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Gefitinib Combined With Radiotherapy in Elderly Patients With Esophageal Cancer

Phase 2
Conditions
Esophageal Cancer
Interventions
Radiation: Thoracic radiotherapy
Registration Number
NCT01291823
Lead Sponsor
Zhejiang Cancer Hospital
Brief Summary

Elderly patients with esophageal cancer will receive thoracic radiation therapy 54-60Gy over 30 fractions, and concurrent with Gefitinib.

Detailed Description

Purpose: to evaluate the efficacy and toxicity of a concomitant treatment using EGFR-TKI and thoracic radiation in elderly patients with esophageal Cancer.

Methods:Patients(\>70 years old) with esophageal Cancer will receive thoracic radiation therapy 54-60 Gy over 30 fractions and concurrent with gefitinib 250mg/day.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
70
Inclusion Criteria
  • Histologically documented diagnosis of esophageal Cancer
  • Disease must be encompassed in a radiotherapy field.Patients with celiac, perigastric, mediastinal or supraclavicular adenopathy are eligible
  • age:70-85 years
  • Written informed consent.
  • Performance status of 0 to 2
  • Neutrophil count >1.5 x 10 to the 9th power/L and platelets > 100 x 10 to the 9th power/L.
  • Hepatic: total bilirubin less than or equal to 1.5 times upper limit of normal (ULN) Alanine transaminase (ALT) and aspartate transaminase (AST) less than or equal to 2.5 times ULN (or less than or equal to 5 times ULN in case of known liver involvement
  • Renal: Serum Creatinine less than or equal to 1.5 times upper limit of normal (ULN)
Exclusion Criteria
  • Evidence of tracheoesophageal fistula, or invasion into the trachea or major bronchi.
  • Prior invasive malignancy (except non-melanomatous skin cancer) unless disease free for a minimum of 2 years (For example, carcinoma in situ of the breast, oral cavity, or cervix are all permissible).
  • Prior systemic chemotherapy or radiation therapy for esophageal cancer

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Concomitant Gefitinib and radiotherapygefitinibPatients received Gefitinib and radiation therapy
Concomitant Gefitinib and radiotherapyThoracic radiotherapyPatients received Gefitinib and radiation therapy
Primary Outcome Measures
NameTimeMethod
Tumor response rate1 month after the thoracic radiotherapy and concurrent gefitinib treatment
Secondary Outcome Measures
NameTimeMethod
The safety (The safety was evaluated according to the National Cancer Institute Common Toxicity Criteria version 3.0.)1 month after treatment

Trial Locations

Locations (1)

Zhejiang Cancer Hospital

🇨🇳

Hangzhou, Zhejiang, China

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