Neoadjuvant Treatment Modalities in Esophageal Cancer

NCT ID: NCT04821843

Last Updated: 2023-11-24

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

PHASE3

Total Enrollment

2000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-01-01

Study Completion Date

2025-12-31

Brief Summary

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Esophageal cancer is the most prevalent cancer globally with poor survival outcome. The prognosis with surgery alone is poor, accounting for 30-40% of overall survival at 5 year. Either neoadjuvant chemotherapy (nCT) or chemoradiotherapy (nCRT) has been shown as efficatious therapy to improve patients outcomes in esophageal or esophagogastric junction cancer as compared with surgery alone. The purpose of this study was to explore the optimal neoadjuvant treatment modalities including PD-1/PD-L1 antibody or targeted drug for patients with esophageal or esophagogastric junction cancer.

Detailed Description

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Conditions

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Esophageal Cancer Chemotherapy Effect Chemoradiation Surgery Targeted Therapy Immunotherapy Esophagogastric Juction Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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(Neoadjuvant chemotherapy) nCT

This arm received chemotherapy with or without immunotherapy/targeting agents as neoadjuvant treatment.

Group Type EXPERIMENTAL

Platinum based chemotherapy

Intervention Type DRUG

q1-3W according to physician's preference

Paclitaxel based chemotherapy

Intervention Type DRUG

q1-3W according to physician's preference

Radiotherpay

Intervention Type RADIATION

40-50Gy/1.8-2.2Gy/20-25f

Surgery

Intervention Type PROCEDURE

Radical esophagectomy

Immunotherapy

Intervention Type DRUG

Anti-PD-1/PD-L1 Antibody

5-FU Analog based chemotherpay

Intervention Type DRUG

W1-5 qW or d1-14, q3W according to physician's preference

Nimotuzumab

Intervention Type DRUG

200-400mg, d1,qW

(Neoadjuvant Chemoradiation) nCRT

This arm received chemoradiotherapy with or without immunotherapy/targeting agents as neoadjuvant treatment.

Group Type PLACEBO_COMPARATOR

Platinum based chemotherapy

Intervention Type DRUG

q1-3W according to physician's preference

Paclitaxel based chemotherapy

Intervention Type DRUG

q1-3W according to physician's preference

Surgery

Intervention Type PROCEDURE

Radical esophagectomy

Immunotherapy

Intervention Type DRUG

Anti-PD-1/PD-L1 Antibody

5-FU Analog based chemotherpay

Intervention Type DRUG

W1-5 qW or d1-14, q3W according to physician's preference

Nimotuzumab

Intervention Type DRUG

200-400mg, d1,qW

Interventions

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Platinum based chemotherapy

q1-3W according to physician's preference

Intervention Type DRUG

Paclitaxel based chemotherapy

q1-3W according to physician's preference

Intervention Type DRUG

Radiotherpay

40-50Gy/1.8-2.2Gy/20-25f

Intervention Type RADIATION

Surgery

Radical esophagectomy

Intervention Type PROCEDURE

Immunotherapy

Anti-PD-1/PD-L1 Antibody

Intervention Type DRUG

5-FU Analog based chemotherpay

W1-5 qW or d1-14, q3W according to physician's preference

Intervention Type DRUG

Nimotuzumab

200-400mg, d1,qW

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ≥18 years;
* Esophageal or Esophagogastric cancer;
* Histologically proven squamous cell carcinoma or adenocarcinoma in patients staged as I-IVa (AJCC 8th);
* Primary treatment performed in Cancer Hospital, Chinese Academy of Medical Sciences;
* ECOG PS score: 0\~1;
* Estimated survival time ≥3 months;
* Normal organ and marrow function as defined below:Hemoglobin: greater than or equal to 100g/L ;Leukocytes: greater than or equal to 4,000 G/L; Neutrophil: greater than or equal to 2,000 G/L; Platelets: greater than or equal to 100,000/mm3 ; Creatinine: less than or equal to 1.5 times the upper limit or CCR greater than or equal to 60 ml/min; AST/ALT: less than or equal to 2.5 times the upper limit; Total bilirubin: less than or equal to 1.5 times the upper limit; INR: less than or equal to 1.5 times the upper limit; APTT: less than or equal to 1.5 times the upper limit; PT: less than or equal to 1.5 times the upper limit;
* Informed consent;

Exclusion Criteria

* With any distant metastasis out of regional lymphatic drainage or in liver, lung, bone, CNS, etc;
* Patients with other cancer history in 5 years except cervical carcinoma in situ and non-malignant melanoma skin cancer;
* Existing active infection such as active tuberculosis and hepatitis;
* History of myocardial infarction within the past 6 months or history of ventricular arrhythmia;
* Uncontrolled illness including, but not limited to, active infection, symptomatic heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness History of allergic reactions attributed to paclitaxel, albumin or cisplatin;
* Participation in other clinical trials currently or within 4 weeks of selection;
* Pregnant or lactating females;
* Absence of medical records.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cancer Institute and Hospital, Chinese Academy of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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XIN WANG

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, 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

+861013311583220

Facility Contacts

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Xin Wang, MD

Role: primary

+861013311583220

Other Identifiers

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NCC2721

Identifier Type: -

Identifier Source: org_study_id