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Clinical Trials/NCT05426850
NCT05426850RecruitingNot Applicable

Circulating Tumor DNA-based Minimal Residual Disease (MRD) Assessment in Local Advanced Esophageal Squamous Cell Carcinoma Treated by Definitive Concurrent Chemoradiotherapy

Fudan University1 site in 1 country100 target enrollmentStarted: June 1, 2021Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Status
Recruiting
Enrollment
100
Locations
1
Primary Endpoint
Relationship between ctDNA status after chemoradiotherapy and relapse.

Study Overview

Brief Summary

To analyze the relationship between the dynamic changes of circulating tumor DNA (ctDNA) and tumor relapse of esophageal squamous cell carcinoma treated by concurrent chemoradiotherapy.

Study Design

Study Type
Observational
Observational Model
Other
Time Perspective
Prospective

Eligibility Criteria

Ages
18 Years to 75 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • 18-75 years old.
  • Esophageal squamous cell carcinoma confirmed by pathology.
  • No radiotherapy, chemotherapy, or other treatments prior to enrollment.
  • Locally advanced esophageal squamous cell carcinoma (II-IVa, IVB with supraclavicular lymph node metastasis).
  • No severe abnormal hematopoietic, cardiac, pulmonary, renal, hepatic function, or immunodeficiency.
  • Informed consent signed.

Exclusion Criteria

  • Less than 50.4Gy/28fx of radiotherapy dose.
  • Without Concurrent chemotherapy.
  • Pregnant or breastfeeding women or fertile patients who refused to use contraceptives.

Outcomes

Primary Outcomes

Relationship between ctDNA status after chemoradiotherapy and relapse.

Time Frame: ctDNA will be tested within 1 year after chemoradiotherapy

To assess if recurrent esophageal cancer is detectable earlier by ctDNA positive in plasma.

Secondary Outcomes

  • Relapse-free survival (RFS) and progression-free survival (PFS).(through study completion, an average of 2 years.)
  • Changes of ctDNA status.(before and at the end of radiotherapy (+1 week); at the end of consolidation chemotherapy (+1 week); at 2 weeks, 1 month, 3 months, 6 months, 9 months, 1 year after dCCRT.)
  • Overall survival (OS).(through study completion, an average of 2 years.)
  • Relationships between radiomics features, ctDNA status and relapse.(through study completion, an average of 2 years.)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Kuai Le Zhao, MD

Professor

Fudan University

Study Sites (1)

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