Esophageal Cancer
Conditions
Keywords
Esophageal cancer, Esophagectomy, Paclitaxel, Induction chemotherapy
Brief summary
We hypothesize that one-cycle induction chemotherapy may also help to identify chemo-responsive esophageal cancer patients who are highly treatable by definitive CCRT.
Detailed description
We hypothesize that one-cycle induction chemotherapy may also help to identify chemo-responsive esophageal cancer patients who are highly treatable by definitive CCRT.in order to test this hypothesis, we thus propose this phase II clinical study to verify the role of response to one-cycle induction chemotherapyin the prediction of pathologic complete response rate to CCRT and tje outcomes for patients with loco-regional esophageal cancer.
Interventions
To determine whether clinical response to one cycle of induction chemotherapy (TP-HDFL) could predict the pathologic complete response to preoperative chemoradiotherapy (TP-CCRT) in patients with locally advanced esophageal cancer.
Sponsors
Study design
Eligibility
Inclusion criteria
* Pathologically proven esophageal cancer * Locally advanced diseases T3 N0-1 M0; T1-3 N1 M0; T1-3 or N0-1 M1a * Age ≥ 18 years old * ECOG ≤ 2 * Creatinine \< 1.5 mg/dl AST, ALT \< 2.5 x upper normal limits Bilirubin \< 2.0 mg/dl * WBC \> 4,000/μl or ANC\>2,000/μl * Platelet \> 100,000//μl * Informed consent
Exclusion criteria
* Invasion to surrounding organs (T4 disease) * Distant mets (except M1a) * Prior thoracic irradiation * Presence of other squamous cell carcinoma of aerodigestive way * Symptomatic co-morbid diseases * Previous malignancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine whether clinical response to one cycle of induction chemotherapy (TP-HDFL) could predict the pathologic complete response to preoperative chemoradiotherapy (TP-CCRT | 2 years |
Countries
Taiwan