Esophageal Cancer
Conditions
Keywords
esophageal cancer, Gemcitabine, Cisplatin, 5-FU, Folinic Acid, inoperable esophageal cancer
Brief summary
This multicenter open labeled phase 2 trial examines the efficacy of a combination of Gemcitabine 1000 mg/m2 (30 min), Cisplatin 30 mg/m2 (90 min), Folinic Acid 200 mg/m2 (30 min) and 5-FU 750 mg/m2 (24h CI) all given day 1,8 q D22 in patients with inoperable esophageal cancer. The combination was considered to be suitable for further evaluation with a freedom of progression rate (PR+CR+SD) of more than 60% and not be be of further interest with a rate of less than 40%. Given an alpha error of 5% and an beta error of 10% at least 66 evaluable patients were needed based on a 2-Stage Simon design with a first evaluation after 25 evaluable patients.
Interventions
Gemcitabine 1000 mg/m2 (30 min)
Cisplatin 30 mg/m2 (90 min)
5-FU 750 mg/m2 (24h CI)
Folinic Acid 200 mg/m2 (30 min)
Sponsors
Study design
Eligibility
Inclusion criteria
* Age\>=18 * Histologically proven inoperable esophageal cancer * Karnofsky Performance status \>=60% * Estimated life expectancy of \> 12 weeks * Measurable disease * No other oncologic therapy * Measurable disease * Adequate bone marrow function * Geographic proximity and compliance * Informed consent * Negative pregnancy test and adequate contraception
Exclusion criteria
* Insufficient hepatic or renal function * Elevated serum calcium * Pregnancy/breast feeding * Active infection * Other malignancies * Systemic tumour complications requiring emergency interventions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint rate of freedom of progression (PR+CR+SD). | Max. 8 cycles of therapy |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoint median survival, progression free survival and toxicity. | 3 years |
Countries
Germany