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Elective or Prophylactic Nodal Irradiation for Esophageal Cancer (ENI or PNI)
The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified March 2012 by LANG Jin-yi, The Second People's Hospital of Sichuan.
Recruitment status was: Active, not recruiting
Recruitment status was: Active, not recruiting
Sponsor:
LANG Jin-yi
Information provided by (Responsible Party):
LANG Jin-yi, The Second People's Hospital of Sichuan
ClinicalTrials.gov Identifier:
NCT01551589
First received: March 4, 2012
Last updated: March 8, 2012
Last verified: March 2012
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Purpose
This study examines contrast advantages and disadvantages of elective or prophylactic nodal irradiation in the treatment of esophageal cancer with three-dimensional conformed radiotherapy.
| Condition | Intervention | Phase |
|---|---|---|
| Esophageal Squamous Cell Carcinoma | Radiation: docetaxel and cisplatin concurrent chemoradiotherapy Radiation: docetaxel and cisplatin | Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Multicenter Prospective Randomized Phase III Trial Comparing Elective to Prophylactic Regional Lymph Node Irradiation for Thoracic Esophageal Cancer |
Resource links provided by NLM:
Further study details as provided by LANG Jin-yi, The Second People's Hospital of Sichuan:
Primary Outcome Measures:
- Local control rate/ Inside irrational field recurrence rate [ Time Frame: 2 year ]Evaluation after treatment 3 months and two years in the tumor local control and key observation radiation fields inside and outside the tumor recurrence and lymph node metastatic rate. To guide the rational clinical target volume of lymph node of esophageal cancer underwnet concurrent chemoradiotherapy and to Prolong the survival time, improve the quality of life of the patients.
Secondary Outcome Measures:
- 3-year Overall survival(OS) [ Time Frame: CT scans performed every 6 months for 3 years ]
- 3-year Disease-free survival [ Time Frame: CT scans every 6 months for 3 years ]
- Quality of life(QoL) [ Time Frame: Evaluation of quality of life every week for 3 months ]
- Safety and Tolerability [ Time Frame: CT scans every 3 months for 1 years ]Evaluation of treatment safety and the quality of life of the patients,the incidence rate of adverse events, especially radiation-induced lung toxicity
| Estimated Enrollment: | 320 |
| Study Start Date: | March 2012 |
| Estimated Study Completion Date: | September 2015 |
| Estimated Primary Completion Date: | September 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Elective nodal irradiation and CCRT |
Radiation: docetaxel and cisplatin concurrent chemoradiotherapy
Drug: Consists of docetaxel 60-80mg/m2 day 1 and cisplatin 25mg/m2 days 1 to 3, repeat every 3 weeks, for 2 cycles. only irradiate positive lymph node by CT or PET-CT Radiation: IMRT IMRT is administered with chemotherapy from week 1 to week 8 PTV-GTV（primary tumor）：66-70Gy/33~35F，once a day, 5 times per week PTV-CTV（Clinical target,primary tumor extended 3cm in Axial）：50-56Gy/33~35f，once a day, 5 times per week PTV-GTVnd（positive node）：66-70Gy/33~35F，once a day, 5 times per week |
| Active Comparator: Prophylactic nodal irradiation and CCRT |
Radiation: docetaxel and cisplatin
Prophylactic Irradiation easier involved lymph node region according to different primary tumor sites For upper site： CTV include Bilateral supraclavicular/1/2/4/7 region node，middle site：CTV include 2/4/7/8 region node；lower site：CTV include 4/5/7/8/16/17/18 node. CTV need include the region where the positive node is in the same time. Drug: docetaxel and cisplatin The concurrent consists of docetaxel 60-80mg/m2 day 1 and cisplatin 75mg/m2 days 1 to 3,repeat every 3 weeks, for 2 cycles. IMRT IMRT is administered with chemotherapy from week 1 to week 8 PTV-GTV（primary tumor）：66-70Gy/33~35F，once a day, 5 times per week PTV-CTV（Clinical target）：50-56Gy/33~35F，once a day, 5 times per week PTV-GTVnd（positive node）：66-70Gy/33~35F，once a day, 5 times per week |
Detailed Description:
