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Clinical Trials/NCT02399306
NCT02399306
Completed
Phase 3

A Prospective, Multicenter, Randomized Controlled Study to Compare Chemoradiotherapy With or Without Enteral Nutrition Intervention for Locally Advanced Thoracic Esophageal Squamous Cell Carcinoma

Sichuan Cancer Hospital and Research Institute1 site in 1 country222 target enrollmentSeptember 2014

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.

Registry
clinicaltrials.gov
Start Date
September 2014
End Date
October 2017
Last Updated
6 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
Sichuan Cancer Hospital and Research Institute
Responsible Party
Principal Investigator
Principal Investigator

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)

Study Sites (1)

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