NCT03790553
Recruiting
Phase 3
A Phase III Study of Comparing 61.2 Gy Radiotherapy Dose Versus 50.4 Gy Radiotherapy Dose for Locally Advanced Esophageal Carcinoma
ConditionsEsophageal Squamous Cell Carcinoma
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Esophageal Squamous Cell Carcinoma
- Sponsor
- Fudan University
- Enrollment
- 646
- Locations
- 3
- Primary Endpoint
- Overall survival in PET/CT non-responders
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The purpose of this study is to determined the best definitive radiotherapy dosage for patients with locally advanced esophageal squamous cell carcinoma.
Investigators
Kuai Le Zhao, MD
Professor
Fudan University
Eligibility Criteria
Inclusion Criteria
- •Joined the study voluntarily and signed informed consent form;
- •Age 18-75 years; both genders
- •Esophageal squamous cell carcinoma confirmed by pathology.
- •No radiotherapy, chemotherapy or other treatments prior to enrollment
- •Locally advanced esophageal squamous cell carcinoma (T1N1-3M0, T2-4NxM0, TxNxM1 (supraclavicular lymph node metastasis only) (AJCC 8th)
- •Use of an effective contraceptive for adults to prevent pregnancy.
- •No severely abnormal hematopoietic, cardiac, pulmonary, renal, or hepatic function. No immunodeficiency.
- •WBC ≥ 3.5\*109/L, Hemoglobin ≥ 9 g/dL, Neutrophils ≥ 1·5\*109/L, Platelet count ≥ 100\*109/L, ALAT and ASAT \< 2·5 \* ULN, TBIL \< 1·5 \* ULN, and Creatinine \< 1·5 \*ULN.
- •Life expectancy of more than 3 months.
- •Agreement of PET/CT accessment at 25-28 radiotherapy fraction.
Exclusion Criteria
- •Total radiotherapy dose cannot reach 61.2Gy/34Fx in the condition of the nomal tissue dose complying to the standard criteria.
- •Esophageal perforation, or hematemesis.
- •History of radiotherapy or chemotherapy for esophageal cancer.
- •History of surgery within 28 days before Day
- •History of prior malignancies (other than skin basal cell carcinoma or cervical carcinoma in situ with a disease-free survival of at least 3 years).
- •Participation in other interventional clinical trials within 30 days.
- •Pregnant or breast-feeding women or fertile patients who refused to use contraceptives.
- •Drug addiction, alcoholism or AIDS.
- •Uncontrolled seizures or psychiatric disorders.
- •Any other condition which in the investigator's opinion would not make the patient a good candidate for the clinical trial.
Outcomes
Primary Outcomes
Overall survival in PET/CT non-responders
Time Frame: 2 years
The time between the start of the study treatment (Day 1) and death from any cause or last follow-up for patients alive at the end of the study.
Overall survival in ITT population
Time Frame: 2 years
The time between the start of the study treatment (Day 1) and death from any cause or last follow-up for patients alive at the end of the study.
Secondary Outcomes
- Progression-free survival(2 years)
- Questionnaire EORTC-QLQ-OES18(2 years)
- Questionnaire EORTC-QLQ-C30(2 years)
- Local control rate(2 years)
- Overall survival in PET/CT responders(2 years)
Study Sites (3)
Loading locations...
Similar Trials
Active, not recruiting
Phase 3
Randomized Study Comparing Two Dosing Schedules for Hypofractionated Image-Guided Radiation TherapyMelanomaOvarian CancerSarcomaBoneCNS-Spinal CD/MEMBR, NOSLymph NodesSoft TissueNCT01223248Memorial Sloan Kettering Cancer Center220
Not yet recruiting
Phase 2
Phase II Study of Different Doses of Radiotherapy Combined With Sintilimab in the Treatment of Locally Advanced Esophageal Squamous Cell CarcinomaEsophageal Squamous Cell CarcinomaNCT06468644Fujian Cancer Hospital60
Unknown
Phase 3
A Phase III Intensity Radiotherapy Dose Escalation for Prostate Cancer Using HypofractionationProstate CancerNCT00667888M.D. Anderson Cancer Center225
Completed
Phase 3
Palliative Radiotherapy for Bone Metastases: Single Versus Multiple Fractions.Bone MetastasesPainNCT00858741Marilia Medicine School148
Active, not recruiting
Not Applicable
Standard or Comprehensive Radiation Therapy in Treating Patients With Early-Stage Breast Cancer Previously Treated With Chemotherapy and SurgeryStage IB Breast CancerStage II Breast CancerNCT01872975NSABP Foundation Inc1,636