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A Study of Hypofractionated Radiation Therapy in Radical Chemoradiotherapy for Esophageal Cancer

A Phase II Trial on the Efficacy of Hypofractionated Radiation Therapy in Concurrent Chemoradiotherapy for Curative Intent in Primary or Recurrent Esophageal Cancer (Moderate hypofractionated Esophageal Irradiation: MEI trial)

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT1030250515
Enrollment
60
Registered
2025-11-20
Start date
2025-11-20
Completion date
Unknown
Last updated
2026-06-29

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

Conditions

Esophageal cancer Esophageal cancer

Interventions

For chemoradiotherapy in primary or recurrent esophageal cancer, the radiation delivery method shall be hypofractionated. Specifically, the prescribed dose to 95% of the planned target volume (PTV) sh
Radiation Therapy

Sponsors

Yamashita Hideomi
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Esophageal cancer patients diagnosed with stage I-IVA according to the UICC-TNM classification (9th edition) or stage IVB with supraclavicular lymph node metastasis only, using various imaging diagnostic methods (FDG-PET [PET/CT] is mandatory); or cases determined to require additional treatment after ESD; or patients with small-volume recurrent esophageal cancer at the primary site or thoracic/abdominal lymph node sites after subtotal resection, among whom: 1) Cases histologically confirmed as squamous cell carcinoma, adenocarcinoma, basaloid carcinoma, or a mixture thereof 2) Cases where the attending physician determined the patient was eligible for platinum-based chemoradiotherapy 3) Cases with pre-treatment blood tests showing KL-6 levels below 1000 U/mL 4) Cases where written informed consent was obtained from the patient

Exclusion criteria

Exclusion criteria: 1) Patients with active concurrent cancers considered to have a poorer prognosis than esophageal cancer 2) Patients who are pregnant, may be pregnant, or are breastfeeding 3) Patients who are deemed unable to understand the explanation of the trial 4) Patients deemed ineligible for this trial by the responsible physician

Design outcomes

Primary

MeasureTime frame
Two-year progression-free survival

Secondary

MeasureTime frame
Control rate within the radiation field Overall survival (OS) Cancer-specific survival (CSS) Incidence rate of grade 3 or higher acute adverse events Cumulative incidence rate of grade 3 or higher late adverse events up to 2 years after the start of radiation therapy Quality of life assessment using FACT-E (Functional Assessment of Cancer Therapy-Esophageal) Radiation therapy completion rate

Contacts

Public ContactMei Kono

The University of Tokyo Hospital

mei.kono.tky@gmail.com+81-3-3815-5411

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026