Comparison of Systematic Surgery Versus Surveillance and Rescue Surgery in Operable Oesophageal Cancer With a Complete Clinical Response to Radiochemotherapy

NCT ID: NCT02551458

Last Updated: 2024-03-07

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/PHASE3

Total Enrollment

188 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-14

Brief Summary

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Step 1: Inclusion of eligible patients to carry out a translational search for prognostic and predictive markers of Complete Clinical Response and Pathologic Complete Response (using blood samples and diagnostic biopsies) and to collect data on radiochemotherapy and its toxicity.

The trial will evaluate strategies after neoadjuvant treatment and not RCT protocols. The RCT will thus be chosen by the investigator from published effective schemes in a pre-operative setting or in patients not undergoing surgery.

Evaluation of the response 5 to 6 weeks after the RCT.

Step 2: Randomisation in patients with a complete clinical response:

Arm A: Systematic surgery Arm B: Surveillance and rescue surgery in cases with resectable loco-regional recurrence

Patients not eligible for randomisation will have the possibility to participate in a specific study (information can be obtained from the SAKK group (Switzerland Group Clinical Research on Cancer)).

Detailed Description

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Conditions

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Epidermoid Carcinoma or Adenocarcinoma of the Thoracic Oesophagus or Adenocarcinoma of the Oesogastric Junction (Siewert Type I or II) Stage cT2 N1-3 M0 or cT3-T4a N0 or N1-3 M0

Study Groups

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Arm A: Systematic surgery

Group Type EXPERIMENTAL

Systematic surgery

Intervention Type OTHER

Arm B: Surveillance and rescue surgery in cases of resectable

Group Type EXPERIMENTAL

Surveillance and rescue surgery in cases of resectable loco-regional recurrence

Intervention Type OTHER

Interventions

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Systematic surgery

Intervention Type OTHER

Surveillance and rescue surgery in cases of resectable loco-regional recurrence

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Epidermoid carcinoma (EC) or adenocarcinoma of the thoracic oesophagus or adenocarcinoma of the oesogastric junction (Siewert type I or II) proven histologically
* Stage cT2 N1-3 M0 or cT3-T4a N0 or N1-3 M0 after a full investigation
* Patient considered operable with a curative intent and scheduled to undergo first-line radiochemotherapy in a multidisciplinary meeting
* Age ≥ 18 years \< 75 years
* Patient with national health insurance cover and who has provided written informed consent for the clinical and biological studies.

Exclusion Criteria

* Cancer of the cervical oesophagus (15 to 19 cm from the dental arches)
* Weight loss \> 15% at the recruitment with no improvement after nutritional support
* Serious comorbidity threatening survival in the short term
* Contra-indication for radiochemotherapy
* Other uncured malignant disease in the 5 previous years (except for in situ cervical carcinoma and treated non-melanotic skin cancers)
* Absence of effective contraception in patients (men or women) able to procreate, pregnant or breast-feeding women
* Impossibility to follow the trial
* Legal disqualification (patients in custody or under guardianship)
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire Dijon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU Amiens

Amiens, , France

Site Status

Centre d'oncologie et de radiothérapie du Pays Basque

Bayonne, , France

Site Status

CH de la Côte Basque

Bayonne, , France

Site Status

Boulogne Sur Mer

Boulogne-sur-Mer, , France

Site Status

Infirmerie protestante de Lyon

Caluire-et-Cuire, , France

Site Status

Hôpitaux civils de Colmar

Colmar, , France

Site Status

CHU de DIJON

Dijon, , France

Site Status

Hôpital Michallon (GRENOBLE)

La Tronche, , France

Site Status

Centre Oscar Lambret

Lille, , France

Site Status

Hôpital Claude Huriez

Lille, , France

Site Status

Clinique Chenieux

Limoges, , France

Site Status

CHU de Limoges

Limoges, , France

Site Status

CH Saint Joseph Saint Luc

Lyon, , France

Site Status

Hôpital privé Jean Mermoz

Lyon, , France

Site Status

Institut Mutualiste MONTSOURIS

Paris, , France

Site Status

Centre Hospitalier Annecy Genevois

Pringy, , France

Site Status

CHP Saint Grégoire

Saint-Grégoire, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Countries

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France

Other Identifiers

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Bedenne PHRC N 2013

Identifier Type: -

Identifier Source: org_study_id

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