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External beam radiation therapy versus stent insertion for dysphagia relief in esophageal cancer: a multi-center randomized trial

External beam radiation therapy versus stent insertion for dysphagia relief in esophageal cancer: a multi-center randomized trial - EXTENT trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON48565
Enrollment
220
Registered
2018-11-14
Start date
2019-05-03
Completion date
Unknown
Last updated
2024-04-15

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

Conditions

difficulty swallowing due to esophageal cancer Dysphagia due to esophageal cancer

Interventions

Patients will be randomized to either EBRT (5 fractions of 4 Gy each with opposing fields in anterior-posterior direction) or SEMS insertion (partially covered Niti-S S Esophageal Stent).

Sponsors

Erasmus MC, Universitair Medisch Centrum Rotterdam
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: Histologically proven esophageal cancer Patients with metastases or inoperable patients No curative treatment options available Dysphagia grade of * 2 Age * 18 years Written informed consent

Exclusion criteria

Exclusion criteria: Malignant extrinsic compression Previous stent placement Evidence of tumor within 2 cm of the upper esophageal sphincter Presence of an esophagotracheal and/or -bronchial fistula

Design outcomes

Primary

MeasureTime frame
Primary outcome of this study will be *dysphagia response*, regarded as *1 grade reduction of the Dysphagia Scoring Scale (DSS). Assessment of primary outcome will be conducted at 4-weeks follow-up.

Secondary

MeasureTime frame
Secondary study endpoints include: - Dysphagia response over time - Pain intensity - Major and minor complication rate - Quality of Life - Costs - Dysphagia free survival and overall survival

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)