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临床试验/NCT03000816
NCT03000816已完成不适用

A Phase 2 Study of Stereotactic Body Radiotherapy (SBRT) for the Treatment of OligoMetastatic Esophageal Squamous Cell Carcinoma

Fudan University1 个研究点 分布在 1 个国家目标入组 34 人开始时间: 2015年4月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
34
试验地点
1
主要终点
Progression-free survival

研究概览

简要总结

The aim of this phase II trial is to assess progress-free survival, local control, overall survival, safety and tolerability of SBRT to treat patients with oligometastases in esophageal squamous cell carcinoma.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

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

  • Patients with metastatic esophageal squamous cell carcinoma who have received initial treatment for the primary site including surgery or chemoradiotherapy. Primary tumor site without progression at registration. The sites of allowed metastases are: peripheral lung, central lung, medistinal/cervical lymph node, liver, spinal/paraspinal, osseous, and abdominal-pelvic lymph node. All metastases not resected must be amenable to SBRT.
  • 1-4 radiographically distinct metastases of any distribution in 2 or less allowed anatomical sites. The diameters of lesions should be less than or equal to 5cm.
  • Initial treatment should be completed at least 3 months prior to study registration.
  • All the metastases treated with SBRT should not be treated with surgery, radiation, radio frequency ablation or other regional therapeutic modalities prior to study registration. The other (s) lesions should have been surgically removed.
  • PS ECOG 0-2,wight loss<30% during the latest 6 months.
  • Evaluation by a radiation oncologist that the patient could tolerate the treatment of SBRT.
  • Patient must provide study specific informed consent prior to study entry.
  • For females of child-bearing potential, negative serum/urine pregnancy test within 14 days prior to study registration.

排除标准

  • Progression of primary tumor site at time of registration.
  • Metastases with indistinct borders making targeting not feasible.
  • Known brain metastases.
  • Prior palliative radiotherapy to metastases.
  • Metastases located within 3 cm of the previously irradiated structures:
  • a).Spinal cord previously irradiated >80Gy(Biological equivalent dose with α/β=2), b).Brachial plexus previously irradiated to > 100Gy(Biological equivalent dose with α/β=2), c).Small intestine, large intestine, or stomach previously irradiated to > 90Gy (Biological equivalent dose with α/β=2), d).Whole lung previously irradiated with prior V20Gy > 30% (delivered in ≤ 3 Gy/fraction), e)Metastasis irradiated with SBRT.
  • Pregnant or breast-feeding women or people during the birth-period who refused to take contraceptives.
  • Drug addiction,Alcoholism or AIDS.
  • Patients with severe organ dysfunction or Acute bacterial or fungal infection who are considered not suitable to enroll the study at the time of registration.

结局指标

主要结局

Progression-free survival

时间窗: The survival time from the date each patient enrolled to the date of progression or date of death from any cause, whichever came first, assessed up to 5 years

progression-free survival will be measured as time to either progression or death

次要结局

  • Local control(the time from the date each patient enrolled to the date of local failure or the last follow-up, assessed up to 5 years.)
  • overall survival(The survival time from the date each patient enrolled to the date of death or the last follow-up, assessed up to 5 years.)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Kuai Le Zhao, MD

Professor

Fudan University

研究点 (1)

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