Status:
UNKNOWN
Concurrent Chemoradiotherapy After Endoscopic Resection for Stage I Esophageal Carcinoma
Lead Sponsor:
Chinese Academy of Medical Sciences
Conditions:
Esophageal Squamous Cell Carcinoma
Eligibility:
All Genders
18-75 years
Phase:
PHASE2
Brief Summary
This is a prospective single-arm study of endoscopic resection (ER) following concurrent chemoradiotherapy for stage I esophageal squamous cell carcinoma, to find if the treatment combination is usefu...
Detailed Description
The objectives are to evaluate the efficacy and safety of concurrent chemoradiotherapy after endoscopic resection in early stage esophageal squamous cell carcinoma by evaluating the effectiveness, inc...
Eligibility Criteria
Inclusion
- Male or female patients aged 18 to 75 years (18 years and 75 years are inclusive).
- The Eastern Cooperative Oncology Group (ECOG) performance status score is 0 to 1 point.
- Weight loss (intentional or unintentional) of less than or equal to 10% of body weight in the 6 months prior to surgery.
- Complete radiological staging is required before ER, including gastroscopy, endoscopic ultrasonography, chest CT, brain MRI and bone scan (if positive, bone metastasis must be confirmed by MRI or CT examination of corresponding parts, otherwise bone metastasis cannot be determined). No lymph nodes with shorter diameter \>10mm in mediastinum presented by endoscopic ultrasonography or chest CT. No abdominal nor neck lymph node metastases presented by B-ultrasound.
- Primary lesion located in thoracic esophagus.
- Clinical stage: cT1（sm1/sm2）N0M0 (The 8th edition of American Joint Committee on Cancer \[AJCC\]) before ER.
- ER is a complete removal of tumor.
- Pathologically confirmed squamous cell carcinoma.
- Histologically confirmed diagnosis of T1a with LVI, T1b（sm1/sm2）with/without LVI, or microscopically positive vertical resection margin (R1 resection).
- Less than three endoscopically resected synchronous lesions with high risk factors (lymphovascular or mucous membrane invasion, submucous infiltration, poor differentiation or microscopically positive vertical resection margin), which can be safely encompassed in a tolerable radiation plan.
- Non-pregnancy and non-pregnancy plan in the next 12 months (urine pregnancy test or blood pregnancy test is required for women of childbearing age to exclude pregnancy).
- No serious medical disease nor organ dysfunction. Adequate BM, liver, kidney and heart function.
- Meet the treatment and follow-up criteria, able to receive treatment, follow-up and pathological examination. The subject has voluntarily signed the written informed consent form (ICF).
Exclusion
- Any positive N or M stage.
- Macroscopic residual tumor (R2 resection).
- Lesions with poor prognistic factors (lymphovascular or mucous membrane invasion, submucous infiltration, poor differentiation or microscopically positive vertical resection margin) solely resected endoscopically more than six months before evaluation.
- Patients with other malignant tumors within 5 years before enrollment.
- Unavailable gastroscope due to esophageal stenosis.
- Previously received electrocoagulation, other treatments (including photodynamic therapy, multipolar electrocoagulation, argon plasma coagulation, laser therapy, et al.) or radiotherapy.
- Previously received any esophageal surgery, excluding fundoplication with no complications (no slippage, dysphagia, et al.).
- Uncontrolled coagulation disorders: INR \>2 or PLT\<75,000/μL.
- Patients who are taking or have taken (within 7 days before/after treatment) aspirin, clopidogrel or other non-steroidal anti-inflammatory drugs.
- Patients with history of uncontrolled drug or alcohol dependence that limits the ability to understand or comply with medical orders, including inability to understand and execute ICF, post-treatment orders, or follow-up guidelines.
- Patients implanted pacemakers, including AICD, nerve stimulator or cardiac pacemaker, without the permission from specialist in charge.
- Patients with mental disease, serious medical disease or major organ dysfunction.
- Pregnant, lactating women or women without offspring.
- Patients unable to understand/express informed or consent.
- Patients with known allergy to platinum compounds or paclitaxel.
- Other circumstances which are considered by the investigator that the subject is unsuitable to be enrolled
Key Trial Info
Start Date :
January 20 2020
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
March 1 2024
Estimated Enrollment :
56 Patients enrolled
Trial Details
Trial ID
NCT04275986
Start Date
January 20 2020
End Date
March 1 2024
Last Update
July 7 2021
Active Locations (1)
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1
National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
Beijing, China, 100021