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Liposomal Paclitaxel Combined Nedaplatin in Treatment of Advanced or Recurrent Esophageal Carcinoma

Phase 2
Completed
Conditions
Esophageal Carcinoma
Interventions
Registration Number
NCT02861690
Lead Sponsor
Sun Yat-sen University
Brief Summary

The purpose of this study is to evaluate the safety, tolerance and efficacy of Liposomal Paclitaxel With Nedaplatin as First-line in patients with Advanced or Recurrent Esophageal Carcinoma

Detailed Description

The purpose of this study is to evaluate the safety, tolerance and efficacy of Liposomal Paclitaxel With Nedaplatin as First-line in patients with Advanced or Recurrent Esophageal Carcinoma.Patients receive Liposomal Paclitaxel 175mg/m2 and Nedaplatin 80mg/m2 every 21 days until the presence of progressive disease or unacceptable toxicity.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
72
Inclusion Criteria

Inclusion Criteria:

  1. histological confirmed advanced metastatic or recurrent esophageal cancer
  2. age between 18 and 80 years
  3. ECOG performance status of 0 to 2
  4. life expectancy ≥ 12 weeks
  5. has evaluable disease by Response Evaluation Criteria in Solid Tumors (RECIST)
  6. at least one prior chemotherapy regimen
  7. adequate bone marrow function as defined by absolute neutrophil count more than or equal to 2000/mm3
  8. platelet count more than or equal to 100,000/mm3 and hemoglobin more than or equal to 8 g/dL
  9. adequate renal function defined by creatinine less than or equal to 1.25 × upper limit of normal(ULN) and creatinine clearance more than or equal to 60mL/min,
  10. adequate liver function defined by bilirubin less than or equal to 1.0×ULN aspartate transferase(AST) and alanine transferase(ALT) less than or equal to 2.5 ×ULN.
Exclusion Criteria
  1. other primary malignancy
  2. symptomatic central nervous system metastasis
  3. pregnancy or lactation
  4. cardiovascular events such as myocardial infarction in the previous 6 months or congestive heart failure
  5. ongoing infection

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Treatment groupLiposomal Paclitaxelpatients received Liposomal Paclitaxel and Nedaplatin every 21 days until the presence of progressive disease or unacceptable toxicity
Treatment groupNedaplatinpatients received Liposomal Paclitaxel and Nedaplatin every 21 days until the presence of progressive disease or unacceptable toxicity
Primary Outcome Measures
NameTimeMethod
Response ratefrom date of baseline measured to date of first CT evaluation,Up to 3 months

To assess the response rate of Liposomal Paclitaxel and Nedaplatin in patients with pretreated advanced or recurrent esophageal carcinoma. Possible evaluations include: Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the size of target lesions. Progressive Disease (PD): At least a 20% increase in the size of target lesions. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.

Secondary Outcome Measures
NameTimeMethod
overall survivalbaseline to date of death from any cause,up to 2 approximately years

Overall survival is defined as the time from the date of study enrollment to the date of death from any cause.

Number of Participants With Adverse Events (Toxicity)Up to 30 days post last dose

Number of participants with treatment-related adverse events as assessed by CTCAE.

progression-free survivalfrom date of baseline to the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months

Progression-free survival (PFS) is defined as the time from the date of study enrollment to the date of objectively determined PD or death from any cause, whichever comes first. For patients who are still alive at the time of analysis, and who do not have PD, PFS will be censored at the date of the last objective progression-free disease assessment.

Trial Locations

Locations (1)

Medical Oncology,Sun Yat-sen University Cancer Center

🇨🇳

Guangzhou, Guangdong, China

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