Benefit of Chemotherapy Over Best Supportive Care in Metastatic and Squamous Cell-type Esophageal Cancer.

NCT ID: NCT01248299

Last Updated: 2019-05-16

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

105 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2017-01-31

Brief Summary

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Interest of continuing systemic chemotherapy or not , after a short initial treatment (6 weeks) in patients who are in response or stable disease("Discontinuation design ")of patients with metastatic oesophageal cancer of squamous cell type

The secondary aims would be to study : toxicity, the overall survival rate, a study of costs and quality of life.

Detailed Description

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As the data in litterature does not provide the basis for well-argued statistical hypothesis, it is suggested to randomize 30 patients per arm. An IDMC will come to a decision after the inclusion of 10, 20 ans 40 patients on the efficacy and the toxicity profile and on whether to maintain the current clinical position, justifying randomisation . In order to take into account any possible effects of prior concomitant radiochemotherapy, patient will be stratified according to whether they have already undergone chemotherapy or radiochemotherapy.

Conditions

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Squamous Cell Carcinoma of Esophagus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Chemotherapy plus best supportive care

Chemotherapy plus best supportive care with follow up at each cycle of the treatment with FU-CDDP; LV5FU2-CDDP; FOLFOX; TPF

Group Type EXPERIMENTAL

FU-CDDP

Intervention Type DRUG

every 21 days:

* Fluoro-uracil \[800 mg/m2, day 1 to day 5\]
* CisPlatin \[75 mg/m2, day 1 or day 2\]

LV5FU2-CDDP

Intervention Type DRUG

every 14 days:

* Elvorin \[200 mg/m2, 2h IV, day 1 and day 2\]
* Fluoro-uracil \[400 mg/m2 as a bolus, day 1 and day 2\]
* Fluoro-uracil \[600 mg/m2, 22h continous infusion, day 1 and day 2\]
* CisPlatin \[50 mg/m2, day 2\]

FOLFOX

Intervention Type DRUG

every 14 days:

* Oxaliplatin \[85 mg/m2 by 2h infusion, day 1\]
* Fluoro-uracil \[400 mg/m2 as a bolus, day 1 and day 2\]
* Fluoro-uracil \[600 mg/m2, by 22h continous infusion, day 1 and day 2\]
* Elvorin \[500 mg/m2, day 1 and day 2\]

TPF

Intervention Type DRUG

every 21 days:

* Docetaxel \[30 mg/m2, day 1 and day 8\]
* CisPlatin \[60 mg/m2, day 1\]
* Fluoro-uracil \[200 mg/m2/day by continous infusion\]

Or every 21 days:

* Docetaxel \[50 mg/m2, day 1\]
* CisPlatine \[70 mg/m2, day 1\]
* Fluoro-uracile \[700 mg/m2 /day, day 1 to day 5\]

Best supportive care

Best supportive care with follow up every 6 weeks

Group Type ACTIVE_COMPARATOR

Best Supportive Care

Intervention Type OTHER

See European professionnal recommendations (ESMO 2009) Exemples : antalgic treatment, nutritional support, ...

Interventions

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FU-CDDP

every 21 days:

* Fluoro-uracil \[800 mg/m2, day 1 to day 5\]
* CisPlatin \[75 mg/m2, day 1 or day 2\]

Intervention Type DRUG

LV5FU2-CDDP

every 14 days:

* Elvorin \[200 mg/m2, 2h IV, day 1 and day 2\]
* Fluoro-uracil \[400 mg/m2 as a bolus, day 1 and day 2\]
* Fluoro-uracil \[600 mg/m2, 22h continous infusion, day 1 and day 2\]
* CisPlatin \[50 mg/m2, day 2\]

Intervention Type DRUG

FOLFOX

every 14 days:

* Oxaliplatin \[85 mg/m2 by 2h infusion, day 1\]
* Fluoro-uracil \[400 mg/m2 as a bolus, day 1 and day 2\]
* Fluoro-uracil \[600 mg/m2, by 22h continous infusion, day 1 and day 2\]
* Elvorin \[500 mg/m2, day 1 and day 2\]

Intervention Type DRUG

TPF

every 21 days:

* Docetaxel \[30 mg/m2, day 1 and day 8\]
* CisPlatin \[60 mg/m2, day 1\]
* Fluoro-uracil \[200 mg/m2/day by continous infusion\]

Or every 21 days:

* Docetaxel \[50 mg/m2, day 1\]
* CisPlatine \[70 mg/m2, day 1\]
* Fluoro-uracile \[700 mg/m2 /day, day 1 to day 5\]

Intervention Type DRUG

Best Supportive Care

See European professionnal recommendations (ESMO 2009) Exemples : antalgic treatment, nutritional support, ...

