Pre-operative MRI of Esophagus Cancer

NCT ID: NCT03347630

Last Updated: 2017-11-21

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

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-02

Study Completion Date

2019-03-30

Brief Summary

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The role of MRI in the management of esophageal cancer remains unclear and poorly studied. Recent technical advances suggest that MRI may become a powerful technique for the initial assessment of esophageal cancer, but also for the evaluation of response to neo-adjuvant treatment before surgery.

This imaging study will be performed prospectively and consecutively in 60 patients included over a 18-month period in patients wîth newly diagnosed esophageal cancer.

The aim of this study is to assess the accuracy of MRI to visualize esophageal tumors, to assess tumor burden and potential contact with adjacent structures as well as associated lymph nodes. If chemotherapy or radio-chemotherapy treatment is indicated before surgery, we will also evaluate whether MRI helps us to better evaluate the response to this treatment in comparison to PET-scan or echo. endoscopy which are the examinations currently performed to evaluate the effectiveness of these treatments.

The images of the MRI exams will be interpreted by 1 expert radiologist with no knowledge of the other imaging modalities and transmitted to the doctors in charge for possible consideration for the treatment.

Patients will then be followed for one year according to clinical management standards to study the data on treatment complications and cancer progression at one year.

The main risk is the administration of a gadolinium chelate-based MRI contrast product used routinely. There is also a risk that the results of the MRI may influence the treatment initially planned for example by canceling a surgical procedure.

Detailed Description

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The study will be proppsed consecutively to all patients with a histologically proven diagnosis of esophageal cancer.

An MRI examination including morphological sequences (without and with injection of a gadolinium chelate) functional and dynamic will be carried out in all the patients for initial staging in addition to other diagnostic procedure performed in clinical routine in this indication that are the endo-ultrasonography, CT and PET scanner.

In patients for whom neo-adjuvant treatment with chemotherapy or radio-chemotherapy will be decided and started, a second MRI will be performed 4 to 6 weeks after the end of the neo-adjuvant treatment.

The images of the MR exams will be interpreted by 1 expert radiologist blinded from data of other imaging modalities and transmitted to the doctors in charge of the patient for possible consideration for the treatment.

Patients will then be followed for one year according to regular recommandation to assess mortality / morbidity and PFS at 1 year.

Conditions

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Esophagus Cancer Diagnoses Disease

Keywords

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MRI oesophagus cancer Staging

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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oesophagus cancer MRI

Diagnostic test

Group Type OTHER

MRI

Intervention Type DIAGNOSTIC_TEST

Thoraco-abominal MRI

Interventions

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MRI

Thoraco-abominal MRI

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Any pathologically proven oesophagus cancer

Exclusion Criteria

* MRI contraindication
* Pregnant women
* cervical esophagus cancer
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dromain Clarisse

OTHER

Sponsor Role lead

Responsible Party

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Dromain Clarisse

MD, phD

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Clarisse Dromain, MD, phD

Role: PRINCIPAL_INVESTIGATOR

CHUV

Locations

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CHUV

Lausanne, Canton of Vaud, Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Clarisse Dromain, MD, PhD

Role: CONTACT

Phone: 0795568369

Email: [email protected]

Markus Schafer, Pr

Role: CONTACT

Phone: 0795561699

Email: [email protected]

Facility Contacts

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Clarisse Dromain, MD, phD

Role: primary

Aurelie Mello, Pr

Role: backup

Other Identifiers

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17_015

Identifier Type: OTHER

Identifier Source: secondary_id

CER-VD 2017-00388

Identifier Type: -

Identifier Source: org_study_id