ClinicalTrials.gg
Status unknownNCT02604615DCOECRTUpdated Jul 6, 2016

The Role of Different Cycles of Chemotherapy(Capecitabine-oxaliplatin) in Esophageal Chemoradiotherapy

A Phase 3 interventional study of Capecitabine(Aibin) and Oxaliplatin(Aiheng) in Stage III Esophageal Squamous Cell Carcinoma and Esophageal Neoplasms, sponsored by The First Affiliated Hospital of Henan University of Science and Technology. Status unknown at 1 site in China. Open to participants aged 45 Years to 75 Years. Per ClinicalTrials.gov, last updated 2016-07-06.

Sponsored by The First Affiliated Hospital of Henan University of Science and Technology · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2016), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
45 Years to 75 Years
Sex
All
01

Study summary

A two-arm (two cycles' versus four cycles' capecitabine combined oxaliplatin concurrent radiotherapy) randomised Phase III clinical trial was started in Oct. 2015. Definitive chemoradiotherapy is the standard regimen in Western countries for patients with esophageal cancer who can't receive surgery or reject surgery. But in China because of its severer toxic reaction, most of patients had to discontinue treatment at the halfway way. Thus, the chemotherapy regimen of capecitabine combined oxaliplatin are widely used in clinical due to its characristic of low toxic reaction.

The purpose of this study is to confirm the efficacy and safety of the different cycles(two cycles and four cycles ) of Capecitabine-oxaliplatin in Chinese esophageal squamous carcinoma radical concurrent chemoradiotherapy. A total of 60 patients will be accrued from China within 2 years. The primary endpoint is overall survival and the secondary endpoints include progression-free survival, response rate, pathologic complete response rate and adverse events.

Read the detailed description

First: The investigators use excel generate a 5 digits random number table. After subjects sign the informed consent, investigators will chose one for themm. Subject who get an odd number will receive 2cycles' chemotheapy concurrent radiotherapy and even number receive 4cycles'. Investigators should record the congruent relationship of subjects with group code.

Second: The investigators are required to record subjects' base measurements. The base measurements items:1.Tumor confirmed date,TNM staging,History of esophageal cancer treatment;2.Demographic data,past medical history;3.physical examination(a detailed system check including general neurological examination);4.vital signs,Height,Weight;5.PS score,Quality of life;6.serum biochemistry(ALT,AST,AKP,TBIL,blood glucose,BUN,Ccr,electrolyte,et al.);7. Blood RT(RBC,HGB,WBC,ANC,PLT,et al.);8.Urine routines;9.Endoscopic biopsy(More than 3 pieces of biopsy specimens),chest CT,abdomen ultrasound/CT/MRI,PET-CT,et al.;10.Blood/urine pregnancy tests;11.Collect blood samples(5 ml);12.Preserve CorpseSample. note:Check the time limit-2 weeks before get into groups.

Third:Observation items during treatment include 3-8 items of the base measurements;Radiotherapy 20 times, should review of esophageal barium meal or chest CT. The investigators need to observe adverse event during treatment and eveluate the relationship of adverse event with researched therapeutic regimen according to the Common Terminology Criteria for Adverse Events,CTCAE) (V4.0, 2009-05-28) and accurately fill in Case Report Form(CRF).

Fourth: Follow-up items include 3-9 items of the base measurements;bood and tissue sample should also be preserved when subject receives 16th weeks' review.

The patient who withdrew from the study during researched treatment must accept the end evaluation research. The investigators must record the reason and the date of termination in patient' progress note and CRF.

Cases of complete report should transfer to data administrators after investigates by clinical research associate. Data administrators input and management data.

02

Conditions studied

  • Stage III Esophageal Squamous Cell Carcinoma
  • Esophageal Neoplasms

Keywords

  • Chemoradiotherapy
  • Esophageal Squamous Cancer
  • Capecitabine and oxaliplatin
  • Chinese
  • Randomized Controlled Trials
03

In context

Esophageal Squamous Cell Carcinoma

657 studies on the registry are indexed under Esophageal Squamous Cell Carcinoma; 276 are open to participants now.

