Esophageal Squamous Cell Carcinoma
Conditions
Keywords
Once-daily Simultaneous Modulated Accelerated Radiotherapy, S-1, DDP, elderly patients
Brief summary
This Prospective, single-arm Phase Ⅱ study is to determine the efficacy and safety of Once-daily Simultaneous Modulated Accelerated Radiotherapy combined with S-1/DDP for geratic esophageal squamous cell carcinoma patients.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Pathologically or cytologically confirmed esophageal squamous cell carcinoma. * Stage II-IVa ESCC confirmed by endoscopic ultrasonography(EUS) and imaging studies. * Aging from 70 to 80. * Eastern Cooperative Oncology Group (ECOG) performance status 0-2. * Charlson's weighted index of comorbidities (WIC) ≤4; * White blood cell count ≥4×109 /L, neutrophile granulocyte count≥1.5×109 /L, platelet count≥100×109 /L, hemoglobin ≥100 g /L, serum creatinine and bilirubin 1.5 times less than the upper limits of normal (ULN),aminotransferase two times less than the ULN. * Weight loss ≤15% within the past half year. * Forced expiratory volume in 1 s≥ 1 L. * Patients and their family signed the informed consents.
Exclusion criteria
* Previous or recent another malignancy, except for nonmelanoma skin cancer or cervical cancer in situ. * Already received antineoplastic therapy,including chemotherapy, radiotherapy or operation. * Any contraindication for chemotherapy or radiotherapy(such as a myocardial infarction within 6 months,immunosuppressive therapy,symptomatic heart disease,including unstable angina pectoris, congestive heart failure,and uncontrolled arrhythmia.) * Malignant pleural effusion or pericardial effusion. * Weight loss \>10% within the past 3 months. * Recruited in other clinical trials within 30 days * Drug addiction, long-term alcohol abuse and AIDS patients. * Uncontrollable epileptic attack or psychotic patients without self-control ability. * Severe allergy or idiosyncrasy. * Not suitable for this study judged by researchers.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical response rate | 2-year | the percentage of patients who had partial remission or complete remission after chemoradiotherapy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| progression-free survival | 3-year | — |
| overall survival | 3-year | — |
| grade 3 or 4 toxicities according to CTCAE4.0 | 1 year after radiochemotherapy | the percentage of patients who develop grade 3 or 4 toxicities during and 1 year after radiochemotherapy |
Countries
China