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Status unknownNCT00008047Updated Feb 9, 2009

Combination Chemotherapy Combined With Radiation Therapy in Treating Patients Who Have Stage II or Stage III Cancer of the Esophagus

A Phase 1/2 interventional study of fluorouracil and hydroxyurea in Esophageal Cancer, sponsored by GERCOR - Multidisciplinary Oncology Cooperative Group. Status unknown at 14 sites in France. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2009-02-09.

Sponsored by GERCOR - Multidisciplinary Oncology Cooperative Group · Phase 1/2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2001), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 1/2
Study type
Interventional
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining more than one chemotherapy drug with radiation therapy may kill more tumor cells.

PURPOSE: Randomized phase I/II trial to study the effectiveness of combination chemotherapy with or without paclitaxel combined with radiation therapy in treating patients who have stage II or stage III cancer of the esophagus.

Read the detailed description

OBJECTIVES:

  • Compare the efficacy of concurrent radiotherapy with fluorouracil and hydroxyurea with or without paclitaxel in terms of survival without dysphagia in patients with inoperable stage II or III epidermoid carcinoma of the esophagus.
  • Compare the overall survival, response rate, toxicity, and quality of life in this patient population treated with these regimens.

OUTLINE: This is a randomized, open label, multicenter study. Patients are stratified according to weight loss (less than 10% vs at least 10%) and inoperability criteria (nonresectable vs due to anatomical terrain). Patients are randomized to one of two treatment arms.

  • Arm I: Patients receive fluorouracil IV continuously, oral hydroxyurea, and concurrent radiotherapy daily on days 1-5.
  • Arm II: Patients receive fluorouracil, hydroxyurea and radiotherapy as in arm I. Patients also receive paclitaxel IV on day 1.

Treatment continues every 2 weeks for 4 courses in the absence of disease progression or unacceptable toxicity.

Patients with possible resectable disease undergo surgical resection at 4-6 weeks following the last course of chemoradiotherapy. Patients with continued unresectable disease receive 2 additional courses of chemoradiotherapy as above within 8-17 days following the last course of chemoradiotherapy.

Quality of life is assessed at baseline, monthly during therapy, every 2 months for 6 months, every 4 months for 1 year, and then every 6 months thereafter.

Patients are followed every 2 months for 6 months, every 4 months for 1 year, and then every 6 months thereafter.

PROJECTED ACCRUAL: A maximum of 90 patients will be accrued for this study.

02

Conditions studied

  • Esophageal Cancer

Keywords

  • stage II esophageal cancer
  • stage III esophageal cancer
03

In context

Esophageal Neoplasms

1,593 studies on the registry are indexed under Esophageal Neoplasms; 461 are open to participants now.

Browse Esophageal Neoplasms studies →

Lead sponsor

GERCOR - Multidisciplinary Oncology Cooperative Group is the lead sponsor of 76 studies on the registry; 12 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed stage II (T2 or T3, N0, M0) or III (T3, N1, M0) epidermoid carcinoma of the esophagus
  • Inoperable due to initial extension or inoperable with no extension
  • No visceral metastases
  • No extension to the tracheo-bronchial pathway

    • No tracheo-esophageal fistula
    • No broncho-esophageal fistula
    • No suspected respiratory mucosal involvement on bronchoscopy
  • No carcinoma in situ

PATIENT CHARACTERISTICS:

Age:

  • 18 to 80

Performance status:

  • ECOG 0-2

Life expectancy:

  • Not specified

Hematopoietic:

  • Platelet count at least 120,000/mm\^3
  • Hemoglobin at least 10 g/dL
  • Neutrophil count at least 1,500/mm\^3
  • Lymphocyte count at least 1,000/mm\^3

Hepatic:

  • SGOT and SGPT no greater than 2 times normal
  • Albumin at least 3.0 g/dL

Renal:

  • Creatinine no greater than 1.4 mg/dL
  • Calcium less than 11.2 mg/dL

Pulmonary:

  • See Disease Characteristics
  • No severe respiratory illness (e.g., severe broncho-pathway obstruction or insufficient respiration)
  • No uncontrolled broncho-pulmonary infection

Other:

  • No other prior history of malignancy except curatively treated carcinoma in situ of the colon or skin cancer
  • No contraindication to fluorouracil
  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • No psychiatric illness
  • HIV negative
  • Total protein at least 65% of normal

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • No prior biologic therapy

Chemotherapy:

  • No prior chemotherapy

Endocrine therapy:

  • No prior endocrine therapy

Radiotherapy:

  • No prior radiotherapy

Surgery:

  • See Disease Characteristics

Other:

  • No concurrent participation in other study
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Masking
None (open label)

Interventions

  • Drugfluorouracil
  • Drughydroxyurea
  • Drugpaclitaxel
  • Procedureconventional surgery
  • Radiationradiation therapy
06

Study locations

14 sites
  • Hopital Saint-Louis
    Amiens, 80054 Cedex 1, France
  • Clinique Saint Vincent
    Besancon, 25044, France
  • Clinique Saint - Jean
    Cagne-sur-Mer, 06800, France
  • CHR de Grenoble - La Tronche
    Grenoble, F-38043, France
  • Hopital Andre Mignot
    Le Chesnay, 78157, France
  • CMC Les Ormeaux
    Le Havre, 76600, France
  • Centre Jean Bernard
    Le Mans, 72000, France
  • Hopital Laennec
    Paris, 75007, France
  • Hopital Saint Antoine
    Paris, 75571, France
  • Hopital Tenon
    Paris, 75970, France
  • Clinique Ste - Marie
    Pontoise, 95301, France
  • Polyclinique De Courlancy
    Reims, F-51100, France
  • C.H. Senlis
    Senlis, 60309, France
  • Clinique Fleming
    Tours, 37000, France
07

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 9, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00008047
Lead sponsor
GERCOR - Multidisciplinary Oncology Cooperative Group
First posted
Jan 27, 2003
Start date
Aug 1999
Last update
Feb 9, 2009

Study contacts

Gerard Ganem, MD
study chair · Centre Jean Bernard
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2001. You cannot join it, but the record below documents what was studied.

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