A Phase II Trial of Neoadjuvant Chemotherapy for Stage II, III Esophageal Squamous Cell Carcinoma
Overview
- Phase
- Phase 2
- Intervention
- DCX
- Conditions
- Stage II and III Esophageal Squamous Cell Carcinoma
- Sponsor
- Sun Yat-sen University
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- overall survival rate
- Last Updated
- 9 years ago
Overview
Brief Summary
The purpose of this study is to determine whether docetaxel, cisplatin, and capecitabine (DCX) are effective as the neoadjuvant chemotherapy before esophagectomy in patients with loco-regional esophageal squamous cell carcinoma (ESCC).
Investigators
Yanhong Deng
MD, PHD
Sun Yat-sen University
Eligibility Criteria
Inclusion Criteria
- •Histologic diagnosis of squamous cell thoracic esophageal carcinoma of Stage II or III, which is potentially resectable.
- •Patients must not have received any prior anticancer therapy.
- •More than 6 months of expected survival.
- •Age ranges from 18 to 70 years.
- •Absolute white blood cells count ≥4.0×109/L, neutrophil ≥1.5×109/L, platelets ≥100.0×109/L, hemoglobin ≥90g/L, and normal functions of liver and kidney.
- •Karnofsky performance status (KPS) of 90 or more.
- •Signed informed consent document on file.
Exclusion Criteria
- •Patients are diagnosed or suspected to be allergic to docetaxol or cisplatin or capecitabine.
- •Patients with concomitant hemorrhagic disease.
- •Pregnant or breast feeding.
- •Inability to use gastric conduit after esophagectomy because of a prior surgery.
- •Patients with concomitant peripheral neuropathy, whose common toxicity criterion (CTC) status is 2 or even more.
- •Have a prior malignancy other than esophageal carcinoma, carcinoma in situ of the cervix, nonmelanoma skin cancer or cured early stage of prostate cancer.
Arms & Interventions
DCX and surgery
docetaxol 60mg/m2 iv d1 and cisplatin 30mg/m2 iv d1-2 and capecitabine 850mg/m2 bid po d1-14 repeated every 21 days for 4-6 cycles, followed by surgery of Ivor Lewis Esophagectomy
Intervention: DCX
DCX and surgery
docetaxol 60mg/m2 iv d1 and cisplatin 30mg/m2 iv d1-2 and capecitabine 850mg/m2 bid po d1-14 repeated every 21 days for 4-6 cycles, followed by surgery of Ivor Lewis Esophagectomy
Intervention: surgery
Outcomes
Primary Outcomes
overall survival rate
Time Frame: 2 years
Secondary Outcomes
- Pathologic response rate(2 years)
- Disease-free survival(2 years)
- Incidence of adverse event based on CTCAE 4.0(2 years)