Nimotuzumab Plus Definite Chemoradiotherapy(dCRT) in Elderly Patients With Esophageal Squamous Cell Carcinoma

NCT ID: NCT06988956

Last Updated: 2025-05-25

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: PHASE2
• Total Enrollment: 95 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-03-31
• Study Completion Date: 2027-04-01

Brief Summary

investigators plan to conduct a multicenter, prospective, randomized controlled, open, phase clinical study to compare the efficacy and safety of nimotuzumab with concurrent chemoradiation alone in elderly participants with advanced esophageal squamous cell carcinoma.

Detailed Description

investigators plan to conduct a multicenter, prospective, randomized controlled, open, phase clinical study to compare the efficacy and safety of nimotuzumab with concurrent chemoradiation alone in elderly participants with advanced esophageal squamous cell carcinoma. The enrolled participants will be randomly ized into the trial and control group according to 1:1. The test group received nimotuzumab and radiotherapy; the control group received Tigio and radiotherapy. This study includes the screening period, treatment period, efficacy follow-up period, and survival follow-up period

Conditions

Esophageal Squamous Cell Carcinoma

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Nimotuzumab plus concurrent chemoradiotherapy group

S-1: TBSA\<1.4 m²，40mg；TBSA=1.4-1.6 m²，50mg；TBSA\>1.6 m²，60mg,po,BID, During the synchronous period of radiotherapy，QW，D1-D5, After radiotherapy，Q3W，D1-14，lasting for 1 year Nimotuzumab 400mg, iv, D1, Week 1; Nimotuzumab 200mg, iv, D8, QW, weeks 2-5. The prescribed dose required 95％PTV 50.4Gy/1.8Gy/28f SIB-PGTV 59.92Gy/2.14Gy/28 次

Group Type: EXPERIMENTAL

Nimotuzumab

Intervention Type: DRUG

Nimotuzumab 400mg

Tegafur

Intervention Type: DRUG

S-1 60mg/m2

radiotherapy

Intervention Type: RADIATION

PTV 50Gy/2Gy

concurrent chemoradiotherapy group alone

S-1: TBSA\<1.4 m²，40mg；TBSA=1.4-1.6 m²，50mg；TBSA\>1.6 m²，60mg,po,BID, During the synchronous period of radiotherapy，QW，D1-D5, After radiotherapy，Q3W，D1-14，lasting for 1 year The prescribed dose required 95％PTV 50.4Gy/1.8Gy/28f SIB-PGTV 59.92Gy/2.14Gy/28 次

Group Type: ACTIVE_COMPARATOR

Tegafur

Intervention Type: DRUG

S-1 60mg/m2

radiotherapy

Intervention Type: RADIATION

PTV 50Gy/2Gy

Interventions

Nimotuzumab

Nimotuzumab 400mg

Intervention Type: DRUG

Tegafur

S-1 60mg/m2

Intervention Type: DRUG

radiotherapy

PTV 50Gy/2Gy

Intervention Type: RADIATION

Other Intervention Names

Nim; S-1

Eligibility Criteria

Inclusion Criteria

1. The subject volunteered to join the study, signed the informed consent form, had good compliance, and cooperated with the follow-up;

2. Age 70 or above, male or female;

3. The ECOG score is 0-1 point;

4. Oesophageal squamous cell carcinoma diagnosed by histology or cytology;

5. According to the efficacy evaluation criteria of solid tumors (RECIST 1.1), at least one measurable lesion, and the measurable lesion should not receive local treatment such as radiotherapy (the lesion located in the previous radiotherapy area can also be selected if the progression is confirmed and meets the RECIST1.1 criteria);

6. Stage II-IVB (IVB stage only includes supraclavicular/abdominal lymph node metastasis, does not include any other distant metastasis), can tolerate synchronous radiotherapy, chemotherapy, and targeted therapy

7. Expected survival time of 6 months;

8. Main organ function is normal, that is, meet the following criteria:

1) Blood routine examination:

1. HBG≥90g/L；

2. ANC≥1.5×109/L；

3. PLT ≥80×109/L； 2) Biochemical examination:

a.ALB≥30g/L； B. ALT and AST≤2.5ULN; ALT and AST 5 ULN; c.TBIL≤1.5ULN； D. Plasma Cr≤1.5ULN or creatinine clearance (CCr) of 60 ml/min; 9. Echocardiographic assessment: left ventricular ejection fraction (LVEF) low normal value (50%); 10. Women of childbearing age should agree to use contraception (e. g. intrauterine devices, contraceptives or condoms) during the study and within 6 months after the study; serum or urine pregnancy tests were negative within 7 days before study enrollment and must be non-lactating patients; men who agree to use contraception during the study and within 6 months after the end of the study period.

Exclusion Criteria

1. Received EGFR mAb and EGFR-TKI within half a year;

2. Participated in other interventional clinical trials within 30 days before screening;

3. Have serious concurrent diseases, such as heart failure, high risk of uncontrolled arrhythmia, severe myocardial infarction, intractable hypertension, renal failure (CKD-4 and above), thyroid insufficiency, mental illness, diabetes, severe chronic diarrhea (more than 7 times a day) and the researchers think not suitable to participate in the clinical research;

4. Patients with brain metastases with symptoms or symptom control time for less than 3 months;

5. History of other malignant tumors (except for cured cervical carcinoma in situ or basal cell carcinoma of the skin and other malignant tumors that have been cured for more than 5 years);

6. presence of active infection or active infectious diseases;

7. The presence of multilevel esophageal malignancy or signs of esophageal fistula and perforation;

8. Patients whose imaging shows that the tumor has invaded important blood vessels or whose tumor is likely to invade important blood vessels during the subsequent study;

9. Those allergic to the use of drugs or their ingredients in this regimen;

10. Grade 2 peripheral neurological disease or hearing loss according to the criteria of common adverse event terms (NCI CTCAE V5.0);

11. Pregnant or lactating women;

12. Patients with a history of psychiatric substance abuse and unable to quit or with mental disorders;

13. The investigator is not considered fit to join the investigator; Unwilling to participate in the study or unable to sign the informed consent form

• Minimum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

The First Affiliated Hospital with Nanjing Medical University

OTHER

Sponsor Role: lead

Responsible Party

Ge Xiaolin

Clinical Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Xiaolin MM GE

Role: STUDY_DIRECTOR

The First Affiliated Hospital with Nanjing Medical University

Locations

The First Affiliated Hospital of Nanjing Medical University

Nanjing, , China

Site Status: RECRUITING

Countries

China

Central Contacts

Xiaolin MM GE, PHD

Role: CONTACT

doctorsxl@163.com

13951818797

Facility Contacts

Xiaolin MM GE, PhD

Role: primary

doctorsxl@163.com

13951818797

Other Identifiers

IST-Nim-ESCC-23

Identifier Type: -

Identifier Source: org_study_id