Esophageal lymph node drainage area is rich, according to different sites, easy to metastasis to different regions. For patient underwent concurrent chemoradiotherapy, how reasonable design the clinical target volume of lymph node drainage area has always been controversial, one is to irradiate positive lymph nodes only, the other is to irradiate the easier involved lymph node area according to different sites, in order to contrast advantages and disadvantages of the two kind of target area design，so the study was designed.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years (Adult, Senior) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Age ≥ 18 and ≤ 80
- ECOG performance status 0-2
- Weight is not less than 90% of it before treatment
- Histologically proven primary thoracic esophageal squamous cell carcinoma previously untreated stage I-III
- Chest and abdominal contrast enhanced CT within 2 weeks prior to registration(PET/CT scan is selective)
- WBC ≥ 4.0X109/L ,Absolute neutrophil count (ANC) ≥ 2.0X109/L
- Platelets ≥ 100X109/L
- Hemoglobin ≥ 90g/L(without blood transfusion)
- AST (SGOT)/ALT (SGPT) ≤ 2.5 x upper limit of normal, Bilirubin ≤ 1.5 x upper limit of normal
- Creatinine ≤ 1.5 x upper limit of normal
- Sign study-specific informed consent prior to study entry -
Exclusion Criteria:
- Multiple primary esophageal tumors
- Prior invasive malignancy (except non-melanomatous skin cancer) unless disease free for a minimum of 2 years (For example, carcinoma in situ of the breast, oral cavity, or cervix are all permissible).
-
Severe, active comorbidity, defined as follows:
- Unstable angina and/or congestive heart failure requiring hospitalization within the last 3 months
- Transmural myocardial infarction within the last 6 months
- Acute bacterial or fungal infection requiring intravenous antibiotics at the time of registration
- Chronic obstructive pulmonary disease exacerbation or other respiratory illness requiring hospitalization or precluding study therapy at the time of registration
- Acquired immune deficiency syndrome (AIDS) based upon current CDC definition; note, however, that HIV testing is not required for entry into this protocol. The need to exclude patients with AIDS from this protocol is necessary because the treatments involved in this protocol may be significantly immunosuppressive.
- Pregnancy or women of childbearing potential and men who are sexually active and not willing/able to use medically acceptable forms of contraception.
- Prior systemic chemotherapy, prior radiation therapy or prior target drug therapy
Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01551589
Please refer to this study by its ClinicalTrials.gov identifier: NCT01551589
Locations
| China, Guangxi | |
| Guangxi Tumor Hospital | |
| Nanning, Guangxi, China, 530021 | |
| China, Guizhou | |
| GuiZhou Cancer Hospital | |
| Guiyang, Guizhou, China, 550000 | |
| China, Sichuan | |
| The Second People's Hospital of Sichuan | |
| Chengdu, Sichuan, China, 610000 | |
| China, Yunnan | |
| Yunnan Tumor Hospital, The Third Affiliated Hospital of KUNMING Medical University | |
| Kunming, Yunnan, China, 652100 | |
Sponsors and Collaborators
LANG Jin-yi
Investigators
| Study Chair: | JINYI LANG, M.D. | The Second People's Hospital of Sichuan |
More Information
| Responsible Party: | LANG Jin-yi, Chairman of Radiotherapy department, The Second People's Hospital of Sichuan |
| ClinicalTrials.gov Identifier: | NCT01551589 History of Changes |
| Other Study ID Numbers: |
CSWOG0001 BT-IST-SCCHN-037 ( Other Identifier: BT-IST-SCCHN-037 ) |
| Study First Received: | March 4, 2012 |
| Last Updated: | March 8, 2012 |
Keywords provided by LANG Jin-yi, The Second People's Hospital of Sichuan:
|
Esophageal squamous cell carcinoma Concurrent chemoradiotherapy Clinical target volume Safety Prognosis |
Additional relevant MeSH terms:
|
Carcinoma, Squamous Cell Esophageal Neoplasms Carcinoma Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Neoplasms, Squamous Cell Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Head and Neck Neoplasms |
Digestive System Diseases Esophageal Diseases Gastrointestinal Diseases Docetaxel Cisplatin Antineoplastic Agents Tubulin Modulators Antimitotic Agents Mitosis Modulators Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on June 22, 2017