Simultaneous Modulated Accelerated Boost Versus Standard Dose Radiotherapy in Esophageal Cancer

NCT ID: NCT02556762

Last Updated: 2024-02-06

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

202 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2024-12-31

Brief Summary

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This randomized phase III trial is to compare simultaneous modulated accelerated boost with standard dose radiotherapy given together with chemotherapy in treating patients with esophageal squamous cell carcinoma.

Detailed Description

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Conditions

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Esophageal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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SMART boost

Radiotherapy with simultaneous modulated accelerated boost

Group Type EXPERIMENTAL

Radiotherapy with simultaneous modulated accelerated boost

Intervention Type RADIATION

Radiotherapy: 66Gy/30F to the gross tumor and 50Gy/25 to subclinical diseases

PF

Intervention Type DRUG

Chemotherapy: Cisplatin and 5fluorouracil

Standard dose RT

Standard dose radiotherapy

Group Type ACTIVE_COMPARATOR

Standard dose radiotherapy

Intervention Type RADIATION

Radiotherapy: 50Gy/25F to both gross tumor and subclinical disease

PF

Intervention Type DRUG

Chemotherapy: Cisplatin and 5fluorouracil

Interventions

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Radiotherapy with simultaneous modulated accelerated boost

Radiotherapy: 66Gy/30F to the gross tumor and 50Gy/25 to subclinical diseases

Intervention Type RADIATION

Standard dose radiotherapy

Radiotherapy: 50Gy/25F to both gross tumor and subclinical disease

Intervention Type RADIATION

PF

Chemotherapy: Cisplatin and 5fluorouracil

Intervention Type DRUG

Other Intervention Names

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SIB

Eligibility Criteria

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Inclusion Criteria

* Histologic proof of primary squamous cell carcinoma of the esophagus.
* Primary disease at cervical, upper or middle thoracic esophagus
* T1-4, N any, M0 (except supraclavicular lymph node).
* Age≥18 \& ≤75.
* ECOG score 0-2.
* Platelets ≥ 150,000, Hgb ≥ 10 gm%, ANC ≥ 1500, serum creatinine ≤ 1.5 mg/dl.
* Adequate liver function.
* Patients with prior malignancy are eligible if disease-free ≥ 5 years.
* No prior chest radiotherapy, systemic chemotherapy or major esophageal surgery.
* Signed study-specific informed consent form prior to study entry.

Exclusion Criteria

* Patients with tracheo-esophageal fistula.
* Patients with invasion into mucosa of trachea or major bronchi.
* Patients with uncontrolled serious medical or mental illnesses.
* Prior RT that would result in overlap of planned RT fields.
* Pregnancy or women of childbearing potential and men who are sexually active
* Women who are breastfeeding a baby.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chuangzhen Chen

OTHER

Sponsor Role lead

Responsible Party

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Chuangzhen Chen

M.D

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Chuangzhen Chen, MD

Role: PRINCIPAL_INVESTIGATOR

Cancer Hospital, Shantou University Medical College

Locations

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Cancer Hospital, Shantou University Medical College

Shantou, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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SUMC-EC-002

Identifier Type: -

Identifier Source: org_study_id

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