Irinotecan Plus S1 Versus S1 in Patients With Previously Treated Advanced Esophageal Cancer: ESWN 01 Trial

NCT ID: NCT02319187

Last Updated: 2015-08-03

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

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2017-06-30

Brief Summary

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Esophageal cancer is a highly aggressive malignancy with a poor overall outcome.

The purpose of this study is to evaluate the progression free survival and safety of irinotecan plus S1 versus S1 alone in the patients with previously treated advanced esophageal cancer

Detailed Description

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Two arms, phase 3 study of irinotecan plus S1 versus S1 alone in previously treated patients with recurrent or metastatic esophageal cancer. 240 Patients will be enrolled in this trial. The primary objective of this study is to determine the PFS of the two arms. One arm is as follows: irinotecan 160 mg/m2 will be administered as an intravenous infusion over 60 minutes on Days 1, followed by S1 80mg to 120 mg per day on Days 1-10, every 14 days per cycle. The other arm is S1 80mg to 120 mg per day on Days 1-14, every 21 days per cycle.This study will also include the investigation of UGT1A1polymorphisms in the study population.

Conditions

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Esophageal Neoplasms

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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Arm A

S1

Group Type ACTIVE_COMPARATOR

S1

Intervention Type DRUG

S1 80mg to 120 mg per day on Days 1-14, every 21 days

Arm B

S1 and irinotecan

Group Type EXPERIMENTAL

S-1

Intervention Type DRUG

S1 80mg to 120 mg per day on Days 1-10, every 14 days;

irinotecan

Intervention Type DRUG

irinotecan 160mg/m2 d1, every 14 days

Interventions

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S1

S1 80mg to 120 mg per day on Days 1-14, every 21 days

Intervention Type DRUG

S-1

S1 80mg to 120 mg per day on Days 1-10, every 14 days;

Intervention Type DRUG

irinotecan

irinotecan 160mg/m2 d1, every 14 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically proven esophageal squamous cell carcinoma;
* 18 ≤ age ≤ 70;
* ECOG 0-2;
* Previously Treated with platinum or paclitaxel based regimen;
* Uni-dimensionally measurable disease (CT or MRI as per RECIST);
* Patients should have a projected life expectancy of at least 3 months;
* Completion of baseline quality of life questionnaire
* Adequate bone marrow functions (ANC ≥ 1,500/ul, blood platelet ≥ 100,000/ul, haemoglobin ≥ 10g/dl);
* Adequate renal functions(serum creatinine ≤ 1.5mg/dl)
* liver functions (serum bilirubin ≤ 1.5UNL, AST/ALT ≤ 3 times(normal value)
* Written informed consent

Exclusion Criteria

* Previous chemotherapy with 5-FU or irinotecan after recurrence or metastasis;
* adjuvant chemotherapy with 5-FU-based chemotherapy within 6 months prior to the start of study treatment;
* Active infection requiring antibiotics
* Pregnant, lactating women
* Psychiatric illness, epileptic disorders
* Concurrent systemic illness not appropriate for chemotherapy
* History of other malignancy within 5 years except for non-melanoma skin cancer, cervix in situ carcinoma
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese Academy of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Jing Huang

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Binghe Xu, M.D.

Role: STUDY_CHAIR

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Jing Huang

Role: STUDY_CHAIR

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Locations

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Hebei four Hospital

Shijiazhuang, Hebei, China

Site Status RECRUITING

The First Affiliated Hospital of Xinxiang Medical College

Xinxiang, Henan, China

Site Status RECRUITING

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status RECRUITING

Tongji Hospital, Tongji Medical College

Wuhan, Hubei, China

Site Status RECRUITING

Mongolia Chifeng Hospital

Chifeng, Inner Mongolia, China

Site Status RECRUITING

Ordos Central Hospital

Ordos, Inner Mongolia, China

Site Status RECRUITING

Jiangsu Taizhou peoples Hospital

Taizhou, Jiangsu, China

Site Status RECRUITING

Qinghai Cancer Hosptal

Xining, Qinghai, China

Site Status RECRUITING

Shanxi Province Cancer Hospital

Taiyuan, Shanxi, China

Site Status RECRUITING

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Beijing, , China

Site Status RECRUITING

Hunan Cancer Hospital,the Affiliated Cancer Hospital of Xianya School of Medicine

Changsha, , China

Site Status RECRUITING

Herbin Medical University Cancer Hospital

Herbin, , China

Site Status RECRUITING

Henan Cancer Hospital

Zhengzhou, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jing Huang, M.D.

Role: CONTACT

8610-87788103

Facility Contacts

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Da Jiang, MD

Role: primary

Ping Lu, MD

Role: primary

Qingxia Fan, MD

Role: primary

Xianglin Yuan, MD.,Ph.D

Role: primary

Changwu Ma

Role: primary

Gaowa Jin, MD

Role: primary

Junxing Huang, MD

Role: primary

Chengmao Zhao, MD

Role: primary

Guangcheng Hu, MD

Role: primary

Xi Wang, M.D

Role: primary

Lin Wu, MD

Role: primary

Yuxian Bai, MD

Role: primary

Ying Liu, MD

Role: primary

References

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Huang J, Xu B, Liu Y, Huang J, Lu P, Ba Y, Wu L, Bai Y, Zhang S, Feng J, Cheng Y, Li J, Wen L, Yuan X, Ma C, Hu C, Fan Q, Wang X. Irinotecan plus S-1 versus S-1 in patients with previously treated recurrent or metastatic esophageal cancer (ESWN 01): a prospective randomized, multicenter, open-labeled phase 3 trial. Cancer Commun (Lond). 2019 Apr 2;39(1):16. doi: 10.1186/s40880-019-0359-7.

Reference Type DERIVED
PMID: 30940189 (View on PubMed)

Other Identifiers

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CH-GI-064

Identifier Type: -

Identifier Source: org_study_id

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