RecruitingPhase 3NCT04821843

Neoadjuvant Treatment Modalities in Esophageal Cancer

Cohort Study of Neoadjuvant Treatment Modalities for Esophageal Cancer


Sponsor

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Enrollment

2,000 participants

Start Date

Jan 1, 2002

Study Type

INTERVENTIONAL

Conditions

Summary

Esophageal cancer is the most prevalent cancer globally with poor survival outcome. The prognosis with surgery alone is poor, accounting for 30-40% of overall survival at 5 year. Either neoadjuvant chemotherapy (nCT) or chemoradiotherapy (nCRT) has been shown as efficatious therapy to improve patients outcomes in esophageal or esophagogastric junction cancer as compared with surgery alone. The purpose of this study was to explore the optimal neoadjuvant treatment modalities including PD-1/PD-L1 antibody or targeted drug for patients with esophageal or esophagogastric junction cancer.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This trial studies which pre-surgery treatment approach (chemotherapy, radiation, immunotherapy, or combinations) works best for people with esophageal or esophago-gastric junction cancer. You may be eligible if... - You are 18 or older - You have biopsy-confirmed esophageal or esophago-gastric cancer (squamous cell or adenocarcinoma), staged I–IVa - Your treatment is being done at the Cancer Hospital, Chinese Academy of Medical Sciences - Your performance status (ECOG) is 0 or 1 - Your expected survival is at least 3 months - Your blood counts and organ function (blood, liver, kidneys) are within acceptable ranges You may NOT be eligible if... - Cancer has spread to distant organs (liver, lung, bone, brain, etc.) - You have had another cancer in the past 5 years (except certain skin or cervical cancers) - You have an active infection (e.g., active TB or hepatitis) - You had a heart attack within the past 6 months, or have serious heart rhythm problems - You have uncontrolled medical conditions like active infections or unstable heart disease Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGPlatinum based chemotherapy

q1-3W according to physician's preference

DRUGPaclitaxel based chemotherapy

q1-3W according to physician's preference

RADIATIONRadiotherpay

40-50Gy/1.8-2.2Gy/20-25f

PROCEDURESurgery

Radical esophagectomy

DRUGImmunotherapy

Anti-PD-1/PD-L1 Antibody

DRUG5-FU Analog based chemotherpay

W1-5 qW or d1-14, q3W according to physician's preference

DRUGNimotuzumab

200-400mg, d1,qW


Locations(1)

Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC)

Beijing, China

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NCT04821843


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