Esophageal Cancer
Conditions
Keywords
Esophageal Cancer, DC-CIK, immunotherapy, cellular therapy, radiation therapy
Brief summary
Cytokine-induced killer (CIK) cells show cytolytic activity against tumor. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining Radiation therapy with adoptive cellular therapy after surgery may be more effective than uses radiation therapy alone in treating esophageal cancer.
Interventions
Patients only radiation therapy after surgery
Patients receive radiation therapy plus DC-CIK cellular therapy after surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* cytologically or histologically confirmed esophageal carcinoma * Tumor extension beyond muscularis propria and/or nodal involvement without evidence of M1 disease * Prior en bloc resection, with curative intent, of all known tumor * No metastatic disease * Age: \> 18 * Karnofsky performance status ≥ 70 * At least 3 weeks since prior surgery * Normal functions of heart, lung, liver, kidney and bone marrow * Blood exams qualified for chemotherapy, which included hemoglobulin ≥9 g/dl, neutrophil ≥1.5×109/L and platelet (PLT) ≥100×109/L, creatinine ≤1.5 UNL * All patients must be evaluated by a radiation oncologist prior to enrollment to ensure patient is appropriate for radiotherapy * Informed consent signed
Exclusion criteria
* Patients with metastatic disease. * Patients who are pregnant or nursing. * Patients with poor bone marrow, liver and kidney functions, which would make radiation therapy intolerable * Patients with contraindication for irradiation: complete obstruction of esophagus, deep esophageal ulcer, fistula to mediastinum, or haematemesis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disease free survival | 4 years |
Secondary
| Measure | Time frame |
|---|---|
| quality of life | Initial assessment → months 1,3,6 and 12 |
Other
| Measure | Time frame |
|---|---|
| Immunological assessment | Initial assessment, months 1,3,6and 12 |
Countries
China