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Clinical Trials/NCT03328234
NCT03328234UnknownPhase 3

A Randomized Phase III Study of Simultaneous Integrated Boost Intensity Modulated Radiation Therapy (SIB-IMRT) With or Without Concurrent Chemotherapy Followed by Consolidation Chemotherapy for Extensive Lymphatic Metastasis of Esophageal Cancer - 3JECROG-P03

Chinese Academy of Medical Sciences1 site in 1 country2 target enrollmentStarted: September 1, 2017Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 3
Enrollment
2
Locations
1
Primary Endpoint
Overall survival (OS)

Study Overview

Brief Summary

The investigators aimed to compare elective nodal irradiation versus involved field irradiation with or without concurrent chemotherapy and the addition of consolidation chemotherapy for patients with extensive lymphatic metastasis of esophageal cancer.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to 69 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Diagnosis of clinical stage T2-4N0-1M1(According to UICC 2002)
  • A untreated squamous esophageal carcinoma
  • Karnofsky performance status(KPS)≥ 70 and Charlson score ≤3
  • Adequate organ function
  • No known history of drug allergy
  • Blood routine examination : WBC≥4.0
  • hepatic and renal function are normal

Exclusion Criteria

  • Age≥ 70 or ≤ 16
  • Already received the treatment of chemotherapy or radiotherapy
  • Pregnant or lactating females
  • Known drug allergy
  • Without agreement of informed consent form
  • Insufficient hepatorenal function or Blood routine examination
  • Severe cardiovascular diseases, diabetes with uncontrolled blood sugar, mental disorders, uncontrolled severe infection, active ulceration which need intervention.

Arms & Interventions

SIB-IMRT combined chemotherapy with IFI

Experimental

Intervention: SIB-IMRT (Radiation)

SIB-IMRT combined chemotherapy with IFI

Experimental

Intervention: Paclitaxel (Drug)

SIB-IMRT combined chemotherapy with IFI

Experimental

Intervention: Platinum-Based Drug (Drug)

SIB-IMRT combined chemotherapy with IFI

Experimental

Intervention: Involved Field Irradiation (IFI) (Other)

SIB-IMRT with IFI

Experimental

Intervention: SIB-IMRT (Radiation)

SIB-IMRT with IFI

Experimental

Intervention: Paclitaxel (Drug)

SIB-IMRT with IFI

Experimental

Intervention: Platinum-Based Drug (Drug)

SIB-IMRT with IFI

Experimental

Intervention: Involved Field Irradiation (IFI) (Other)

Outcomes

Primary Outcomes

Overall survival (OS)

Time Frame: 3 year

Secondary Outcomes

  • Progression-free survival (PFS)(3 year)
  • Completion Rate(up to 2 year)
  • Adverse events(up to 5 year)
  • Local recurrence-free rate(LRFS)(3 year)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Zefen Xiao

Pricipal investigator

Chinese Academy of Medical Sciences

Study Sites (1)

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