Advanced Esophageal Carcinoma
Conditions
Brief summary
There are few studies about 2nd line treatment in advanced esophageal carcinoma (AEC), some showed that irinotecan may be effective. The investigators previous study has shown the efficacy and safety of paclitaxel/cisplatin as 1st line treatment, so in this phase II study, the investigators would like to observe the efficacy and safety of Nimotuzumab plus Irinotecan/5FU/leucovorin as 2nd line treatment if AEC after failure to 1st treatment of PTX/DDP.
Interventions
DRUGmFOLFIRI+Nimotuzumab
irinotecan 180mg/m2，iv ，d1，LV 200 mg/m2 ，2h，d1，5-FU 400 mg/m2， iv，d1 5-FU 2400mg/m2，CIV，46h，q2w Nimotuzumab 200mg，iv，qw
Sponsors
Peking University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Histologically confirmed esophageal squamous carcinoma,failed to 1st line treatment of paclitaxel/cisplatin * Age 18 to 75 years old * Measurable disease according to the RECIST criteria(diameter of the lesion should be more than 10mm by spiral CT or MRI, more than 20mm by common CT, the date of image should be less than 15 days before enrollment) * Life expectancy of ≥3 month * Karnofsky performance status ≥80 * WBC\>3,500/mm3, absolute neutrophil count ≥2000/mm3, platelet\>100,000/mm3, Hb\>9g/dl，Bilirubin level \< 1.0 times ULN，Serum creatinine \<1.0 times ULN，ALT and AST\<2.5 times ULN ，AKP \< 2.5 times ULN ，(≤5 times ULN in patients with liver metastases)(within 7 days before enrollment) * No sever complication, such as active gastrointestinal bleeding, perforation, jaundice, obstruction, non-cancerous fever\>38℃； * Normal ECG/cardiac function * Good compliance * Having signed informed consent
Exclusion criteria
* More than 1 Previous systemic therapy for metastatic esophageal squamous carcinoma * Known hypersensitivity to study drugs * Tumor with length≥10cm, liver metastasis covers more than 50% of liver,or lung metastasis covers more than 25% of lung * No measurable lesions, eg. pleural fluid and ascites * Only with Other previous malignancy within 5 year, except non-melanoma skin cancer * Heart failure or other sever organ dysfunction, eg. coronary artery disease, myocardial infarction within the last 6 months only Brain or bone metastasis * Chronic diarrhea * Mentally abnormal or disable cognition,including CNS metastasis * Pregnancy or lactation period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| overall survival | 2 years |
| adverse events | 2 weeks |
Secondary
| Measure | Time frame |
|---|---|
| progression-free survival | 1year |
| response rate | 6 weeks |
| disease control rate | 6 weeks |
Countries
China
Contacts
Primary Contactxiaodong zhang, MD
Outcome results
None listed