Health Condition 1: null- Locally Advanced Squamous Cell Carcinoma Of Oesophagus.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histological proven squamous cell carcinoma of oesophagus. 2. Locally advanced stage, clinically defined as a T3N0 or T3N1 tumour according to the 1997 UICC classification, or stage T2N0 or T2N1,. 3. ECOG performance status 2 or less. 4. Hematologic, hepatic, and renal functions with in normal limit.
Exclusion criteria
Exclusion criteria: 1. Previous radiotherapy, chemotherapy and surgical oesophageal treatment (Except laser therapy). 2. Pregnancy and lactating mother. 3. Known hypersensitivity to the chemotherapy drugs / irradiation under study. 4. Abnormal initial haematology e.g. a. Haemoglobin b. Platelets c. Absolute Neutrophil Count (ANC) d. Serum bilirubin > 2 .5 times the upper limit of the reference range (ULRR). e. Alanine amino-transferase (ALT or SGPT) or Aspartate amino-transferase(AST or SGOT) >5 times the ULRR. f. Creatinine > 2.0 times the ULRR, g. Serum calcium above the ULRR. 6. As judged by the investigator, any evidence of severe or uncontrolled systemic diseases (e.g., unstable or uncompensated respiratory, cardiac, hepatic or renal disease, TB, DM). 7. Any history suggestive of presence or previously treated malignancy . 8. Presence of tracheo-oesophageal fistula. 9. Distant metastasis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the treatment response using RECIST (Response Evaluation Criteria In Solid Tumour) criteria in terms of complete response (CR), partial response (PR), progressive disease (PD), and stable disease (SD).Timepoint: After 6-8 weeks of completion of treatment in both arm. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To determine acute and chronic toxicity according to RTOG / EORTC Acute and Chronic radiation morbidity Criteria. 2. To assess overall survival and disease free survival at 1 year (for complete responders) and progression free survival (for Partial Responder & Stable Disease) at 1 year in both arm. 3. To assess subjective response in terms of palliation of dysphagia. Timepoint: All the cases during and after treatment will be followed up clinically every week. Patient will be assessed at 4-6 weeks after completion of treatment and thereafter every month for first 3 months after completion of treatment and thereafter at an interval of 3 months till the end of the study. | — |
Countries
India
Contacts
Institute of Post Graduate Medical Education And Research,S.S.K.M. Hospital.