ESO-Shanghai9: Study of Extensive Clinical Target Volumes in Postoperative Radiotherapy Concurrent With Chemotherapy for Esophageal Squamous Cell Carcinoma
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate safety and 2-year local control rate for extensive clinical target volumes in postoperative radiotherapy concurrent with chemotherapy for esophageal squamous cell carcinoma.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Chemo-radiation group A total dose of 45Gy will be delivered in 25 fractions at 1.8Gy/fraction, 5 fractions per week in 5 weeks. The CTV encompassed the bilateral supraclavicular region, all mediastinal lymph nodes, the anastomosis site, and the left gastric and celiac nodes. Paclitaxel 50mg/m2/d, ivgtt over 3 hours, d1; Carboplatin AUC=2, ivgtt, d1; qw*5 |
Drug: Paclitaxel
paclitaxel 50mg/m2/d, ivgtt over 3 hours, d1, qw*5
Drug: Carboplatin
carboplatin AUC=2, ivgtt, d1, qw*5
Radiation: Radiotherapy
1.8Gy/d, d1-5/week, 25Fx
|
Outcome Measures
Primary Outcome Measures
- Local control rate [2 years]
Secondary Outcome Measures
- overall survival [5 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Joined the study voluntarily and signed informed consent form;
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Age 18-75;
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ECOG 0-2;
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Esophageal squamous cell carcinoma, radical surgery ≤ 3 months, R0 resection;
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The operative incision healed well;
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T3-4N0M0, T1-4N1-3M0 (according to AJCC2009);
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No radiotherapy, chemotherapy or other treatments pre (post) surgery;
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PS ECOG 0-2;
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Life expectancy of more than 3 months;
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Hemoglobin (Hb) ≥ 9 g/dL • WBC ≥ 3 x 109/L, Neutrophils (ANC ) ≥ 1.5 x 109/L • platelet count (Pt) ≥ 100 x 109/L • Hepatic function: ALAT and ASAT < 2.5 x ULN, TBIL< 1.5 x ULN • Renal function: creatinine < 1.5 x ULN
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No immuno-deficiency;
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Use of an effective contraceptive for adults to prevent pregnancy.
Exclusion Criteria:
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Complete esophageal obstruction after surgery, Esophageal perforation, Haematemesis;
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Other malignant tumors, except for skin basal cell carcinoma, or cervical carcinoma in situ, who survived with no evidence disease for over 3 years;
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Participation in other interventional clinical trials within 30 days;
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Pregnant or breast-feeding women or people during the birth-period who refused to take contraceptives;
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Drug addiction, Alcoholism or AIDS;
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Uncontrolled seizures or psychiatric diseases, loss of control over their own behavior;
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Unsuitable to be enrolled in the trial in the opinion of the investigators.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Fudan Universtiy Shanghai Cancer Center | Shanghai | Shanghai | China | 200032 |
Sponsors and Collaborators
- Fudan University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ESO-Shanghai9