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Trial of Concurrent Chemoradiotherapy for Locally Advanced Esophageal Cancer

A Phase I/II Trial of Weekly Regimens of Nab-paclitaxel Plus Cispaltin Combined With Concurrent IMRT for Inoperable,Locally Advanced Esophageal Carcinoma

Status
UNKNOWN
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02762474
Enrollment
30
Registered
2016-05-05
Start date
2014-07-31
Completion date
2017-12-31
Last updated
2017-02-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Esophageal Cancer

Keywords

nab-paclitaxel, IMRT, esophageal cancer

Brief summary

This trial is going to evaluate the efficacy and safety of IMRT / nab-TP chemotherapy for unresectable esophageal cancer, and to investigate the optimal concurrent chemotherapy regimen for local advanced and unresectable esophageal cancer patients.

Detailed description

Esophageal carcinoma is the sixth leading cause of cancer-related mortality from cancer with 407000 deaths and the eighth most common cancer worldwide. Concurrent chemoradiotherapy remains the mainstay of treatment for locally advanced esophageal cancer. Paclitaxel combined with radiotherapy was high efficiency and achieved encouraging results. Compared with paclitaxel, nab-paclitaxel has a low toxicity, low allergy and the tolerance is better than paclitaxel. According to the pre-clinical results, investigators designed a prospective study, which is combined nab-paclitaxel and cisplatin with concurrent chemoradiotherapy for the patients with locally advanced esophageal cancer, and evaluated the tolerability and efficacy. we design enrolled 30 patients, the end point included toxicity, progression-free survival and overall survival.

Interventions

DRUGnab-paclitaxel group

Weekly Regimens of Nab-paclitaxel Plus Cispaltin Combined With Concurrent IMRT

Sponsors

Tianjin Medical University Cancer Institute and Hospital
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

1. inoperable locally advanced histologically confirmed esophageal cancer (T3N0M0-TxNxM1a(AJCC 2002) 2. ECOG performance status scale 0-1 3. at least 1 measurable target lesions 4. white blood count ≥ 3,500/mm3, absolute neutrophil count ≥ 1,500/mm3, platelet count ≥ 100,000/mm3, hemoglobin count ≥ 90 g/dL, serum bilirubin level \< 1.5 of the upper limit of normal (ULN) for the institution, aspartate aminotransferase, alanine aminotransferase and alkaline phosphatase ≤ 2.5 ULN, serum albumin ≥ 30g/L, serum creatinine ≤ 1.5 ULN; and 5. normal cardiac function with no severe heart disease.

Exclusion criteria

1. history of esophagectomy 2. pregnancy or breast feeding 3. past history of other cancers except for cured non-melanoma skin cancer or cervical cancer; 4. concomitant treatment with other anticancer drugs.

Design outcomes

Primary

MeasureTime frame
Progress free survival3 years

Secondary

MeasureTime frame
Overall survival3 years
CTCAE 4.0 toxicity6 months

Countries

China

Contacts

Primary ContactPing Wang, M. D.
wangping@tjmuch.com0862223340123
Backup ContactPing Wang, M. D.
wangping@tjmuch.com

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026