Status:

RECRUITING

PD-1 Inhibitor Combined With Neoadjuvant Chemoradiotherapy Plus Surgery for Locally Advanced ESCC (NEOCRTEC2101)

Lead Sponsor:

Sun Yat-sen University

Collaborating Sponsors:

Affiliated Cancer Hospital of Shantou University Medical College

Conditions:

Squamous Cell Esophageal Carcinoma

Esophageal Cancer

Eligibility:

All Genders

18-70 years

Phase:

PHASE3

Brief Summary

The primary objective is to compare PD-1 inhibitor combined with preoperative chemoradiotherapy followed by surgery versus neo-adjuvant chemoradiotherapy followed by surgery, in terms of the overall s...

Eligibility Criteria

Inclusion

  • Histologic diagnosis of squamous cell thoracic esophageal carcinoma of Stage T1-4aN1-3M0 or T3-4aN0M0,which is potentially resectable.
  • Patients must not have received any prior anticancer therapy.
  • More than 6 months of expected survival.
  • Age ranges from 18 to 70 years.
  • Absolute white blood cells count ≥4.0×109/L, neutrophil ≥1.5×109/L, platelets ≥100.0×109/L, hemoglobin ≥90g/L, and normal functions of liver and kidney.
  • WHO PS score 0-1
  • Signed informed consent document on file.

Exclusion

  • Patients have received any prior anticancer therapy.
  • Patients are diagnosed or suspected to be allergic to sintilimab,toxal or cisplatin.
  • Patients with concomitant hemorrhagic disease.
  • Patients who cannot tolerate surgery.
  • Pregnant or breast feeding.
  • Patients without informed consent because of psychological, family, social or any other factors.
  • Patients with concomitant peripheral neuropathy, whose CTC status is 2 or even more.
  • Patients with malignant tumors other than esophageal cancer,except for non-melanoma skin cancer, in situ cervical cancer, or cured early prostate cancer.
  • Patients with history of diabetes over 10 years and unsatisfactory glycemic control.
  • Patients with severe heart,lung,liver,renal dysfunction, hematopoietic system diseases, immune system diseases, cachexia or other diseases that lead to intolerance of chemoradiotherapy or surgery.
  • Patients with history of autoimmune diseases, immunodeficiency, or organ and allogeneic bone marrow transplantation.
  • Patients with history of interstitial lung disease or noninfectious pneumonia.
  • Patients with active pulmonary tuberculosis infection, or a history of active pulmonary tuberculosis infection within one year before enrollment, or a history of active pulmonary tuberculosis infection more than one year ago without regular treatment.
  • Patients with active hepatitis B ( HBV DNA ≥ 2000 IU / mL or 104 copies / mL ) or hepatitis C ( HCV antibody positive ).

Key Trial Info

Start Date :

November 1 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 31 2031

Estimated Enrollment :

422 Patients enrolled

Trial Details

Trial ID

NCT05357846

Start Date

November 1 2022

End Date

January 31 2031

Last Update

June 12 2025

Active Locations (1)

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1

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China, 510060