Docetaxol Plus Cisplatin Versus 5-Fu Plus Cisplatin as 1st-line Chemotherapy in Advanced ESCC Patients

NCT ID: NCT03002064

Last Updated: 2016-12-26

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

358 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-31

Study Completion Date

2020-12-31

Brief Summary

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This is a phase III clinical trial to compare the efficacy of docetaxel plus cisplatin versus 5-Fu plus cisplatin in the first line chemotherapy for advanced or metastatic esophageal squamous carcinoma patients.

Detailed Description

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Esophageal cancer is the 6th most common cause of cancer deaths worldwide and it is an endemic in many parts of the world, particularly in the developing countries, including China. Histologically, esophageal cancer can be classified as adenocarcinoma and esophageal squamous cell. carcinoma (ESCC) which is the most common histology in Asia. For locally advanced or metastatic ESCC patients, chemotherapy can improve overall survival (OS) and progression free survival (PFS). There is no standard first-line chemotherapy for ESCC patients. Cisplatin (DDP) plus fluorouracil is the most common used combination with a response rate of 25-35%. Previous studies showed that the combination of paclitaxel with cisplatin had good tolerance and efficacy to esophageal carcinoma. This is a prospective randomized control phase III clinical trial to compare the efficacy and safety between docetaxel/cisplatin and 5-Fu/cisplatin as the 1st line treatment in advanced or metastatic esophageal carcinoma patients.

Sample size:

This is a non-inferior study. The planned sample size was 358 patients, allowing for a 10% dropout rate and assuming the median progression free survival was 5.5 months in the experimental group and 4 months in the control group with a hazard ratio of 0.727, α=0.05, β=0.2. The planned enrolled time was 36 months and 12 months of follow up. The ratio between control and experimental group is 1:1.

Conditions

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Esophagus Cancer Chemotherapy Effects

Keywords

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Esophagus squamous carcinoma First-line chemotherapy Docetaxel Cisplatin 5-fluorouracil

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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DP group

Docetaxel plus cisplatin. Docetaxel: 60mg per square metre on day 1 and Cisplatin: 60mg per square metre on day 1, repeated every 3 weeks till progression or at most 6 cycles.

Group Type EXPERIMENTAL

Docetaxel

Intervention Type DRUG

60mg per square metre on day 1, repeated every 3 weeks till progression or at most 6 cycles.

Cisplatin

Intervention Type DRUG

Cisplatin: 60mg per square metre on day 1, repeated every 3 weeks till progression or at most 6 cycles

PF group

Cisplatin plus 5-fluorouracil. Cisplatin: 60mg per square metre on day 1 and 5-fluorouracil 3750mg per square metre, civ 120 hours every 3 weeks till progression or at most 6 cycles.

Group Type ACTIVE_COMPARATOR

Fluorouracil

Intervention Type DRUG

5-fluorouracil 3750mg per square metre, civ 120 hours every 3 weeks till progression or at most 6 cycles

Cisplatin

Intervention Type DRUG

Cisplatin: 60mg per square metre on day 1, repeated every 3 weeks till progression or at most 6 cycles

Interventions

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Docetaxel

60mg per square metre on day 1, repeated every 3 weeks till progression or at most 6 cycles.

Intervention Type DRUG

Fluorouracil

5-fluorouracil 3750mg per square metre, civ 120 hours every 3 weeks till progression or at most 6 cycles

Intervention Type DRUG

Cisplatin

Cisplatin: 60mg per square metre on day 1, repeated every 3 weeks till progression or at most 6 cycles

Intervention Type DRUG

Other Intervention Names

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Docetaxol 5-Fu DDP

Eligibility Criteria

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Inclusion Criteria

1. Patients must give written informed consent signed voluntarily by patients themselves or their supervisors witted by doctors.
2. Patients must have histologically confirmed esophageal squamous cell carcinoma without prior treatments including surgery, chemotherapy, radiotherapy, and targeting treatment. Patients were allowed to have palliative radiotherapy 3 months before the enrollment and the target lesions should not be within the radiotherapy region. The last date of adjuvant therapy should be over 6 months before the enrollment.
3. With measurable or evaluable disease according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria.
4. With an expected life expectancy of ≥ 3 months.
5. With a performance status of 0-1 on the Eastern Cooperative Oncology Group (ECOG) scale.
6. Without serious system dysfunction and could tolerate chemotherapy.
7. Patients must have normal bone marrow function with a hemoglobin (HGB) of ≥90g/L, an white blood cell (WBC) counts of ≥4.0×10\^9/L,a neutrophil count of ≥2.0×10\^9/L, , a platelet count of ≥100×10\^9/L.
8. Patients must have normal liver and renal function with a total bilirubin (TBil) of ≤1.5 upper normal limitation (UNL), a creatinine (Cr) of ≤ 1.0 UNL, alanine aminotransferase (ALAT) and aspartate aminotransferase (ASAT) of ≤2.5 UNL.
9. Patients must have normal electrocardiogram results and no history of congestive heart failure.
10. Women of childbearing age should voluntarily take contraceptive measures. Without drug addition
11. Patients must be with good compliance and agree to accept follow-up of disease progression and adverse events.

Exclusion Criteria

1. Allergic to known drug
2. Patients who have received prior treatment including chemotherapy, radiotherapy and surgery for the advanced or metastatic diseases.
3. Receive docetaxel within 6 months as adjuvant or neoadjuvant chemotherapy.
4. Brain metastasis.
5. Without measurable or evaluable disease.
6. With history of other tumors except for those of cervical carcinoma in situ or skin basal cell carcinoma who had been completely treated and without relapse in last 5 years.
7. With serious diseases such as congestive heart failure, uncontrolled myocardial infarction and arrhythmia, liver failure and renal failure.
8. With neurological or psychiatric abnormalities that affect cognitive.
9. Pregnant or lactated women (premenopausal women must give urine pregnancy test before enrollment)
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Ruihua Xu

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rui-Hua Xu, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Sun Yat-sen University

Locations

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Cancer center of Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Rui-Hua Xu, MD, PhD

Role: CONTACT

Phone: 86-020-87343333

Email: [email protected]

Miao-Zhen Qiu, MD, PhD

Role: CONTACT

Phone: 86-020-87342490

Email: [email protected]

Facility Contacts

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Rui-Hua Xu, MD, PhD

Role: primary

Miao-Zhen Qiu, MD, PhD

Role: backup

Other Identifiers

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SYSUCC-ESO-01

Identifier Type: -

Identifier Source: org_study_id