This study's planned enrollment of 60 is close to the median of 64 across 550 interventional studies indexed under Esophageal Squamous Cell Carcinoma.

Browse Esophageal Squamous Cell Carcinoma studies →

Lead sponsor

The First Affiliated Hospital of Henan University of Science and Technology is the lead sponsor of 23 studies on the registry; 8 are open to participants now.

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

04

Who can participate

Ages eligible
45 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Voluntary participation and signed a consent form
  • Histologically proven squamous cell carcinoma of the esophagus, initial treatment (Not had surgery, radiotherapy, chemotherapy or targeted therapy)
  • the tumor was in T2-4N0-2M0, locally advanced(AJCC2002)
  • Have a measurable lesions.
  • Male or female who has fertility is willing to take contraceptive measures in the experiment
  • WBC≥3x10 9/L;Hb≥80g/L;ANC ≥1.5x10 9/L;PLT ≥100x10 9/L;TBIL\< 1.5xN;AST (SGOT)/ALT (SGPT) ≤2.5xN;Cr≤1.5xN.
  • Performance status score 0-2
  • Expected lifetime>3 months

Exclusion criteria

Exclusion Criteria:

  • Pregnant, lactating women or With fertility but did not use contraceptive measures
  • Has a history of severe allergic or idiosyncrasy
  • Hab been treated with surgery, radiation and chemotherapy or targeted therapy for esophageal cancer
  • After exploratory thoracotomy or Laying an esophageal tracheal stent
  • Received a major surgery treatment within 28 days prior to the start of research and treatment
  • History of organ transplantation
  • Has uncontrolled seizures or Lose self-knowledge because of mental illness
  • Severe infection
  • Oral capecitabine who have difficulty with,such as esophageal obstructed completely, dysphagia,The activities of digestive ulcer, Gastrointestinal bleeding
  • Severe chronic diseases, such as, hepatopathy, nephropathy, respiratory disease,high blood pressure, diabetes.
  • Other malignant tumor in recent 5 years.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Capecitabine-oxaliplatin 2 cycles

    oxaliplatin:65mg/m2,d1,8,22,29,I.V; capecitabine: 625mg/m2, bid d1-5; q1w, po,5 weeks in total; radiotherapy:50Gy,2 Gy/d,5d/w.

    Drug: Capecitabine(Aibin) · Drug: Oxaliplatin(Aiheng) · Radiation: Radiotherapy

  • Active comparator
    Capecitabine-oxaliplatin 4 cycles

    oxaliplatin:65mg/m2,d1,8,22, 29,43,50,64,71,I.V; capecitabine:625mg/m2,bid d1-5; q1w, po,10 weeks in total; radiotherapy:50Gy ,2 Gy/d,5d/w.

    Drug: Capecitabine(Aibin) · Drug: Oxaliplatin(Aiheng) · Radiation: Radiotherapy

Interventions

  • capecitabine(Aibin):625mg/m2,bid d1-5; q1w, po,5 or 10 weeks in total

    Also known as: Aibin

  • Oxaliplatin(Aiheng):65mg/m2,d1,8,22,29,I.V. or Oxaliplatin(Aiheng):65mg/m2,d1,8,22,29,43,50,64,71,I.V.

    Also known as: Aiheng

  • RadiationRadiotherapy

    concurrent radiotherapy:50Gy in total,2 Gy/d,5d/w,Until disease progression or unacceptable toxicity

    Also known as: Radiation Therapy

06

What researchers measure

Primary outcomes

  1. overall survival, OS

    Time frame: 2 years

Secondary outcomes

  1. progression-free survival,PFS

    Time frame: 2 years

  2. overall remission rate, ORR

    Time frame: 16 weeks

  3. serious adverse event,SAE

    Time frame: 16 weeks

  4. quality of life, Qol

    Time frame: 16 weeks

  5. pathologic complete response rate

    Time frame: 16 weeks

  6. disease control rate,DCR

    Time frame: 16 weeks

07

Study locations

1 of 1 sites recruiting
  • The First Affiliated Hospital of Henan University of Science and Technology
    Luoyang, Henan 471003, China
    Recruiting
08

