跳至主要内容
临床试验/NCT06558786
NCT06558786招募中不适用

Prospective Registry Study of Multimodality Therapy for Oligometastatic Adenocarcinoma of the Esophagus or Gastroesophageal Junction

Memorial Sloan Kettering Cancer Center1 个研究点 分布在 1 个国家目标入组 50 人开始时间: 2024年8月12日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
50
试验地点
1
主要终点
Progression Free Survival

研究概览

简要总结

The purpose of this registry study is to create a database-a collection of information-for better understanding standard treatments for esophageal and Gastroesophageal Junction Cancer/GEJ cancer. Researchers will use the information from this database to learn more about the effectiveness of different treatment options.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Newly diagnosed stage IV adenocarcinoma of the esophagus or GEJ with OMD at the time of diagnosis, defined as the following:
  • Retroperitoneal lymph nodes (e.g., para-aortal, intra-aorto-caval, parapancreatic, or mesenterial lymph node)
  • Extra-abdominal lymph nodes (e.g., supraclavicular or cervical lymph nodes)
  • Adrenal gland
  • Unilateral or bilateral ovarian metastases (in the absence of gross or microscopic peritoneal disease [positive cytology])
  • ≤2 sites of disease (excluding the primary tumor and regional lymph nodes)
  • ≤3 tumors within each organ system
  • ≤5 metastases
  • All nonregional lymph nodes (including cervical, supraclavicular, and retroperitoneal nodal disease) are considered 1 discrete lesion
  • Satellite lesions in the primary esophageal malignancy, such as skipped esophageal primaries, are not considered metastatic sites
  • All sites of disease must be amenable to complete local therapy after systemic therapy, according to the treating physician. Treatment modalities include:
  • Definitive chemoradiation
  • Stereotactic radiation
  • Ablation or similar techniques (e.g., irreversible electroporation)
  • Age ≥18 years

排除标准

  • Presence of metastases, at the time of diagnosis, to the following:
  • Peritoneum, including positive peritoneal lavage (on the basis of baseline diagnostic laparoscopy to rule out gross disease and positive peritoneal lavage cytology; laparoscopy may be omitted for patients in whom all sites of disease are above the diaphragm)
  • Malignant pleural effusion
  • Brain metastases or leptomeningeal disease
  • Other sites not specifically noted must be reviewed and approved by the PIs
  • Any site of disease that is not amenable to definitive local therapy
  • Unfit for best systemic therapy
  • Metachronous OMD
  • Secondary primary cancer, with the exclusion of basal cell carcinoma of the skin
  • Pregnant, lactating, or intending to become pregnant
  • Unwilling to provide informed consent

结局指标

主要结局

Progression Free Survival

时间窗: 1 year

Estimate 12-month PFS among patients who undergo definitive local therapy after induction chemotherapy

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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