Esophageal Carcinoma
Conditions
Keywords
Esophageal Carcinoma, Neoadjuvant therapy, Prognosis
Brief summary
The prognosis and safety of patients with locally advanced esophageal squamous cell carcinoma were compared with different neoadjuvant therapy modes in multi-cancer centers in China
Detailed description
Neoadjuvant chemoradiotherapy or neoadjuvant chemotherapy combined with surgery are the main treatment methods for patients with locally advanced esophageal squamous cell carcinoma, but some patients still have local recurrence or distant metastasis after surgery. In the era of immunotherapy, immune checkpoint inhibitor monotherapy or combined chemotherapy has become the first-line and second-line standard treatment for recurrent or metastatic esophageal cancer and has been recommended by NCCN guidelines. However, relevant studies on immunotherapy's participation in neoadjuvant therapy have shown good results, but it is still in its initial stage, and its efficacy needs further research and discussion.Thus, we compared the prognosis and safety of patients with locally advanced esophageal squamous cell carcinoma who received different neoadjuvant therapy before surgery, including neoadjuvant chemoradiotherapy, neoadjuvant chemotherapy, neoadjuvant chemotherapy combined with immunotherapy, and neoadjuvant chemoradiotherapy combined with immunotherapy in several cancer centers in China.
Interventions
None listed
Sponsors
Tianjin Medical University Cancer Institute and Hospital
Fujian Cancer Hospital
Shandong Cancer Hospital and Institute
Shanxi Province Cancer Hospital
Jiangsu Cancer Institute & Hospital
Sichuan Cancer Hospital and Research Institute
Hebei Medical University Fourth Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Age ≥18 years, male or female; 2. KPS score (KPS) ≥70; 3. Esophageal squamous cell carcinoma confirmed by histopathology; 4. Clinical stage cT1b-4aN+M0,T3-4aN0M0; 5. Surgical resection was performed after 2\ 4 cycles of neoadjuvant therapy. 6. Expected survival \> 6 months.
Exclusion criteria
1. Have a history of other malignancies (except for cancer in situ that has been cured and other malignancies that have been cured for more than 5 years); 2. There are contraindications of immunotherapy or chemoradiotherapy; 3. Inability to tolerate or refuse surgery; 4. Distant metastasis has occurred;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of pathological complete response rate (pCR) after surgical resection in patients with locally advanced esophageal squamous cell carcinoma receiving different neoadjuvant therapy | 2015.1.1-2023.12.31 | Pathological complete response (pCR) is defined as the absence of residual tumor cells after evaluation of removed tumor tissue and regional lymph nodes. |
| Comparison of major pathological response (MPR) after surgical resection in patients with locally advanced esophageal squamous cell carcinoma receiving different neoadjuvant therapy | 2015.1.1-2023.12.31 | Major pathological response (MPR) is defined as a tumor that has significantly shrunk or decreased in the pathological evaluation, but still has a small number of residual tumor cells. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of the overall survival (OS) after surgical resection in patients with locally advanced esophageal squamous cell carcinoma receiving different neoadjuvant therapy | 2015.1.1-2025.12.31 | OS is defined as the time from the start of enrollment to death from any cause |
| Comparison of the disease-free survival (DFS) after surgical resection in patients with locally advanced esophageal squamous cell carcinoma receiving different neoadjuvant therapy | 2015.1.1-2025.12.31 | DFS difined as the time between the start of the enrollment and the recurrence of disease, or death from any cause. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Comparison of incidence of treatment-related adverse evants after surgical resection in patients with locally advanced esophageal squamous cell carcinoma receiving different neoadjuvant therapy | 2015.1.1-2025.12.31 | Adverse events are observed during the course of the study and assessed according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE V5.0). |
Countries
China
Outcome results
None listed