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The PRESTO Trial - Organ preservation with durvalumab-based immunotherapy in combination with chemoradiation as definitive therapy for early stage, cT1 and cT2N0, esophageal adenocarcinoma with indication for radical surgery: A prospective, multicenter study of the FLOT-AIO Gastric Cancer Group

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-512980-29-00
Acronym
PRESTO
Enrollment
32
Registered
2024-08-02
Start date
2023-08-28
Completion date
Unknown
Last updated
2025-10-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

T1-T2N0 esophageal adenocarcinoma including gastroesophageal junction (GEJ) with indication for radical surgery

Brief summary

Rate of clinical and pathological complete response rate at time of endoscopic re-evaluation (at the end of the core study treatment) according to Becker criteria and investigator-based RECIST v1.1 assessment as well as endoscopic response criteria similar to the Japanese Gastric Cancer Association Guideline

Detailed description

Rate of cCR/pCR at 1, 2 and 3 years after start of treatment (long term follow up), Subgroup analysis of cCR/pCR rate at time of endoscopic re-evaluation and after 1 year according to following characteristics: MSI high, PD-L1 CPS>1 and PD-L1 CPS>5 and especially acc. to CPS ≥10 or <10, Rate of salvage surgery, 90-day as well as 1-year mortality after start of treatment in nonsurgery population and population with salvage surgery, Determination of the sites of tumor relapse, Incidence of adverse events (AEs), serious adverse events (SAEs) and adverse events of special interest (AESIs), Severity of adverse events by CTCAE v5.0 grade, Relationship of adverse events to the durvalumab, chemotherapy and/or radiation, Frequency of clinically significant abnormal laboratory parameters, Assessment of quality of life (QoL) data from patients using EORTC QLQC30 and the esophageal module OES18

Interventions

DRUGmedoxa 5 mg/ml Konzentrat zur Herstellung einer Infusionslösung
DRUGIMFINZI 50 mg/mL concentrate for solution for infusion.

Sponsors

Frankfurter Institut Fuer Klinische Krebsforschung IKF GmbH
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Rate of clinical and pathological complete response rate at time of endoscopic re-evaluation (at the end of the core study treatment) according to Becker criteria and investigator-based RECIST v1.1 assessment as well as endoscopic response criteria similar to the Japanese Gastric Cancer Association Guideline

Secondary

MeasureTime frame
Rate of cCR/pCR at 1, 2 and 3 years after start of treatment (long term follow up), Subgroup analysis of cCR/pCR rate at time of endoscopic re-evaluation and after 1 year according to following characteristics: MSI high, PD-L1 CPS>1 and PD-L1 CPS>5 and especially acc. to CPS ≥10 or <10, Rate of salvage surgery, 90-day as well as 1-year mortality after start of treatment in nonsurgery population and population with salvage surgery, Determination of the sites of tumor relapse, Incidence of adverse events (AEs), serious adverse events (SAEs) and adverse events of special interest (AESIs), Severity of adverse events by CTCAE v5.0 grade, Relationship of adverse events to the durvalumab, chemotherapy and/or radiation, Frequency of clinically significant abnormal laboratory parameters, Assessment of quality of life (QoL) data from patients using EORTC QLQC30 and the esophageal module OES18

Countries

Germany

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026