Radiotherapy With or Without Concurrent Chemotherapy for Limited Lymphatic Metastasis of Esophageal Cancer - 3JECROG P-02

NCT ID: NCT03308552

Last Updated: 2019-01-02

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

164 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-01

Study Completion Date

2021-08-30

Brief Summary

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This phase III trial is designed to explore a higher radiation dose by using IMRT simultaneous integrated boost technique with or without concurrent chemotherapy for esophageal carcinoma with limited lymph node metastasis.

Detailed Description

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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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SIB-IMRT combined chemotherapy followed by chemotherapy

SIB-IMRT: Patients receive radiotherapy once daily, 5 days a week for an average of 5.5 weeks. Radiotherapy is delivered to achieve a prophylactic dosage of 50.4Gy to PTV and 59.92Gy to PGTV in 28 fractions, respectively.

Concurrent chemotherapy: Paclitaxel and platinum based drug are administered once a week for at least 5 weeks during radiotherapy treatment days.

Group Type ACTIVE_COMPARATOR

SIB-IMRT

Intervention Type RADIATION

PTV:50.4Gy/28f, PGTV:59.92Gy/28f

Paclitaxel

Intervention Type DRUG

45-50 mg/m2, once a week, concurrent with radiotherapy for 5-6weeks

Platinum-Based Drug

Intervention Type DRUG

Nedaplatin or Lobaplatin or Cisplatin, 20-25mg/m2, once a week, concurrent with radiotherapy for 5-6weeks

Paclitaxel

Intervention Type DRUG

150mg/m2 on day1,every 3 weeks, 4 cycles, 1-3 months after completion of radiotherapy

Platinum-Based Drug

Intervention Type DRUG

Nedaplatin or Lobaplatin or Cisplatin, 50-80mg/m2 on day1 (Lobaplatin 50mg on day 1),every 3 weeks, 4 cycles, 1 month after completion of radiotherapy

SIB-IMRT Alone followed by chemotherapy

SIB-IMRT: Patients receive radiotherapy once daily, 5 days a week for an average of 5.5 weeks. Radiotherapy is delivered to achieve a prophylactic dosage of 50.4Gy to PTV and 59.92Gy to PGTV in 28 fractions, respectively.

Group Type PLACEBO_COMPARATOR

SIB-IMRT

Intervention Type RADIATION

PTV:50.4Gy/28f, PGTV:59.92Gy/28f

Paclitaxel

Intervention Type DRUG

150mg/m2 on day1,every 3 weeks, 4 cycles, 1-3 months after completion of radiotherapy

Platinum-Based Drug

Intervention Type DRUG

Nedaplatin or Lobaplatin or Cisplatin, 50-80mg/m2 on day1 (Lobaplatin 50mg on day 1),every 3 weeks, 4 cycles, 1 month after completion of radiotherapy

Interventions

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SIB-IMRT

PTV:50.4Gy/28f, PGTV:59.92Gy/28f

Intervention Type RADIATION

Paclitaxel

45-50 mg/m2, once a week, concurrent with radiotherapy for 5-6weeks

Intervention Type DRUG

Platinum-Based Drug

Nedaplatin or Lobaplatin or Cisplatin, 20-25mg/m2, once a week, concurrent with radiotherapy for 5-6weeks

Intervention Type DRUG

Paclitaxel

150mg/m2 on day1,every 3 weeks, 4 cycles, 1-3 months after completion of radiotherapy

Intervention Type DRUG

Platinum-Based Drug

Nedaplatin or Lobaplatin or Cisplatin, 50-80mg/m2 on day1 (Lobaplatin 50mg on day 1),every 3 weeks, 4 cycles, 1 month after completion of radiotherapy

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age\<70
* Diagnosis of clinical stage T2-4N0-1M1(According to UICC 2002)
* A untreated squamous esophageal carcinoma
* Karnofsky performance status(KPS)≥ 70 and Charlson score ≤3
* Adequate organ function
* No known history of drug allergy
* Blood routine examination : WBC≥4.0
* hepatic and renal function are normal

Exclusion Criteria

* Age≥ 70 or \< 18
* Already received the treatment of chemotherapy or radiotherapy
* Pregnant or lactating females
* Known drug allergy
* Without agreement of informed consent form
* Insufficient hepatorenal function or Blood routine examination
* Severe cardiovascular diseases, diabetes with uncontrolled blood sugar, mental disorders, uncontrolled severe infection, active ulceration which need intervention.
Minimum Eligible Age

18 Years

Maximum Eligible Age

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hebei Medical University Fourth Hospital

OTHER

Sponsor Role collaborator

Tianjin Medical University Cancer Institute and Hospital

OTHER

Sponsor Role collaborator

Anyang Tumor Hospital

OTHER

Sponsor Role collaborator

The First Affiliated Hospital with Nanjing Medical University

OTHER

Sponsor Role collaborator

Affiliated Hospital of Hebei University

OTHER

Sponsor Role collaborator

Fujian Cancer Hospital

OTHER_GOV

Sponsor Role collaborator

Sichuan Cancer Hospital and Research Institute

OTHER

Sponsor Role collaborator

Chinese Academy of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Zefen Xiao

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zefen Xiao, MD

Role: PRINCIPAL_INVESTIGATOR

The Department of Radiation Oncology ,Cancer Institute & Hospital,Chinese Academy of Medical Science

Locations

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Department of Radiation Oncology, Cancer Hospital, National Cancer Center, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC)

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xin Wang, MD

Role: CONTACT

+86-13311583220

Xiao Chang, MD

Role: CONTACT

+86-18801067622

Facility Contacts

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Zefen Xiao, MD

Role: primary

References

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Gao LR, Wang X, Han W, Deng W, Li C, Wang X, Zhao Y, Ni W, Chang X, Zhou Z, Deng L, Wang W, Liu W, Liang J, Zhang T, Bi N, Wang J, Zhai Y, Feng Q, Lv J, Li L, Xiao Z. A multicenter prospective phase III clinical randomized study of simultaneous integrated boost intensity-modulated radiotherapy with or without concurrent chemotherapy in patients with esophageal cancer: 3JECROG P-02 study protocol. BMC Cancer. 2020 Sep 22;20(1):901. doi: 10.1186/s12885-020-07387-y.

Reference Type DERIVED
PMID: 32962674 (View on PubMed)

Other Identifiers

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3JECROG P-02

Identifier Type: -

Identifier Source: org_study_id

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