Intervention Type OTHER

Other Intervention Names

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Fluoro-uracil+CisPlatin Elvorin+Fluoro-uracil+CisPlatin Oxaliplatin+Fluoro-uracil+Elvorin Docetaxel+CisPlatine+Fluoro-uracile antalgic treatment, nutritional support, ...

Eligibility Criteria

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Inclusion Criteria

* Patients with an histologically proven epidermoid cancer of the oesophagus
* Patients with metastatic disease that can be measured or evaluated according to the RECIST criteria, and located outside of previously irradiated fields
* Patients who may or may not have undergone radiochemotherapy
* Patients who have not received chemotherapy for metastatic disease
* ≥ 18 ans
* Performance Status (ECOG) ≤ 2
* People who are covered by private or state health insurance
* Informed consent signed by the patient


* Non-progressive disease after the 6 first weeks of chemotherapy
* Performance Status (ECOG) ≤ 2

Exclusion Criteria

* Other evolutive malignant tumor
* Infection with HIV-1, HIV-2 or chronic hepatitis B or C
* Cerebral metastasis or known meningeal tumor
* Any unstable chronic diseases that could risk the safety or the compliance of te patient
* Women who are pregnant or breastfeeding. Women must not breastfeed for at least 6 months after administration of Bevacizumab
* Patients unable to undergo the follow-up of the trial for geographical, social or psychological reasons

For the randomized part
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute, France

OTHER_GOV

Sponsor Role collaborator

Centre Oscar Lambret

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Antoine ADENIS, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Centre Oscar Lambret

Locations

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CHU Brest

Brest, , France

Site Status

Centre François BACLESSE

Caen, , France

Site Status

Centre Georges François Leclerc

Dijon, , France

Site Status

CHU Dijon

Dijon, , France

Site Status

Centre Oscar Lambret

Lille, , France

Site Status

CHU Lille

Lille, , France

Site Status

CHU La Timone

Marseille, , France

Site Status

Centre Val d'Aurelle

Montpellier, , France

Site Status

Centre Antoine Lacassagne

Nice, , France

Site Status

Centre Eugène Marquis

Rennes, , France

Site Status

Clinique de la Theuillerie

Ris-Orangis, , France

Site Status

CHU Rouen

Rouen, , France

Site Status

Clinique de l'Armoricaine

Saint-Brieuc, , France

Site Status

Centre René Gauducheau

Saint-Herblain, , France

Site Status

Centre Paul Strauss

Strasbourg, , France

Site Status

Centre Alexis Vautrin

Vandœuvre-lès-Nancy, , France

Site Status

Centre Hospitalier Intercommunal

Villeneuve-Saint-Georges, , France

Site Status

Countries

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France

References

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Kotecki N, Hiret S, Etienne PL, Penel N, Tresch E, Francois E, Galais MP, Ben Abdelghani M, Michel P, Dahan L, Ghiringelli F, Bedenne L, Samalin E, Piessen G, Bennouna J, Peugniez C, El Hajbi F, Clisant S, Kramar A, Mariette C, Adenis A. First-Line Chemotherapy for Metastatic Esophageal Squamous Cell Carcinoma: Clinico-Biological Predictors of Disease Control. Oncology. 2016;90(2):88-96. doi: 10.1159/000442947. Epub 2016 Jan 20.

Reference Type DERIVED
PMID: 26784946 (View on PubMed)

Other Identifiers

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2010-021439-16

Identifier Type: OTHER

Identifier Source: secondary_id

E-DIS 2010-06

Identifier Type: -

Identifier Source: org_study_id

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