Role of Radiotherapy Following Oesophageal Stenting in Cancer

NCT ID: NCT01179074

Last Updated: 2010-08-11

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

COMPLETED

Clinical Phase

NA

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-04-30

Study Completion Date

2009-03-31

Brief Summary

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To assess the benefits of oesophageal stenting and external beam radiotherapy over oesophageal stenting alone in patients with inoperable oesophageal cancer

Detailed Description

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A majority of patients with oesophageal cancer present with inoperable disease and require rapid and long lasting palliation of dysphagia.

STUDY AIM: To compare dysphagia relief in patients treated with oesophageal stenting and external beam radiotherapy (EBRT), versus oesophageal stenting alone and to assess overall survival, treatment related complications, and quality of life in the two groups.

PATIENTS AND METHODS: Patients with inoperable oesophageal cancer with high grade dysphagia to be randomised to receive oesophageal stenting alone (Group I), versus a combination of stenting followed by EBRT (Group II). Dysphagia relief, treatment related complications, overall survival, and quality of life to be assessed in the two groups.

Conditions

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Oesophageal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Oesophageal stent alone

Patients of inoperable oesophageal cancer in this arm underwent oesophageal stenting with self expandable metal stents

Group Type ACTIVE_COMPARATOR

oesophageal stenting with self expandable metal stent

Intervention Type PROCEDURE

oesophageal stent placement for high grade dysphagia in inoperable oesophageal cancer

Oesophageal stent followed by EBRT

Patients in this arm underwent oesophageal stenting with self expandable metal stents followed by external beam radiotherapy (30Gy/10#/2weeks)

Group Type ACTIVE_COMPARATOR

oesophageal stenting with self expandable metal stent

Intervention Type PROCEDURE

oesophageal stent placement for high grade dysphagia in inoperable oesophageal cancer

Oesophageal stent followed by external beam radiotherapy

Intervention Type PROCEDURE

30 Gy in 10 fractions over 2 weeks administered in the stent followed by EBRT group

Interventions

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oesophageal stenting with self expandable metal stent

oesophageal stent placement for high grade dysphagia in inoperable oesophageal cancer

Intervention Type PROCEDURE

Oesophageal stent followed by external beam radiotherapy

30 Gy in 10 fractions over 2 weeks administered in the stent followed by EBRT group

Intervention Type PROCEDURE

Other Intervention Names

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Ultraflex stent, Microvasive, Boston Scientific External beam radiotherapy

Eligibility Criteria

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Inclusion Criteria

* Oesophageal cancer patients with locally advanced unresectable cancer (such as invasion of tracheo-bronchial tree, aorta, pulmonary vascular structures, etc),
* Metastatic disease, and co-morbid conditions precluding major surgical procedure (such as severe cardiopulmonary, hepatic and renal diseases) with grade 3 and 4 dysphagia, were included in the trial.

Exclusion Criteria

* Patients with carcinoma of the cervical oesophagus and those who had already received prior radiotherapy, chemotherapy, or any other modality of treatment were excluded
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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All India Institute of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Department of G.I.Surgery, All India Institute of Medical Sciences, New Delhi-110029

Principal Investigators

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Tushar K Chattopadhyay, MS

Role: STUDY_DIRECTOR

Head, Dept. G.I Surgery, All India Institute of Medical Sciences, New Delhi

Locations

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Departments of Gastrointestinal surgery, Gastroenterology, Radiation Oncology, All India Institute of Medical Sciences

New Delhi, National Capital Territory of Delhi, India

Site Status

Countries

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India

References

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Schmid EU, Alberts AS, Greeff F, Terblanche AP, Schoeman L, Burger W, Shiels RA, Friediger D, Van der Hoven A, Falkson G. The value of radiotherapy or chemotherapy after intubation for advanced esophageal carcinoma--a prospective randomized trial. Radiother Oncol. 1993 Jul;28(1):27-30. doi: 10.1016/0167-8140(93)90181-7.

Reference Type BACKGROUND
PMID: 7694321 (View on PubMed)

Other Identifiers

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SEMSRT-1

Identifier Type: -

Identifier Source: org_study_id

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