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A prospective, multicenter study on the efficacy and safety of PD-1/PD-L1 inhibitors combined with chemotherapy as neoadjuvant therapy for esophageal cancer

A prospective, multicenter study on the efficacy and safety of PD-1/PD-L1 inhibitors combined with chemotherapy as neoadjuvant therapy for esophageal cancer

Status
Active, not recruiting
Phases
Early Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500095677
Enrollment
Unknown
Registered
2025-01-10
Start date
2025-01-22
Completion date
Unknown
Last updated
2025-01-13

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

Conditions

esophageal cancer

Interventions

PD-1 combination therapy group:PD-1 combined with chemotherapy as neoadjuvant therapy
PD-L1 combination therapy group:PD-L1 combined with chemotherapy as neoadjuvant therapy

Sponsors

The Second Hospital & Clinical Medical School, Lanzhou University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. Age range: 18 to 75 years old; 2. ECOG (Eastern Cooperative Oncology Group) PS (Physical Fitness Status): 0-2 points; 3. Esophageal cancer patient diagnosed as operable by histopathology (T2-4aN0-2M0). 4. There are measurable lesions that meet the RECIST 1.1 criteria; 5. Expected survival period >= 3 months; 6. Have sufficient organ and bone marrow function; 7. Thyroid function indicators: FT3, FT4, TSH normal or abnormal have no clinical significance; 8. Normal myocardial enzyme indicators; 9. Willing to use a medically recognized and highly effective contraceptive measure during the study period and within 6 months after the last administration of the study drug; For female participants of childbearing age, a serum pregnancy test must be conducted within 7 days before starting the study medication, and the result must be negative; No breastfeeding is allowed during the research period; 10. With my consent and signed informed consent form, I have good compliance and cooperated with follow-up.

Exclusion criteria

Exclusion criteria: 1.If subjects are treated with corticosteroids for clinical symptoms, they must receive a stable or gradually decreasing dose of = 2000 IU/mL), hepatitis C (hepatitis C antibody is positive, and HCV-RNA is higher than the detection limit of the analytical method) or people with co infection of hepatitis B and hepatitis C; 5. Within 14 days prior to the first use of the investigational drug, have used immunosuppressive drugs (i.e. not exceeding 10 mg/day of prednisone or its equivalent); 6. Vaccination with attenuated live vaccine within 4 weeks prior to the first administration or planned during the study period; 7. There is evidence of past or current pulmonary fibrosis, pneumoconiosis, radiological pneumonia, drug-induced pneumonia, and severe impairment of lung function; 8. Uncontrollable hypertension (systolic blood pressure >= 150 mmHg or diastolic blood pressure >= 90 mmHg, despite optimal drug treatment); 9. Suffering from grade II or above myocardial ischemia or myocardial infarction, poorly controlled arrhythmia (including QTc interval >= 450ms in males and >= 470ms in females). According to NYHA standards, patients with grade III-IV heart failure, or those with left ventricular ejection fraction (LVEF)38.5° C during screening/before the first administration; 11. Known history of allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation; 12. Pregnant or lactating women; Patients with fertility who are unwilling or unable to take effective contraceptive measures; 13. It is known that there may be allergic reactions, hypersensitivity reactions, or intolerance to Adabelimab or Carilizumab; 14. The researcher believes that there are any conditions that may harm the subjects or cause them to be unable to meet or perform the research requirements.

Design outcomes

Primary

MeasureTime frame
pCR;

Secondary

MeasureTime frame
MPR; EFS;OS;safety;

Countries

China

Contacts

Public ContactBin Li

The Second Hospital & Clinical Medical School, Lanzhou University

dr.leebin@qq.com+86 138 9311 2658

Outcome results

None listed

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