NCT06558786RecruitingNot Applicable
Prospective Registry Study of Multimodality Therapy for Oligometastatic Adenocarcinoma of the Esophagus or Gastroesophageal Junction
Memorial Sloan Kettering Cancer Center1 site in 1 country50 target enrollmentStarted: August 12, 2024Last updated:
Conditions
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Progression Free Survival
Study Overview
Brief Summary
The purpose of this registry study is to create a database-a collection of information-for better understanding standard treatments for esophageal and Gastroesophageal Junction Cancer/GEJ cancer. Researchers will use the information from this database to learn more about the effectiveness of different treatment options.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Newly diagnosed stage IV adenocarcinoma of the esophagus or GEJ with OMD at the time of diagnosis, defined as the following:
- •Retroperitoneal lymph nodes (e.g., para-aortal, intra-aorto-caval, parapancreatic, or mesenterial lymph node)
- •Extra-abdominal lymph nodes (e.g., supraclavicular or cervical lymph nodes)
- •Adrenal gland
- •Unilateral or bilateral ovarian metastases (in the absence of gross or microscopic peritoneal disease [positive cytology])
- •≤2 sites of disease (excluding the primary tumor and regional lymph nodes)
- •≤3 tumors within each organ system
- •≤5 metastases
- •All nonregional lymph nodes (including cervical, supraclavicular, and retroperitoneal nodal disease) are considered 1 discrete lesion
- •Satellite lesions in the primary esophageal malignancy, such as skipped esophageal primaries, are not considered metastatic sites
- •All sites of disease must be amenable to complete local therapy after systemic therapy, according to the treating physician. Treatment modalities include:
- •Definitive chemoradiation
- •Stereotactic radiation
- •Ablation or similar techniques (e.g., irreversible electroporation)
- •Age ≥18 years
Exclusion Criteria
- •Presence of metastases, at the time of diagnosis, to the following:
- •Peritoneum, including positive peritoneal lavage (on the basis of baseline diagnostic laparoscopy to rule out gross disease and positive peritoneal lavage cytology; laparoscopy may be omitted for patients in whom all sites of disease are above the diaphragm)
- •Malignant pleural effusion
- •Brain metastases or leptomeningeal disease
- •Other sites not specifically noted must be reviewed and approved by the PIs
- •Any site of disease that is not amenable to definitive local therapy
- •Unfit for best systemic therapy
- •Metachronous OMD
- •Secondary primary cancer, with the exclusion of basal cell carcinoma of the skin
- •Pregnant, lactating, or intending to become pregnant
- •Unwilling to provide informed consent
Outcomes
Primary Outcomes
Progression Free Survival
Time Frame: 1 year
Estimate 12-month PFS among patients who undergo definitive local therapy after induction chemotherapy
Secondary Outcomes
No secondary outcomes reported
Investigators
Study Sites (1)
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