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Efficacy comparison of immunotherapy combined with low-dose chemotherapy versus immunotherapy combined with standard-dose chemotherapy in neoadjuvant therapy for esophageal carcinoma: A non-inferiority study

Efficacy comparison of immunotherapy combined with low-dose chemotherapy versus immunotherapy combined with standard-dose chemotherapy in neoadjuvant therapy for esophageal carcinoma: A non-inferiority study

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500108447
Enrollment
Unknown
Registered
2025-08-29
Start date
2025-09-01
Completion date
Unknown
Last updated
2025-09-01

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

Conditions

Esophagus carcinoma

Interventions

immunotherapy combined with low-dose chemotherapy : albumin-bound paclitaxel 182 mg/m2 day 1, cisplatin 53 mg/m2 day 1, and tislelizumab 200mg day 3.
immunotherapy combined with standard-dose chemotherapy: albumin-bound paclitaxel 260mg/m2 day 1, cisplatin 75 mg/m2 day 1, and tislelizumab 200mg day 3.

Sponsors

The First Affiliated Hospital of Fujian Medical University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: (1)Histopathologically or cytologically confirmed esophageal squamous cell carcinoma. (2) Confirmed as thoracic esophageal cancer by computed tomography, magnetic resonance imaging, and endoscopic ultrasonography, with TNM staging (8th edition of the Union for International Cancer Control) of T1b-3N1-3M0 or T3N0M0. (3) Age between 18 and 80 years old. (4) Eastern Cooperative Oncology Group (ECOG) performance status score of 0 - 1. (5) No prior anti-tumor treatment for esophageal cancer, including radiotherapy, chemotherapy, or surgery. (6) No contraindications to undergoing surgery. (7) Normal function of major organs, including hematology, blood biochemistry, and coagulation function, without other serious concomitant diseases. (8) Provide written informed consent and volunteer to participate in the study.

Exclusion criteria

Exclusion criteria: (1)Age 80 years old. (2) Concurrent presence of other malignancies. (3) History of intra-abdominal surgery, thoracic surgery, or esophageal surgery. (4) Use of immunosuppressive drugs or systemic corticosteroid therapy for immunosuppressive purposes within 2 weeks before the first dose of the study drug. (5) undergoing major surgery or experiencing serious trauma within 4 weeks before the first dose of the study drug (6) Any active or past autoimmune disease, including but not limited to interstitial pneumonia, enteritis, hepatitis, hypophysitis, vasculitis, nephritis, hyperthyroidism, hypothyroidism, etc., severe infectious diseases, or other serious underlying disease.

Design outcomes

Primary

MeasureTime frame
pathological complete response;

Secondary

MeasureTime frame
major pathological response;R0 resection rate;objective response rate;disease control rate;Safety;

Countries

China

Contacts

Public ContactXu Li

The First Affiliated Hospital of Fujian Medical University

lixu1967@fjmu.edu.cn+86 137 0501 1308

Outcome results

None listed

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