Paclitaxel Plus Radiation With Erlotinib to Treat Esophageal Squamous Carcinoma

NCT ID: NCT01752205

Last Updated: 2012-12-19

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

PHASE3

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2014-11-30

Brief Summary

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The purpose of this study is to test the safety and effectiveness of erlotinib and chemoradiotherapy in patients with unresectable esophageal or gastro-esophageal squamous cancer .

Detailed Description

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Conditions

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Esophageal Squamous Carcinoma

Keywords

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Esophageal Squamous Carcinoma Erlotinib Chemoradiotherapy

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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Chemoradiotherapy

The patients will receive radiation therapy QD, 5 days a week and receive paclitaxel IV ,dosing schedule: 45mg/m2/w.

Group Type ACTIVE_COMPARATOR

Paclitaxel

Intervention Type DRUG

45mg/m2/w,total 6 weeks

Radiation therapy

Intervention Type RADIATION

Erlotinib and chemoradiotherapy

The patients will receive radiation therapy QD, 5 days a week and receive paclitaxel IV (45mg/m2/w) and erlotinib PO QD.

Group Type EXPERIMENTAL

Paclitaxel

Intervention Type DRUG

45mg/m2/w,total 6 weeks

Erlotinib

Intervention Type DRUG

150mg/d,days 1-42,total 6 weeks

Radiation therapy

Intervention Type RADIATION

Interventions

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Paclitaxel

45mg/m2/w,total 6 weeks

Intervention Type DRUG

Erlotinib

150mg/d,days 1-42,total 6 weeks

Intervention Type DRUG

Radiation therapy

Intervention Type RADIATION

Other Intervention Names

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radiation therapy QD, 5 days a week,95%PTV 60Gy/2Gy/30f,total 6 weeks

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed squamous cell carcinoma of esophagus or Esophagogastric Junction
2. Age \>= 18
3. ECOG PS 0-2
4. Ineligibility for surgery
5. No prior palliative therapy
6. At least one bidimensionally measurable disease as defined by RECIST ver 1.1
7. Adequate organ function for treatment

* Absolute neutrophil count (ANC)\>=1000cells/mm3
* Platelets \>=100000 cells/mm3
* Estimated creatinine clearance\>=50mL/min, or serum creatinine\<1.5 x institution upper limit of normal
* Bilirubin=\<1.5 x upper limit of normal(ULN)
* AST(SGOT)=\<2.5 x ULN (5.0xULN if hepatic metastases)
* ALT(SGPT)=\<2.5 x ULN (5.0xULN if hepatic metastases)
* 12-Lead electrocardiogram(ECG) with normal tracing or non-clinically significant changes that do not require medical intervention
* QTc interval =\<470 msec and without history of Torsades de Points or other symptomatic QTc abnormality
* LVEF (by MUGA or echocardiogram) of \>=50%.
8. The patient has provided signed informed consent and is amenable to compliance with protocol schedules and testing.

Exclusion Criteria

1. Previous treatment with small molecule EGFR tyrosine kinase inhibitors
2. Any major operation within 4 weeks of baseline disease assessment
3. Any clinically significant gastrointestinal abnormalities which may impair intake or absorption of the study drug
4. CNS metastasis with continuous corticosteroid use within 4 weeks of baseline disease assessment
5. Patients with known interstitial lung disease
6. Patients with uncontrolled or significant cardiovascular disease (AMI within 12 months,Unstable angina within 6 months, NYHA Class III, IV Congestive heart failure or left ventricular ejection fraction below local institutional lower limit of normal or below 45%, Congenital long QT syndrome, Any significant ventricular arrhythmia, Any uncontrolled second or third degree heart block, Uncontrolled hypertension)
7. Previous or concurrent malignancy except for basal or squamous cell skin cancer and/or in situ carcinoma of the cervix, or other solid tumors treated curatively and without evidence of recurrence for at least 5 years prior to study entry.
8. Pregnant or breast-feeding women
9. Other severe acute or chronic medical condition or laboratory abnormality that may increase the risk associated with trial participation or investigational product administration or may interfere with the interpretation of trial results and, in the judgment of the investigator, would make the patient inappropriate for entry into this trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Affiliated Hospital of the Chinese Academy of Military Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Xu jianming

The Affiliated Hospital of the Chinese Academy of Military Medical Sciences

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xu jianming, M.D.

Role: PRINCIPAL_INVESTIGATOR

The Affiliated Hospital of the Chinese Academy of Military Medical Science

Locations

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307 Hospital of PLA

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xu jianming, M.D.

Role: CONTACT

Phone: 861051128358

Email: [email protected]

Facility Contacts

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Xu jianming, M.D.

Role: primary

Zhao chuanhua

Role: backup

Other Identifiers

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ESCC-307PLAH-XJM

Identifier Type: -

Identifier Source: org_study_id