Advanced esophageal cancer
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ) Histologically diagnosed with esophageal squamous cell carcinoma or adenosquamous carcinoma 2) Unresectable esophageal with primary tumor 3) Dysphagia with score of 1 or higher. *Passability of upper gastrointestinal endoscopy is not a criterion 4) Age 20 or older 5) ECOG Performance Status (PS) of 0-2 6) Receives first-line treatment with checkpoint inhibitor combined chemotherapy (nivolumab + 5-FU + cisplatin, pembrolizumab + 5-FU + cisplatin), or nivolumab + ipilimumab therapy, with an expected treatment duration of at least 8 weeks 7) Written consent obtained
Exclusion criteria
Exclusion criteria: 1) Expected prognosis of less than 3 months 2) History of receiving checkpoint inhibitor therapy 3) History of radiation therapy to the primary esophageal cancer, or planned concurrent chemoradiation therapy 4) Presence of uncontrollable comorbidities or serious complications 5) Presence of a mental disorder that makes it difficult to complete questionnaires 6) Considered unsuitable for enrollment in this study by the attending physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of patients who have an improvement of dysphagia score and who can accommodate passage of an endoscope (endoscope with a diameter of 8.9-10.4 mm) at 8 weeks from the start of treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Proportion of sustained efficacy at the primary site at 24 weeks 2) Proportion of primary tumor reduction equivalent to T1 within 24 weeks 3) Overall survival (OS) and the relationship between efficacy of primary tumor and OS 4) Overall response rate (ORR) and the relationship between efficacy of primary tumor and ORR 5) Progression-free survival (PFS) 6) Duration of sustained improvement in dysphagia score (Dysphagia PFS) 7) Proportion of patients weaned off supplemental nutrition 8) Proportion of patients receiving additional treatment for the primary tumor 9) Safety | — |
Countries
Japan
Contacts
Toyama University Hospital Third department of internal medicine