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临床试验/JPRN-jRCTs031180143
JPRN-jRCTs031180143进行中(未招募)3 期

JCOG1314: A randomized controlled phase III study comparing docetaxel, CDDP and 5-FU with CDDP and 5-FU in patients with metastatic or recurrent esophageal cancer - MIRACLE study

TSUBOSA Yasuhiro0 个研究点目标入组 240 人开始时间: 2019年2月21日最近更新:
适应症

试验速览

阶段
3 期
状态
进行中(未招募)
发起方
入组人数
240

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 20age old 至 <= 75age old(—)
性别
All

入选标准

  • 1)Primary tumor located at cervical esophagus, thoracic esophagus or esophago-gastric junction (the UICC 7th edition)
  • 2)Histologically confirmed squamous cell carcinoma, adenosquamous carcinoma, adenocarcinoma or basaloid carcinoma (Only Siewert type I is eligible in case of adenosquamous carcinoma or adenocarcinoma.)
  • 3)Unresectable or recurrent esophageal cancer with no indication for surgery, radiotherapy, and chemoradiotherapy
  • A)In case of unresectable esophageal cancer, all of the following conditions must be fulfilled:
  • i)Having metastatic lesion except for #102 or #104 metastases
  • ii)cT1-cT4a
  • iii)Dysphagia score =<2 and no stenosis which endoscope does not pass through
  • B)In case of recurrent esophageal cancer, all of the following conditions must be fulfilled:
  • i)Having metastatic lesion except for #102 or #104 metastases
  • ii)Dysphagia score =<2
  • 4)Aged 20 to 75 years old
  • 5)ECOG PS of 0 or 1
  • 6)No symptomatic bone or brain metastases
  • 7)No massive ascites/pleural effusion
  • 8)Measurable lesions not required
  • 9)As for previous therapy,the following regimens are eligible. And, either A) or B) must be fulfilled.
  • A)When preoperative chemotherapy (CF, CS, or DCF regimen) or postoperative chemotherapy (CF, or S-1 regimen) was given as previous therapy, meet all of the following 4 factors:
  • i)Recurrence was detected more than 24 weeks after previous therapy was completed
  • ii)Previous therapy was not terminated due to adverse events, patient refusal, andtumor response by previous therapy was not judged as disease progression
  • iii)Total dose of prior CDDP =< 210 mg/m2
  • iv)Total dose of prior DOC =< 210 mg/m2
  • B)When preoperative chemoradiotherapy (CF-RT), concurrent chemoradiotherapy (CF-RT, CS-RT, or DCF-RT) or radiotherapy alone were received as previous therapy, meet all of the following 5 factors:
  • i)More than 52 weeks after radiotherapy when lung was involved in radiation field
  • ii)No history of grade 2-4 pneumonitis
  • iii)Previous therapy was not terminated due to adverse events, patient refusal, andtumor response by previous therapy was not judged as disease progression
  • iv)Total dose of prior CDDP =< 210 mg/m2
  • v)Total dose of prior DOC =< 210 mg/m2
  • 10)Sufficient organ function
  • 11)Written informed consent

排除标准

  • 1) Synchronous or metachronous (within 5 years) malignancies except for carcinoma in situ or mucosal tumors curatively treated with local therapy.
  • 2) Active infection requiring systemic therapy.
  • 3) Pregnancy, possible pregnancy, within 28 days after delivery or breastfeeding.
  • 4) Psychological disorder difficult to participate in this clinical study .
  • 5) Patients requiring systemic steroid medication.
  • 6) Under treatment with flucytosine, phenytoin, or warfarin.
  • 7) History of hypersensitivity to DOC, CDDP, or polysorbate 80.
  • 8) Poorly controlled diabetes mellitus.
  • 9) Severe pulmonary fibrosis or emphysema.
  • 10) Poorly controlled hypertension.
  • 11) Unstable angina within 3 weeks, or with a history of myocardial infarction within 6 months.
  • 12) Positive HBs antigen, or positive HIV antibody

研究者

发起方
TSUBOSA Yasuhiro

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