A Perioperative Sintilimab and Chemotherapy in Esophageal Squamous Cell Carcinoma

NCT ID: NCT06152978

Last Updated: 2023-12-01

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

182 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-15

Study Completion Date

2027-12-15

Brief Summary

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This study is aimed to evaluate the efficacy and safety of sintilimab combined with chemotherapy versus chemotherapy in perioperative treatment of locally advanced esophageal squamous cell carcinoma.

Detailed Description

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This study was designed as an open-label, randomized controlled, phase II trial. Subjects will be systematically randomized at a ratio of 1:1 and will be assigned to either the experimental group (sintilimab combined with chemotherapy group) or the control group (chemotherapy alone group). They will receive 2-3 cycles of neoadjuvant therapy followed by radical esophagectomy and lymph node dissection and adjuvant therapy determined by investigators. The primary endpoint is 1-year Event-free survival (EFS) rate.

Conditions

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Esophageal Squamous Cell Carcinoma

Keywords

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perioperative esophageal cancer programmed cell death protein-1 inhibitor

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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Sintilimab plus chemotherapy

Sintilimab: 200mg; cisplatin: 75mg/m2, d1, routine hydration for 3 days; nab-paclitaxel: 260mg/m2, d1, every 3 weeks, 2-3 cycles.

Group Type EXPERIMENTAL

Sintilimab

Intervention Type DRUG

Sintilimab (200mg) will be given intravenously on day 1 in 3-week cycles for 2-3 cycles.

Chemotherapy

Intervention Type DRUG

Cisplatin (75mg/m2) wih routine hydration for 3 days and nab-paclitaxel (260mg/m2) will be given intravenously on day 1 in 3-week cycles for 2-3 cycles.

Chemotherapy

Cisplatin: 75mg/m2, d1, routine hydration for 3 days; nab-paclitaxel: 260mg/m2, d1, every 3 weeks, 2-3 cycles.

Group Type ACTIVE_COMPARATOR

Chemotherapy

Intervention Type DRUG

Cisplatin (75mg/m2) wih routine hydration for 3 days and nab-paclitaxel (260mg/m2) will be given intravenously on day 1 in 3-week cycles for 2-3 cycles.

Interventions

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Sintilimab

Sintilimab (200mg) will be given intravenously on day 1 in 3-week cycles for 2-3 cycles.

Intervention Type DRUG

Chemotherapy

Cisplatin (75mg/m2) wih routine hydration for 3 days and nab-paclitaxel (260mg/m2) will be given intravenously on day 1 in 3-week cycles for 2-3 cycles.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Esophageal squamous cell carcinoma suggested by gastroscopic histopathology.
* The primary tumor is located in the middle and lower of the esophagus.
* cT2-4aN0~3M0 or cT1N+M0 diagnosed by enhanced CT/MRI scan.
* Tumor was evaluated as resectable by surgeon before neoadjuvant therapy.
* Eastern cooperative oncology group (ECOG) performance status of 0 to 1.
* Can eat semi-liquid food.
* Less than 20% body weight loss within 6 months prior to enrollment.
* Sign the consent form before treatment and be able to comply with the relevant procedures such as treatment and visits stipulated in the protocol.
* With adequate organs function 1 week before enrollment and tolerable to chemotherapy and surgery.
* Female subjects of childbearing age or male subjects whose sexual partners are females of childbearing age should take effective contraceptive measures throughout the treatment period and 180 days after the last dose of the test drug.
* Agree and be able to provide archived or fresh pathological tissue and whole blood, urine and fecal samples for biomarker testing.

Exclusion Criteria

* With metastases or unresectable primary lesion suggested by imaging before treatment.
* History of previous subtotal gastrectomy.
* Patients with active malignancy within 2 years other than the tumor studied in this study or a localized tumor that has been cured such as resected basal or squamous cell carcinoma, superficial bladder cancer, cervical carcinoma in situ, or breast cancer.
* Received any anti-tumor therapy for the research disease in the past, including radiotherapy, chemotherapy, immunotherapy (including but not limited to interleukin, interferon, thymus hormone) and traditional Chinese medicine therapy.
* With signs of pre-esophageal perforation. With any active autoimmune disease or has a history of autoimmune disease.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Innovent Biologics (Suzhou) Co. Ltd.

INDUSTRY

Sponsor Role collaborator

Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Haiquan Chen

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Haiquan Chen, MD

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Locations

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Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Central Contacts

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Haiquan Chen, MD

Role: CONTACT

Phone: +86 13601973588

Email: [email protected]

Bin Li, MD

Role: CONTACT

Phone: +86 18017317295

Email: [email protected]

Facility Contacts

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Haiquan Chen, MD

Role: primary

Other Identifiers

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ECTOP-2006

Identifier Type: -

Identifier Source: org_study_id