Phase III Study of Concurrent Radiotherapy in Elderly Patients With Esophageal Squamous Cell Carcinoma (ESO-Shanghai 15)

NCT ID: NCT04519905

Last Updated: 2021-11-02

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

RECRUITING

Clinical Phase

NA

Total Enrollment

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-06

Study Completion Date

2027-12-31

Brief Summary

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So far, there is no specific clinical guideline for elderly patients (\>75 yr) with esophageal squamous cell carcinoma (ESCC). Patients with locally advanced ESCC were enrolled and randomly assigned to either definitive radiotherapy group (61.2Gy/34Fx) or the chemoradiotherapy group (50.4Gy/28Fx;Paclitaxel plus carboplatin). The primary end point was 3-year overall survival (OS). The second end points included life quality, radiation side effects and 3-yr cancer specific survival.

Detailed Description

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Up to now, definitive radiotherapy was major treatment plan for elderly ESCC patients. However, whether elective elderly patients can obtain survival benefits through chemoradiotherapy is not clear. Thus we design the clinical trail to answer the question.

Three hundred and twenty elderly patients with ESCC would be recruited. There are two stratification factors including 80 years old and lymph node metastasis. The patients in the chemoradiotherapy group were treated with paclitaxel (45mg/m2) and carboplatin (AUC=2) one cycle per week for five cycles.The primary end point was 3-year overall survival (OS). The second end points included life quality, radiation side effects and 3-yr cancer specific survival. The life quality questionnaire included QlQ-C30 and OES-18.

Conditions

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Esophageal Squamous Cell Carcinoma Chemoradiotherapy Survival

Keywords

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esophageal squamous cell carcinoma elderly patients chemoradiotherapy definitive radiotherapy survival

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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chemoradiotherapy

50.4Gy/28Fx; Paclitaxel plus carboplatin

Group Type EXPERIMENTAL

Paclitaxel plus carboplatin

Intervention Type DRUG

Paclitaxel (45mg/m2) plus carboplatin (AUC=2); five cycles; qw

radiotherapy

Intervention Type RADIATION

Different radiotherapy dose in different groups.

radiotherapy

61.2Gy/34Fx

Group Type ACTIVE_COMPARATOR

radiotherapy

Intervention Type RADIATION

Different radiotherapy dose in different groups.

Interventions

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Paclitaxel plus carboplatin

Paclitaxel (45mg/m2) plus carboplatin (AUC=2); five cycles; qw

Intervention Type DRUG

radiotherapy

Different radiotherapy dose in different groups.

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Indicates no limit on eligibility based on the sex of participants
* The 76 years old for the minimum age a potential participant must meet to be eligible for the clinical study.
* Esophageal squamous cell carcinoma confirmed by pathology
* No radiotherapy, chemotherapy or other treatments prior to enrollment
* Local advanced esophageal squamous cell carcinoma (T2-4N0-1M0-1a, TxN1M0-1a, TxNxM1a, TxNxM1b (M1b only for supraclavicular lymph node metastasis) (AJCC 6th)
* Use of an effective contraceptive for adults to prevent pregnancy
* No severely abnormal hematopoietic, cardiac, pulmonary, renal, or hepatic function
* No immunodeficiency
* ECOG 0-1.
* Life expectancy of more than 3 months.

Exclusion Criteria

* Total radiotherapy dose cannot reach 61.2Gy/34Fx
* Esophageal perforation, or hematemesis
* History of radiotherapy or chemotherapy for esophageal cancer
* History of surgery within 28 days before Day 1
* History of prior malignancies (other than skin basal cell carcinoma or cervical carcinoma in situ with a disease-free survival of at least 3 years)
* Participation in other interventional clinical trials within 30 days
* Pregnant or breast-feeding women or fertile patients
* Drug addiction,
* alcoholism or AIDS
* Uncontrolled seizures or psychiatric disorders
Minimum Eligible Age

76 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Huadong Hospital

OTHER

Sponsor Role collaborator

Jiangsu Cancer Institute & Hospital

OTHER

Sponsor Role collaborator

Gansu Cancer Hospital

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Xiamen University

OTHER

Sponsor Role collaborator

Fujian Cancer Hospital

OTHER_GOV

Sponsor Role collaborator

Taihe Hospital

OTHER

Sponsor Role collaborator

Wuxi No. 4 People's Hospital

OTHER

Sponsor Role collaborator

Ningbo No.2 Hospital

OTHER

Sponsor Role collaborator

Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kuaile Zhao, doctor

Role: STUDY_CHAIR

Fudan University

Xiangpeng Zheng, doctor

Role: PRINCIPAL_INVESTIGATOR

Huadong Hospital

Locations

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Jiangsu Cancer Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Huadong Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Fudan Universtiy Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Kuaile Zhao, doctor

Role: CONTACT

Phone: 18017312534

Email: [email protected]

ying jia Deng, doctor

Role: CONTACT

Phone: 18017312829

Email: [email protected]

Facility Contacts

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Jinjun C Ye, M.D.

Role: primary

Xiangpeng Zheng, M.D.

Role: primary

Xiangpeng Zheng

Role: backup

Kuaile Zhao, MD

Role: primary

Other Identifiers

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ESO-Shanghai15

Identifier Type: -

Identifier Source: org_study_id