Health Condition 1: null- Carcinoma esophagus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 2. Squamous cell carcinoma of esophagus and gastroesophageal junction 3. Good performance status- ECOG (Eastern cooperative oncology group) 0,1 and 2 4. Imaging suggests potentially operable cases (Up to T4a stage)
Exclusion criteria
Exclusion criteria: 1. Medically inoperable cases like poor performance status ECOG >2 2. Gross tumor infiltration in to the mediastenal structure like- tracheal infiltration, large contact with aorta, atrium involvement 3. Cases with distant Metastasis 4. Carcinoma involving cervical esophagus 5. Patient who have already received radiotherapy or chemotherapy 6. Patient refused for consent for the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To assess the radiological response rate to neoadjuvant chemotherapy in carcinoma esophagus by PERCIST (positron emission tomography response criteria in solid tumors) 2. omparison of the response in between two chemotherapy regimens ( Paclitaxel +Carboplatin and Cisplatin+5 FU) Timepoint: 3 CYCLE | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pathological response assessment by Mandard tumor regression grading system,Assessment of chemotherapy induced toxicity as per Common Terminology Criteria for Adverse Events (CTCAE version 4.0),Assessment of Operative morbidities and mortality, Assessment of Progression -free survival (PFS) â??It will be measured from the date of randomization to the date of first evidence of relapse, progression or death due to any cause, whichever will be observed first, Assessment of resectability rateTimepoint: AFTER SURGERY | — |
Countries
India
Contacts
AIIMS