References and documents

Publications

  • Park JW, Kim JH, Choi EK, Lee SW, Yoon SM, Song SY, Lee YS, Kim SB, Park SI, Ahn SD. Prognosis of esophageal cancer patients with pathologic complete response after preoperative concurrent chemoradiotherapy. Int J Radiat Oncol Biol Phys. 2011 Nov 1;81(3):691-7. doi: 10.1016/j.ijrobp.2010.06.041. Epub 2010 Oct 1. PubMed 20888705 ↗
  • Fakhrian K, Ordu AD, Haller B, Theisen J, Lordick F, Bisof V, Molls M, Geinitz H. Cisplatin- vs. oxaliplatin-based radiosensitizing chemotherapy for squamous cell carcinoma of the esophagus: a comparison of two preoperative radiochemotherapy regimens. Strahlenther Onkol. 2014 Oct;190(11):987-92. doi: 10.1007/s00066-014-0661-x. Epub 2014 Apr 16. PubMed 24737541 ↗
  • Pera M, Gallego R, Montagut C, Martin-Richard M, Iglesias M, Conill C, Reig A, Balague C, Petriz L, Momblan D, Bellmunt J, Maurel J. Phase II trial of preoperative chemoradiotherapy with oxaliplatin, cisplatin, and 5-FU in locally advanced esophageal and gastric cancer. Ann Oncol. 2012 Mar;23(3):664-670. doi: 10.1093/annonc/mdr291. Epub 2011 Jun 7. PubMed 21652581 ↗
  • Qin TJ, An GL, Zhao XH, Tian F, Li XH, Lian JW, Pan BR, Gu SZ. Combined treatment of oxaliplatin and capecitabine in patients with metastatic esophageal squamous cell cancer. World J Gastroenterol. 2009 Feb 21;15(7):871-6. doi: 10.3748/wjg.15.871. PubMed 19230050 ↗
  • Chiarion-Sileni V, Innocente R, Cavina R, Ruol A, Corti L, Pigozzo J, Del Bianco P, Fumagalli U, Santoro A, Ancona E. Multi-center phase II trial of chemo-radiotherapy with 5-fluorouracil, leucovorin and oxaliplatin in locally advanced esophageal cancer. Cancer Chemother Pharmacol. 2009 May;63(6):1111-9. doi: 10.1007/s00280-008-0834-3. Epub 2008 Sep 30. PubMed 18825381 ↗
  • O'Connor BM, Chadha MK, Pande A, Lombardo JC, Nwogu CE, Nava HR, Yang G, Javle MM. Concurrent oxaliplatin, 5-fluorouracil, and radiotherapy in the treatment of locally advanced esophageal carcinoma. Cancer J. 2007 Mar-Apr;13(2):119-24. doi: 10.1097/PPO.0b013e318046ee1a. PubMed 17476140 ↗
  • Lee SJ, Kim S, Kim M, Lee J, Park YH, Im YH, Park SH. Capecitabine in combination with either cisplatin or weekly paclitaxel as a first-line treatment for metastatic esophageal squamous cell carcinoma: a randomized phase II study. BMC Cancer. 2015 Oct 14;15:693. doi: 10.1186/s12885-015-1716-9. PubMed 26468007 ↗
  • Xing L, Liang Y, Zhang J, Wu P, Xu D, Liu F, Yu X, Jiang Z, Song X, Zang Q, Wang W. Definitive chemoradiotherapy with capecitabine and cisplatin for elder patients with locally advanced squamous cell esophageal cancer. J Cancer Res Clin Oncol. 2014 May;140(5):867-72. doi: 10.1007/s00432-014-1615-5. Epub 2014 Mar 1. PubMed 24578238 ↗
  • Koo DH, Park SI, Kim YH, Kim JH, Jung HY, Lee GH, Choi KD, Song HJ, Song HY, Shin JH, Cho KJ, Yoon DH, Kim SB. Phase II study of use of a single cycle of induction chemotherapy and concurrent chemoradiotherapy containing capecitabine/cisplatin followed by surgery for patients with resectable esophageal squamous cell carcinoma: long-term follow-up data. Cancer Chemother Pharmacol. 2012 Mar;69(3):655-63. doi: 10.1007/s00280-011-1750-5. Epub 2011 Oct 4. PubMed 21968953 ↗
  • Lee SJ, Ahn BM, Kim JG, Sohn SK, Chae YS, Moon JH, Lee EB, Kim JC, Park IK, Jeon SW. Definitive chemoradiotherapy with capecitabine and cisplatin in patients with esophageal cancer: a pilot study. J Korean Med Sci. 2009 Feb;24(1):120-5. doi: 10.3346/jkms.2009.24.1.120. Epub 2009 Feb 28. PubMed 19270824 ↗
  • Lee J, Im YH, Cho EY, Hong YS, Lee HR, Kim HS, Kim MJ, Kim K, Kang WK, Park K, Shim YM. A phase II study of capecitabine and cisplatin (XP) as first-line chemotherapy in patients with advanced esophageal squamous cell carcinoma. Cancer Chemother Pharmacol. 2008 Jun;62(1):77-84. doi: 10.1007/s00280-007-0577-6. Epub 2007 Aug 31. PubMed 17762932 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Oct 2014, a primary completion of Dec 2017 and a completion of Dec 2020. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 11, 2015
First posted
Nov 13, 2015
Start
Oct 2014
Primary completionEst.
Dec 2017
CompletionEst.
Dec 2020
Last update
Jul 6, 2016
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 6, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02604615
Lead sponsor
The First Affiliated Hospital of Henan University of Science and Technology
Collaborators
The First Affiliated Hospital of Zhengzhou University, Xinyang Central Hospital, Anyang Tumor Hospital, No. 150 Central Hospital of the Chinese People Liberation Army
Responsible party
Sponsor
First posted
Nov 13, 2015
Start date
Oct 2014
Primary completion
Dec 2017 (estimated)
Completion
Dec 2020 (estimated)
Last update
Jul 6, 2016

