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Real-world Experience of ICIs Plus Chemotherapy for Advanced ESCC.

Real-world Experience of Anti-PD-1 Immunotherapy Plus Chemotherapy as First-line Treatment for Patients With Advanced Oesophageal Squamous Cell Carcinoma in China(REACTION Trial).

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05142709
Enrollment
1197
Registered
2021-12-03
Start date
2021-10-31
Completion date
2025-12-31
Last updated
2026-02-05

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

Conditions

Metastatic Esophageal Squamous Cell Carcinoma

Brief summary

This study is a multi-center, non-interventional study. Clinicopathologic, treatment , outcome and efficacy data will be collected from medical records in metastatic esophageal squamous cell carcinoma (ESCC) patients.

Detailed description

This study is a multi-center, non-interventional study. Patients' background, treatment pattern, treatment outcome, efficacy will be collected in metastatic esophageal squamous cell carcinoma (ESCC) patients who were treated with ICIs as 1st line treatment at approximately 26 institutions. The patients should have received at least 1 cycle of anti-PD-1 immunotherapy with or without radiotherapy. Based on these data, overall survival (OS), progression free survival (PFS) from start of 1st line treatment and the role and efficacy of radiotherapy for these patients will be assessed.

Interventions

DRUGAnti-PD-1 Immune Checkpoint Inhibitors

used as 1st line treatment for metastatic ESCC.

Sponsors

Fudan University
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

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

Inclusion criteria

Age \> 18, had an Eastern Cooperative Oncology Group performance status score of 0-3; Patients had unresectable or recurrent disease that precluded esophagectomy or definitive chemoradiation, or distant metastatic disease; Patients had received no previous systemic therapy (patients who had progressed ≥6 months after \[neo\]adjuvant therapy or definitive chemoradiation were eligible); Patients accepted at least one cycle of anti-PD-1 immunotherapy as 1st line treatment, combined chemotherapy was allowed. Patients who provided informed consent by appropriate methods. In dead case, optout will be applicable.

Exclusion criteria

Patients who are prior exposure to immune-mediated therapy.

Design outcomes

Primary

MeasureTime frameDescription
OS from start of 1st line treatment in metastatic ESCC2 yearsMedian OS and OS rate at 12 months, 18 months and 24 months will be analysed based on Kaplan-Meier method and presented along with its 95% confidence interval.

Secondary

MeasureTime frameDescription
PFS from start of 1st line treatment in metastatic ESCC18 monthsMedian PFS and PFS rate at 6 months, 12months and 18 months will be analysed based on Kaplan-Meier method and presented along with its 95% confidence interval.
the role of radiotherapy for patients treated with 1st immunotherapy.2 yearsCompare the median OS and PFS and the rates between the group of patients treated with or without radiotherapy.

Countries

China

Contacts

PRINCIPAL_INVESTIGATORLvhua Wang, M.D.

Cancer Hospital Chinese Academy of Medical Science, Shenzhen Center

PRINCIPAL_INVESTIGATORKuaile Zhao, M.D.

Fudan University

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026