Phase III Study of Concurrent Radiotherapy in Elderly Patients With Esophageal Squamous Cell Carcinoma (ESO-Shanghai 15)
Fudan University
320 participants
Jan 6, 2020
INTERVENTIONAL
Conditions
Summary
So far, there is no specific clinical guideline for elderly patients (\>75 yr) with esophageal squamous cell carcinoma (ESCC). Patients with locally advanced ESCC were enrolled and randomly assigned to either definitive radiotherapy group (61.2Gy/34Fx) or the chemoradiotherapy group (50.4Gy/28Fx;Paclitaxel plus carboplatin). The primary end point was 3-year overall survival (OS). The second end points included life quality, radiation side effects and 3-yr cancer specific survival.
Eligibility
Inclusion Criteria10
- Indicates no limit on eligibility based on the sex of participants
- The 76 years old for the minimum age a potential participant must meet to be eligible for the clinical study.
- Esophageal squamous cell carcinoma confirmed by pathology
- No radiotherapy, chemotherapy or other treatments prior to enrollment
- Local advanced esophageal squamous cell carcinoma (T2-4N0-1M0-1a, TxN1M0-1a, TxNxM1a, TxNxM1b (M1b only for supraclavicular lymph node metastasis) (AJCC 6th)
- Use of an effective contraceptive for adults to prevent pregnancy
- No severely abnormal hematopoietic, cardiac, pulmonary, renal, or hepatic function
- No immunodeficiency
- ECOG 0-1.
- Life expectancy of more than 3 months.
Exclusion Criteria10
- Total radiotherapy dose cannot reach 61.2Gy/34Fx
- Esophageal perforation, or hematemesis
- History of radiotherapy or chemotherapy for esophageal cancer
- History of surgery within 28 days before Day 1
- History of prior malignancies (other than skin basal cell carcinoma or cervical carcinoma in situ with a disease-free survival of at least 3 years)
- Participation in other interventional clinical trials within 30 days
- Pregnant or breast-feeding women or fertile patients
- Drug addiction,
- alcoholism or AIDS
- Uncontrolled seizures or psychiatric disorders
Interventions
Paclitaxel (45mg/m2) plus carboplatin (AUC=2); five cycles; qw
Different radiotherapy dose in different groups.
Locations(3)
View Full Details on ClinicalTrials.gov
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NCT04519905