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A prospective randomized controlled trial of neoadjuvant chemoradiotherapy followed by robot assisted minimally esophagectomy and conventional open surgery for locally advanced esophageal cancer

A prospective randomized controlled trial of neoadjuvant chemoradiotherapy followed by robot assisted minimally esophagectomy and conventional open surgery for locally advanced esophageal cancer

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR-IIR-17012851
Enrollment
Unknown
Registered
2017-09-30
Start date
2018-01-01
Completion date
Unknown
Last updated
2017-10-02

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

Conditions

esophageal cancer

Interventions

RAMIE:Robotic assisted
OE:Open surgery

Sponsors

Shanghai Chest Hospital
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: 1. squamous cell carcinoma was diagnosed by gastroscopy or cytologic examination; 2. primary tumor in thoracic esophageal cancer, the primary site decided to lump the esophageal margin position (upper thoracic esophagus: from the thoracic entrance, next to the azygos vein arch, endoscopy of the incisor teeth of 20 cm to 4.0 * 10^9/L: blood leukocyte, neutrophil (ANC) counts over 2 * 10^9/L * 10^9 /L >100, platelet count and hemoglobin >90g/L lung function: FEV1 = 1.2L; FEV1% = 50%, DLCO = 50% and FEV1: (L): FVC measured value (L). FEV1%: measured / estimated value of forced vital capacity. DLCO%: carbon monoxide breath diffusion function measured value / expected value%; liver function: serum bilirubin is lower than the maximum normal value 1.5 times; ALT and AST are lower than the maximum normal value 1.5 times. Renal function, serum creatinine (SCr) less than or equal to 120 mu mol/L, creatinine clearance rate (CCr) = 60ml/min; 6. understand the situation of this study and sign informed consent.

Exclusion criteria

Exclusion criteria: Cancer related exclusion criteria: 1. transthoracic abdominal enhanced CT, cervical lymph nodes and body PET-CT (optional) or EBUS (optional) imaging to determine the clinical stage cT1-2N0-1M0 (AJCC/UICC version eighth), stage T4b unresectable (by two senior Department of thoracic surgery physicians judge) and multiple lymphadenopathy (estimated lymph = 3) node metastasis and multi station lymph nodes (estimated lymph node stations more than 2) or distant metastasis (M1) patients; 2. having been or undergoing additional chemotherapy, radiation therapy, or targeted therapy; 3. gastroscopy showed non squamous cell carcinoma; 4. patients who have previously suffered from other cancers (except those who have been diagnosed with cervical carcinoma or local basal cell carcinoma); 5. A history of congestive heart failure confirmed; drug treatment of poorly controlled angina; electrocardiogram (ECG) transmural myocardial infarction confirmed; poorly controlled hypertension; valvular heart disease with clinical significance; or high-risk cannot control arrhythmia; 6. severe uncontrolled generalized systemic diseases such as active infection or poorly controlled diabetes mellitus; 7. abnormal coagulation function, bleeding tendency (such as active gastrointestinal ulcer), or undergoing thrombolysis or anticoagulant therapy; 8. serum pregnancy tests were positive or were in lactating women, and reproductive age men and women who were reluctant to adopt adequate contraception during the study of medications; 9. known immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV), active infection, or known HIV seropositive; 10. is known to be allergic to any research drug; 11. have a history of organ transplantation (including autologous bone marrow transplantation and peripheral stem cell transplantation); 12. there are peripheral nervous system disorders or those with obvious mental disorders and disorders of the central nervous system; 13. patients with antineoplastic agents were included in the study. 14. participate in other clinical studies simultaneously. Rejection standard: 1. patients who are not treated according to the study plan, methods, and course of treatment; 2. subjects withdrew informed consent and asked to quit the test; 3. the researchers believe that the subject is not suitable for continued treatment for some reason.

Design outcomes

Primary

MeasureTime frame
3y-OS;

Secondary

MeasureTime frame
3y-DFS;Perioperative index;postoperative quality of life;

Countries

China

Contacts

Public ContactXufeng Guo

Shanghai Chest Hospital

shandagxf@126.com+86 18930096739

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026