MedPath

Endostatin Combined With Chemotherapy for Adjuvant Treatment of Esophageal Cancer

Phase 2
Conditions
Esophageal Cancer
Interventions
Registration Number
NCT03649945
Lead Sponsor
First Affiliated Hospital of Guangxi Medical University
Brief Summary

This is an open-label, randomized trial, it compares the efficacy and safety between apatinib combined chemotheray and chemotherapy for adjuvant treatment of esophageal cancer

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
186
Inclusion Criteria
  • IIA-IIIC phase esophageal squamous cell carcinoma confirmed by histopathology and immunohistochemistry.
  • R0 resection has been performed at least before 4 weeks.
  • ECOG PS score: 0-1 points.
  • Estimated survival time: at least 12 weeks.
  • No radiotherapy, chemotherapy or molecular targeted therapy before.
  • Main organs are functional, which meet the following criteria:

Blood Routine:

HB≥90 g/L(No blood transfusion within 14 days), ANC≥1.5×109/L, PLT ≥80×109/L. Biochemical examination: ALB≥30g / L(No blood transfusion within 14 days), ALT<2ULN; AST<2ULN TBIL≤1.5ULN; Plasma Cr≤1.5ULN;

  • Volunteer with signed informed consent form, good compliance and good follow-up cooperation.
  • Patients who the investigator believws they can benefit.
Exclusion Criteria
  • Those who have had other malignant tumors in the past or at the same time.
  • Pregnant or lactating women.
  • Patients with grade-II or higher myocardial ischemia or myocardial infarction, poorly controlled arrhythmias (including QTC interval ≥ 450 ms) and cardiac dysfunction according to NYHA criteria III to IV. Cardiac color Doppler examination: LVEF (left ventricular ejection) Score) <50%.
  • Have clear gastrointestinal bleeding concerns (such as local active ulcer lesions, fecal occult blood ++), and a history of gastrointestinal bleeding within 6 months.
  • Have a history of mental illness or psychotropic substance abuse.
  • Patients who have participated in other drug clinical trials within 4 weeks.
  • According to the investigator's judgment, patients who are at a risk or have accompanying disease.
  • Patients who believe that they are unsuitable for inclusion.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Test Group 1DocetaxelDocetaxel plus Nedaplatin combined with Endostar
Test Group 1NedaplatinDocetaxel plus Nedaplatin combined with Endostar
Test Group 2DocetaxelDocetaxel plus Nedaplatin
Test Group 2NedaplatinDocetaxel plus Nedaplatin
Test Group 1EndostarDocetaxel plus Nedaplatin combined with Endostar
Primary Outcome Measures
NameTimeMethod
3 year disease-free survival rate3 years

the percentage of the patients whose disease cannot be detected after curative therapy in three years

Secondary Outcome Measures
NameTimeMethod
overall survival3 years

From the time of randomization to the time of death for any reason.

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