Status:
TERMINATED
Study of Combination of Cetuximab and Radiotherapy Added to the Standard Treatment for Oesophageal Adenocarcinoma
Lead Sponsor:
P.O. Witteveen
Collaborating Sponsors:
Merck KGaA, Darmstadt, Germany
Conditions:
Resectable Esophageal Cancer
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
The purpose of this study is to determine whether the addition of the combination between cetuximab and radiotherapy to the standard chemotherapy for resectable oesophageal cancer is safe and adds eff...
Detailed Description
This study aims at developing a novel strategy to optimize the treatment of oesophageal adenocarcinoma and gastro-oesophageal junctional tumors with curative intent. Surgery in combination with peri-o...
Eligibility Criteria
Inclusion
- Histologically proven resectable adenocarcinoma of the lower oesophagus and gastric-oesophageal junction
- Tumour stage: T2-3 N0-1 M0, as assessed by endoscopic ultrasound and CT-scan of thorax and abdomen and ultrasound neck region. For the patients treated in this study the gastro-oesophageal junctional tumors will be staged as oesophageal tumors with respect to their lymphnode metastases.
- Age \>18y and written informed consent after at least 4 days of deliberation time from the moment the patient information has been given and has been explained.
- Weight loss \< 10% in 0.5 yr
- WHO performance status 0-1
- No prior radiotherapy or chemotherapy for the adenocarcinoma of the oesophagus
Exclusion
- Previous malignancy other than basal cell carcinoma of the skin or local resection for cervical carcinoma in situ.
- Inadequate organ function as defined by:
- Inadequate haematology (Hb \< 5,5 mmol/L (red blood cell transfusions are allowed to increase the Hb at the discretion of the investigator) - neutrophils \< 1,5 109/L -platelets \<100\*109/L),
- Liver enzyme elevation (bili \> 1,5\*ULN - ASAT \> 2,5\*ULN - ALAT \> 2,5\*ULN) or
- Impaired renal function (creatinine clearance by cockcroft \< 60 cc/min)
- Proteinuria \>1,0gr/24hr
- Tumour stage: M1a and/or tumour length \> 8 cm and/or \> 5 cm radially
- Major surgery within 4 weeks prior to the start of study treatment
- Bleeding disorder
- Known allergy to one of the study drugs used
- Use of any substance known to interfere with the chemotherapy clearance
- Previous radiotherapy to the chest
- Significant concomitant diseases preventing the safe administration of study drugs or likely to interfere with study assessments
- Uncontrolled angina pectoris; cardiac failure or clinically significant arrhythmias
- Continuous use of immunosuppressive agents
- Concurrent use of the antiviral agent sorivudine or chemically related analogues, such as brivudine
- Prior exposure to anti-EGFR targeting agents.
- Hearing loss \> 25 dB under normal
- Neurotoxicity \> CTC grade 1
- Pregnancy or breast feeding
- Patients (M/F) with reproductive potential not implementing adequate contraceptive measures
Key Trial Info
Start Date :
March 1 2009
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 1 2016
Estimated Enrollment :
12 Patients enrolled
Trial Details
Trial ID
NCT00827671
Start Date
March 1 2009
End Date
March 1 2016
Last Update
March 9 2018
Active Locations (1)
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1
UMC Utrecht
Utrecht, Netherlands, 3584CX