Study contacts

Shegan Gao, Doctor
Contact
gsg112258@163.com
18638859977
Tanyou Shan, Master
Contact
shantanyou@163.com
18537976669
Shegan Gao, Doctor
study chair · The First Affiliated Hospital of Henan University of Science and Technology
Tanyou Shan, Master
study director · The First Affiliated Hospital of Henan University of Science and Technology
Xiaoshan Feng, Doctor
study director · The First Affiliated Hospital of Henan University of Science and Technology
Jiachun Sun, Doctor
principal investigator · The First Affiliated Hospital of Henan University of Science and Technology
Xinshuai Wang, Doctor
principal investigator · The First Affiliated Hospital of Henan University of Science and Technology
Guoqiang Kong, Master
principal investigator · The First Affiliated Hospital of Henan University of Science and Technology
Xiaozhi Yuan, Master
study director · The First Affiliated Hospital of Henan University of Science and Technology
Ruinuo Jia, Master
principal investigator · The First Affiliated Hospital of Henan University of Science and Technology
Dan Zhou, Master
principal investigator · The First Affiliated Hospital of Henan University of Science and Technology
Jing Ren, Master
principal investigator · The First Affiliated Hospital of Henan University of Science and Technology
Ruina Yang, Master
principal investigator · The First Affiliated Hospital of Henan University of Science and Technology
Dan Wang, Master
principal investigator · The First Affiliated Hospital of Henan University of Science and Technology
Yongxuan Liu, Master
principal investigator · The First Affiliated Hospital of Henan University of Science and Technology
Yali Zhang, Master
principal investigator · The First Affiliated Hospital of Henan University of Science and Technology
Weijiao Yin, Master
principal investigator · The First Affiliated Hospital of Henan University of Science and Technology
Wei Wang, Master
principal investigator · The First Affiliated Hospital of Henan University of Science and Technology
Shiyuan Song, Master
principal investigator · The First Affiliated Hospital of Henan University of Science and Technology

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Capecitabine · Oxaliplatin

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