MedPath

elderly PTX-RT

Phase 1
Recruiting
Conditions
Esophageal Cancer
Registration Number
JPRN-jRCTs031180283
Lead Sponsor
Hamamoto Yasuo
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
74
Inclusion Criteria

1) Histologically proven squamous cell carcinoma, adenosquamous carcinoma or basaloid cell carcinoma.
2) Primary tumor located in thoracic esophagus. Second tumors in cervical or abdominal esophagus which is indicated for EMR/ESD are also eligible.
3) Clinical stages IB, II or III based on the 7th UICC-TNM classification.
4) Patients who are amenable to 60Gy radiation therapy.
5) >=70 years old.
6)
i) >=70 and <80 year-old-patient, PS (ECOG) of 0 or 1, and Creatinine>=1.5mg/dl.
ii) >=70 and <80 year-old-patient, PS (ECOG) of 2.
iii) >=80 year-old-patient, PS (ECOG) of 0 and 1.
7) Patients have measurable and/or non-measurable disease according to RECIST ver1.1.
8) No prior treatment against esophageal cancer except for endoscopic resection.
9) No prior chemotherapy and radiation therapy.
10) Sufficient organ functions.
i) Neutrophil >= 1500/mm3
ii) WBC < 12000/mm3
iii) Platelet >= 100000/mm3
iv) T.Bil =< 1.5mg/dL
v) AST =< 100IU/L
vi) ALT =< 100IU/L
11) Refused esophagectomy.
12) Written informed consent.

Exclusion Criteria

1) Synchronous or metachronous (within 5 years) malignancies except for carcinoma in situ or mucosal tumors curatively treated with local therapy.
2) Infectious disease with systemic therapy indicated.
3) Severe psychiatric disease.
4) Continuous systemic steroid therapy.
5) Poorly controlled diabetes mellitus.
6) Severe pulmonary fibrosis or emphysema.
7) Unstable angina pectoris, or history of myocardial infarction within three months.
8) Other conditions not suitable for this study.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<Phase I> <br>The frequency of DLT (Dose Limiting Toxicity) <br><Phase II> <br>Two year survival rate
Secondary Outcome Measures
NameTimeMethod
<Phase I> <br>Adverse event, Overall survival, Progression-free survival, Complete response rate, Pharmacokinetics, Geriatric Assessment <br><Phase II> <br>Complete response rate, Progression-free survival, Adverse event, Late toxicity, Geriatric Assessment
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