A Prospective, Multicenter, Randomized Controlled Study to Compare Chemoradiotherapy With or Without Enteral Nutrition Intervention for Locally Advanced Thoracic Esophageal Squamous Cell Carcinoma
Overview
- Phase
- Phase 3
- Intervention
- Enteral nutrition
- Conditions
- Esophageal Squamous Cell Carcinoma
- Sponsor
- Sichuan Cancer Hospital and Research Institute
- Enrollment
- 222
- Locations
- 1
- Primary Endpoint
- Body Weight Change from baseline to the end of treatment
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
This is a randomized, prospective, multicenter study.
Detailed Description
This is a randomized, prospective, multicenter study. The aim of this study was to compare the changes of body weight,survival,toxicity,quality of life and opportunistic infection frequency in Locally Advanced Thoracic Esophageal Squamous Cell Carcinoma between and after chemoradiotherapy with or without enteral nutrition therapy.
Investigators
LI TAO
Section Head
Sichuan Cancer Hospital and Research Institute
Eligibility Criteria
Inclusion Criteria
- •18 to 75 years old
- •male or femalePathologically or cytologically proven esophageal squamous cell carcinoma
- •Clinical stage II or stage III
- •Karnofsky performance score(KPS) ≧70
- •Estimated life expectancy of at least 12 weeks
- •Hemoglobin≥90.0g/dL,white blood cell count(WBC)≥ 4000 cells/mm³,Platelet count≥100,000 cells/mm³
- •Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \< 2.5 times upper limit of normal,bilirubin normal
- •Creatinine normal OR creatinine clearance ≥ 60 mL/min
- •Patients have good compliance to treatment and follow-up of acceptance
- •Forced expiratory volume in one second(FEV1) ≥ 1.5 litre or ≥ 75% of the reference value
Exclusion Criteria
- •Patients with severely bowel function impaired or can not tolerate enteral nutrition
- •Patients with serious gastrointestinal obstruction, be unable to take food by mouth and can not / do not want to a feeding tube inserted
- •Patients have no risk of malnutrition
- •Patients have severe malnutrition (weight loss \>10% or \<30 g/L, BMI\<18.5 kg/m2 or hemoglobin\<90 g/L before the treatment
- •Patients who have severe vomiting, gastrointestinal bleeding, intestinal obstruction
- •Patients can not tolerate chemotherapy and radiotherapy
- •Patients who have distant metastasis
- •The primary tumor or lymph node already received surgical treatment (except for biopsy);
- •Patient who received radiotherapy for primary tumor or lymph node;
- •Patient who received chemotherapy or immunotherapy;
Arms & Interventions
Arm A
chemoradiotherapy with Enteral Nutrition intervention
Intervention: Enteral nutrition
Arm A
chemoradiotherapy with Enteral Nutrition intervention
Intervention: radiotherapy
Arm B
chemoradiotherapy
Intervention: radiotherapy
Outcomes
Primary Outcomes
Body Weight Change from baseline to the end of treatment
Time Frame: up to 1 month after the treatment
Body weight change from baseline to the end of treatment = body weight at the end of treatment - baseline body weight.
Secondary Outcomes
- Blood biochemical examination(up to 1 month after the treatment)
- Maximum Body Weight Change during treatment(up to 1 month after the treatment)
- Grade 3-5 toxicity(up to 1 month after the treatment)
- Overall Survival(at least 2 years)
- Completion rate of chemoradiotherapy(up to 1 month after the treatment)
- short-term effect(up to 1 month after the treatment)