Radiotherapy With or Without Concurrent Chemotherapy for Extensive Lymphatic Metastasis of Esophageal Cancer - 3JECROG P-03

NCT ID: NCT03328234

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

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-01

Study Completion Date

2022-12-31

Brief Summary

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The investigators aimed to compare elective nodal irradiation versus involved field irradiation with or without concurrent chemotherapy and the addition of consolidation chemotherapy for patients with extensive lymphatic metastasis of esophageal cancer.

Detailed Description

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Conditions

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IMRT With or Without Concurrent Chemotherapy for Esophageal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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SIB-IMRT combined chemotherapy with IFI

Group Type EXPERIMENTAL

SIB-IMRT

Intervention Type RADIATION

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.

Paclitaxel

Intervention Type DRUG

45-50mg/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

135-150mg/m2 on day1,every 3 weeks, 2 cycles, 1 month after completion of radiotherapy

Platinum-Based Drug

Intervention Type DRUG

Nedaplatin or Lobaplatin or Cisplatin, 50-80mg/m2 on day1 (Lobaplatin,50mg on day1 ),every 3 weeks, 2 cycles, 1 month after completion of radiotherapy

Involved Field Irradiation (IFI)

Intervention Type OTHER

CTV was defined as GTV with a 3.0-5.0 cm craniocaudal margin and a 0.6-0.8 cm lateral margin and GTVnd with a 0.5-1.0 cm margin.

SIB-IMRT with IFI

Group Type EXPERIMENTAL

SIB-IMRT

Intervention Type RADIATION

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.

Paclitaxel

Intervention Type DRUG

135-150mg/m2 on day1,every 3 weeks, 2 cycles, 1 month after completion of radiotherapy

Platinum-Based Drug

Intervention Type DRUG

Nedaplatin or Lobaplatin or Cisplatin, 50-80mg/m2 on day1 (Lobaplatin,50mg on day1 ),every 3 weeks, 2 cycles, 1 month after completion of radiotherapy

Involved Field Irradiation (IFI)

Intervention Type OTHER

CTV was defined as GTV with a 3.0-5.0 cm craniocaudal margin and a 0.6-0.8 cm lateral margin and GTVnd with a 0.5-1.0 cm margin.

Interventions

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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.

Intervention Type RADIATION

Paclitaxel

45-50mg/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

135-150mg/m2 on day1,every 3 weeks, 2 cycles, 1 month after completion of radiotherapy

Intervention Type DRUG

Platinum-Based Drug

Nedaplatin or Lobaplatin or Cisplatin, 50-80mg/m2 on day1 (Lobaplatin,50mg on day1 ),every 3 weeks, 2 cycles, 1 month after completion of radiotherapy

Intervention Type DRUG

Involved Field Irradiation (IFI)

CTV was defined as GTV with a 3.0-5.0 cm craniocaudal margin and a 0.6-0.8 cm lateral margin and GTVnd with a 0.5-1.0 cm margin.

Intervention Type OTHER

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 ≤ 16
* 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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Chinese Academy of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Zefen Xiao

Pricipal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

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, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xin Wang, MD

Role: CONTACT

+86-13311583220

Facility Contacts

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Xin Wang, MD

Role: primary

+861013311583220

Other Identifiers

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3JECROG P-03

Identifier Type: -

Identifier Source: org_study_id

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