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Phase II study of adjvant Nivolumab monotherapy for esophageal cancer.

Phase 4
Recruiting
Conditions
D004938
Esophageal cancer
Registration Number
JPRN-jRCT1031220223
Lead Sponsor
Yagi Koichi
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
99
Inclusion Criteria

1) Histologically diagnosed esophageal or esophagogastric junction cancer
2) The patient must have T3 or N1 or higher (excluding T4) (equivalent to Stage II/III excluding T4 in TNM classification) in the 11th edition of theCancer Code of Ethical Treatment of Esophageal Cancer.
3) Age at the time of consent is 18 years or older
4) Performance status (PS) of 0 or 1
5) Radical resection (R0 resection) is obtained after preoperative DCF therapy for esophageal cancer.
6) Surgical pathology has not resulted in pathologic complete response (pCR)
7) No prior administration of immune checkpoint inhibitors, including for other carcinomas
8) Organ function is preserved.
9) Written consent to participate in the study has been obtained from the patient.

Exclusion Criteria

1) Active overlapping cancers (simultaneous overlapping cancers and iatrogenic overlapping cancers with a disease-free period of 3 years or less). However, lesions equivalent to intraepithelial or intramucosal carcinoma that are judged to have been cured by local treatment are not included in active overlapping cancers.
2) Active infection requiring systemic treatment (fever of 38 degree or higher, with imaging or bacteriological evidence of bacterial infection. Local infections that do not affect the general condition are excluded).
3) Confirmed active hepatitis B, hepatitis C or HIV infection.
4) History of interstitial pneumonia, pulmonary fibrosis, radiation pneumonitis or drug-induced pneumonitis, or suspicion of these diseases on imaging
5) Psychosis or psychiatric symptoms that make it difficult to participate in the study.
6) Receiving continuous systemic administration (oral or intravenous) of steroids.
7) Complicated with poorly controlled diabetes mellitus.
8) Complicated unstable angina (angina with on set or worsening attacks within the last 3 weeks) or history of myocardial infarction within 3 months.
9) Comorbid autoimmune disease or a history of chronic or recurrent autoimmune disease
10) History of organ transplant (including hematopoietic stem cell transplant)
11) Tuberculosis infection or history of tuberculosis
12) Pregnant, possibly pregnant, or lactating
13) Other conditions that make participation in this study inappropriate

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
2-year disease-free survival rate
Secondary Outcome Measures
NameTimeMethod
Disease free survival (DFS)<br>Disease-free survival rate (1, 5 years)<br>Overall survival (OS)<br>Overall survival (1, 2, 5 years)<br>Distant recurrence-free survival (DMFS)<br>Frequency of adverse events<br>Immunological reactivity
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