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Immediate tumor resection in patients with locally advanced gastroesophageal adenocarcinoma with nonresponse to chemotherapy after 4 weeks of treatment versus resection after completion of chemotherapy - A randomized controlled pilottrial (Optitreat)

Not Applicable
Recruiting
Conditions
C15
C16
Malignant neoplasm of oesophagus
Malignant neoplasm of stomach
Registration Number
DRKS00004668
Lead Sponsor
niversitätsklinikum HeidelbergKlinik für Allgemein-, Viszeral- und Transplantationschirurgie
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
120
Inclusion Criteria

• histologically proven adenocarcinoma of the esophagus or stomach
• clinical staging cT3/4 and/or cN+
• Resectable primary tumor
• Patient considered to tolerate surgery including abdominothoracic resection
(Karnofsky >80%)
• = 18 years of age
• Written informed consent

Exclusion Criteria

• Lack of understanding or language problems
• expected lack of compliance
• Patients not eligible for surgery (ASA = IV)
• distant metastases (M1) without possibility of complete resection (R0)
• neoadjuvant radiochemotherapy

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
R0 resection rate (pathological report, after surgery)
Secondary Outcome Measures
NameTimeMethod
Overall survival (Follow-up by phone: every 3 months during the first year, every 6 months during the second year and once a year or until death)<br>perioperative morbidity and mortality (clinical report after demission)<br>Quality of life (questionnaire, screening visit, before operation, 12 months after surgery)<br>Cost savings (after termination of therapy)<br>
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