Esophageal Neoplasms
Conditions
Brief summary
This phase III trial is designed to explore a higher radiation dose by using IMRT simultaneous integrated boost technique with or without concurrent chemotherapy for esophageal carcinoma with limited lymph node metastasis.
Interventions
PTV:50.4Gy/28f, PGTV:59.92Gy/28f
45-50 mg/m2, once a week, concurrent with radiotherapy for 5-6weeks
Nedaplatin or Lobaplatin or Cisplatin, 20-25mg/m2, once a week, concurrent with radiotherapy for 5-6weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Age\<70 * Diagnosis of clinical stage T2-4N0-1M1(According to UICC 2002) * A untreated squamous esophageal carcinoma * Karnofsky performance status(KPS)≥ 70 and Charlson score ≤3 * Adequate organ function * No known history of drug allergy * Blood routine examination : WBC≥4.0 * hepatic and renal function are normal
Exclusion criteria
* Age≥ 70 or \< 18 * Already received the treatment of chemotherapy or radiotherapy * Pregnant or lactating females * Known drug allergy * Without agreement of informed consent form * Insufficient hepatorenal function or Blood routine examination * Severe cardiovascular diseases, diabetes with uncontrolled blood sugar, mental disorders, uncontrolled severe infection, active ulceration which need intervention.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival(OS) | 1 year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progress free survival(PFS) | 1 year | — |
| Local recurrence-free rate(LRFS) | 1 year | — |
| Completion Rate | up to 2 year | the completion rate of each arm |
| Adverse events | up to 5 year | — |
Countries
China