Esophageal Squamous Cell Carcinoma
Conditions
Brief summary
This primary objective of the trial is to study whether the local control of Huachansu plus thoracic radiotherapy is better compared to thoracic radiotherapy alone for patients with esophageal squamous cell carcinoma. It's a phase II study, 134 patients are expected to be recruited into the trial.
Interventions
Huachansu 20 ml/m2/d, intervenous infusion, once a day, 5 times per week, during the period of radiation.
A total dose of 61.2 Gy will be delivered in 34 fractions at 1.8 Gy/fraction, 5 fractions per week in 6.8 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Joined the study voluntarily and signed informed consent form. 2. Age \>75 or age 18-75 who are intolerant of or reject intravenous chemotherapy. 3. Both genders. 4. Esophageal squamous cell carcinoma confirmed by pathology. 5. Local advanced esophageal squamous cell carcinoma (T2-4N0-1M0-1a,TxN1M0-1a,TxNxM1a, AJCC 6th). 6. No radiotherapy, chemotherapy or other treatments prior to enrollment. 7. PS ECOG 0-2,wight loss\<30% during the latest 6 months. 8. Life expectancy of more than 3 months. 9. Hemoglobin(Hb)≥9 g/dL,WBC≥3x109/L, Neutrophils (ANC )≥1.5x109/L platelet count (Pt) ≥100x 109/L.Hepatic function: ALAT and ASAT \< 2.5 x ULN, TBIL\<1.5 x ULN.Renal function: creatinine \< 1.5 x ULN. 10. No immuno-deficiency 11. No heart diseases that need cardiac glycoside 12. Use of an effective contraceptive for adults to prevent pregnancy.
Exclusion criteria
1. Complete esophageal obstruction. 2. Deep esophageal ulcer. 3. Esophageal perforation. 4. Haematemesis. 5. After surgery, exploratory thoracotomy, radiotherapy, chemotherapy, or targeting therapy. 6. Other malignant tumors, except for skin basal cell carcinoma, or cervical carcinoma in situ, who survived with no evidence disease for over 3 years. 7. Pregnant or breast-feeding women or people during the birth-period who refused to take contraceptives. 8. Drug addiction,Alcoholism or AIDS.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Local control rate | the date of randomization until progression inside the irradiation field, up to 3 years. | The outcome measure will be assessed by every 3-month follow-up examinations. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| overall survival | the date of randomization until the death or the last follow up of the patients, up to 3 years. | The survival time from date of randomization to the day of death or the last follow-up. |
| progress-free survival | the date of randomization until progression or death from any cause, up to 3 years | Measured from date of randomization until progression or death from any cause |
Countries
China