising docetaxel (escalating doses: 25,30,35,40 mg/m2,day1 and day8), cisplatin (12mg/m2,day1-5), and fluorouracil (600mg/m2,day1-5) (DCF) in unresectable advanced esophageal cancer.

Secondary Objective:

To observe the efficacy of this regimen in these patients.

\<Phase II\>

Primary Objective:

To assess the response rate of combination chemotherapy comprising docetaxel (recommended dose determined in phase I study,day1 and day8), cisplatin (12 mg/m2, day1-5), and fluorouracil (600 mg/m2, day1-5) (DCF) in unresectable advanced esophageal cancer.

Secondary Objectives:

To determine the adverse reactions of this regimen in these patients. To determine TTP(Time to progression) of patients treated with this regimen. To determine MST(Median survival time) of patients treated with this regimen.

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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Anticancer drug

docetaxel, cisplatin and 5-FU

Group Type EXPERIMENTAL

DCF

Intervention Type DRUG

docetaxel, Cisplatin and 5-FU

Interventions

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DCF

docetaxel, Cisplatin and 5-FU

Intervention Type DRUG

Other Intervention Names

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docetaxel+Cisplatin+5-FU

Eligibility Criteria

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Inclusion Criteria

* locally advanced or metastatic esophageal cancer precluding curative surgical resection and recurrent esophageal cancer measurable disease by CT scan
* ECOG performance status 0-1
* 20 years and older
* Patients must have clinically documented unresectable or metastatic esophageal cancer and histologic confirmation of the diagnosis with tumor
* Tissue from tumor must be available
* Patients must have measurable disease
* Patients may have received prior adjuvant chemotherapy; this must have been completed at least 1 month
* Life expectancy \> 3 months
* Laboratory values as follows
* 3000/mm3 \< WBC \< 12000/mm3
* 1500/mm3 \< granulocyte count
* 8.0 gm/dl \< hemoglobin
* Platelet count \> 100000/mm3
* Aspartate transaminase \< 150 IU/L
* Alanine transaminase \< 150 IU/L
* Creatinine \< 1.5 mg/dl
* Able and willing to give valid written informed consent

Exclusion Criteria

* Pregnancy (women of childbearing potential: refusal or inability to use effective means of contraception)
* Active or uncontrolled infection
* Prior chemotherapy or radiation therapy within 4 weeks, surgery within 3 weeks or immunotherapy within 1 week
* Clinically significant heart disease
* Patients with a history of myocardial infarction within the previous three months
* Patients with uncontrolled diabetes mellitus or hypertension
* Presence of clinically apparent central nervous system metastases
* Patients with any other severe concurrent disease, which in the judgment of the investigator, would make the patient inappropriate for entry into this study
* Decision of unsuitableness by principal investigator or physician-in-charge
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wakayama Medical University

OTHER

Sponsor Role lead

Responsible Party

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Wakayama Medical University

Principal Investigators

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Makoto Iwahashi, M.D.

Role: STUDY_DIRECTOR

Second Department of Surgery, Wakayama Medical University

Locations

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Wakayama Medical University

Wakayama, Wakayama, Japan

Site Status RECRUITING

Countries

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Japan

Central Contacts

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Makoto Iwahashi, MD

Role: CONTACT

81-73-441-0613

Facility Contacts

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Makoto Iwahashi, MD

Role: primary

81-73-441-0613

Other Identifiers

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WMU-EC01

Identifier Type: -

Identifier Source: org_study_id