ClinicalTrials.gg
WithdrawnNCT03307941ARTEMIS-EsoUpdated Dec 19, 2017

Assessment of Metabolic & Path Response w/ RCT & ImT Before Surgery in Locally Advanced Esoph and Gastro-esoph Jction CA

A Phase 1/2 interventional study of Monalizumab and Oxaliplatin in Adenocarcinoma of the Esophagus, Adenocarcinoma of the Gastroesophageal Junction and Squamous Cell Carcinoma of the Esophagus, sponsored by Jules Bordet Institute. Withdrawn at 1 site in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-12-19.

Sponsored by Jules Bordet Institute · Phase 1/2, Interventional, and Treatment

Why this study was withdrawn
Suspended collaboration with the company providing the study drug

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Phase
Phase 1/2
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 24 studies testing oxaliplatin in Adenocarcinoma Of Esophagus — 1 open to participants now, 4 under way, 1 of them phase 3. Oxaliplatin · Adenocarcinoma Of Esophagus.

Enrollment
22nd of 22
0 · median 35
Started
2017
the only one that year
Phase 1/2
3 of 24
none open now
Registered
21st of 24
by date
Lead sponsor
1 of 24
Jules Bordet Institute

Among the 24 studies testing oxaliplatin in Adenocarcinoma Of Esophagus, this one is the 22nd largest by enrollment of the 22 interventional ones that give a count, is the only one that started in 2017, is one of 3 in phase 1/2, and was the 21st registered.

Adenocarcinoma Of Esophagus

354 studies on the registry are indexed under Adenocarcinoma Of Esophagus; 81 are open to participants now.

Browse Adenocarcinoma Of Esophagus studies →

Open to participants now

1 of the 24 studies testing oxaliplatin in Adenocarcinoma Of Esophagus is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

About oxaliplatin

Oxaliplatin: first FDA approval 2002 (ELOXATIN). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 70 Adenocarcinoma Of Esophagus studies recruiting now, 60 (86%) set no upper age limit and 2 (3%) stop at 75 or younger; 4 take children under 18; 3 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Get alerts for this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 24 studies testing oxaliplatin in Adenocarcinoma Of Esophagus, or all of them as a file.
02

Study summary

ARTemIS-Eso is a phase I-II, three-level, open-label trial with a dose-expansion cohort at recommended schedule in both esophageal cancer histological groups (squamous cell carcinoma and adenocarcinoma) of RCT and ImT administered prior to surgery.

Read the detailed description

This study is indicated to patients with adenocarcinomas of the esophagus or gastro-esophageal junction and squamous cell carcinoma of the esophagus.

The study consists of 2 parts:

Phase I of the study is composed of the 3 following levels, corresponding to changes in the schedule and the number of administrations of monalizumab:

Level 1: monalizumab (ImT) administration starts 2 weeks after the end of RCT (Total of 3 ImT doses). A maximum of 7 days delay is allowed.

Level 2: monalizumab administration starts directly at the end of RCT (Total of 4 ImT doses). The first dose of monalizumab should be given on the following working day after the last radiotherapy administration.

Level 3: monalizumab administration starts 2 weeks after the start of RCT (total of 6 ImT doses). A maximum of 7 days delay is allowed.

Phase II (Expansion cohort): At the recommended level determined in phase I and according to the number of patients already accrued, approximately 48-51 additional patients (half-SCC and half-ADC) are included with the aim of assessing the activity of the recommended combination.

03

Conditions studied

  • Adenocarcinoma of the Esophagus
  • Adenocarcinoma of the Gastroesophageal Junction
  • Squamous Cell Carcinoma of the Esophagus
04

Who can participate

Ages eligible
18 Years and older
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

  1. Age ≥ 18 years old
  2. performance status ≤ 1
  3. Female and Male
  4. Must have confirmed esophageal ADC or SCC or gastro-esophageal junction ADC (Siewert I and II) eligible for a curative intent resection (recommended exploration by EUS and diagnostic laparoscopy in gastro-esophageal junctions) without restriction in age and sex and candidate for RCT.
  5. At least classified clinical T3Nx or any T, N+ according to cTNM version 7.
  6. Negative serum pregnancy test (for women of ) within 7 (+/-1) days prior to the beginning of treatment.
  7. Women of childbearing potential must agree to use one highly effective method of at study entry (if this is not already the case, put in place within 1 week after ICF signature, and at the very latest before 1st administration of study treatment), during the study treatment administration and at least 5 months after the last administration of study treatment.
  8. Men must agree to use condom during the course of this study and for at least 5 months after the last administration of the study treatment.
  9. Adequate bone marrow function as defined below:

    • ≥1500/µL or 1.5x109/L
    • ≥ 9 g/dL
    • ≥100000/µL or 100x109/L
  10. Adequate liver function as defined below:

    • Serum total ≤ 1.5 x . In case of known Gilbert's syndrome \< 3xUNL is allowed
    • (SGOT)/ALT (SGPT) ≤ 2.5 x ULN
    • Alkaline phosphatase ≤ 2.5 x ULN
  11. Adequate renal function as defined:

    • Creatinine ≤ 1.5 x UNL or >60 mL/min
  12. Participants must have normal cardiac and pulmonary functions defined with ultrasonography (>50%) and pulmonary function tests (including DLCO (diffusing capacity factor of the lung for carbon monoxide)).
  13. Completion of all necessary screening procedures within 28 days prior to enrolment.
  14. Accessible tumour for through upper gastro-intestinal endoscopy (for translational research activities).
  15. Signed form (ICF) obtained prior to any study related procedure and study treatment.
  16. For the phase II expansion cohort only, significant FDG uptake at the primary tumour on baseline PET/CT, performed not more than 7 days before the beginning of the first course of CT, defined as SUVmax > 2x the mean liver uptake.

Exclusion criteria

Exclusion Criteria:

Subjects meeting one of the following criteria are not eligible for this study:

  1. Patient ineligible for curative intent surgery:

    • T4 with involvement of mediastinal structures as tracheobronchial, recurrent nerve, aorta over 90° of its circumference, vertebral body
    • Tumour ≥ 4cm in diameter developed above the carina
    • Visceral
    • Metastatic lymph nodes: supraclavicular and/or lombo-aortic
    • Cervical esophageal cancer defined as a tumor involving the lower border of the cricoid cartilage (at the level of the sixth cervical vertebra) to the thoracic inlet 5cm down under, generally between 18 and 20 cm from the dental arcade
  2. Uncontrolled concurrent illness or any significant disease that, in the investigator's opinion, would exclude the patient from the study.
  3. Absolute for surgery: respiratory failure (VEMS \< 1000mL), weight loss> 20%, renal failure: creatinine > 1.5 , myocardial infarct \< 6 months, evolutive cardiopathy, 3 and 4, non-compensated cirrhosis.
  4. Pregnant and/or lactating women.
  5. Uncontrolled diabetes.
  6. Individuals with a history of a different within the last 5 years are ineligible except cervical cancer in situ, and early stage basal cell or squamous cell carcinoma of the skin.
  7. Patients with active, known or suspected disease or condition requiring systemic treatment with either (> 10 mg daily prednisone equivalents) or other systemic treatment.

    • (Exception: patients with vitiligo, type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring immunosuppressive systemic treatment, or conditions not expected to recur in the absence of an external trigger, are permitted to be enrolled.
    • Inhaled or topical steroids and adrenal replacement doses > 10 mg daily prednisone equivalents are permitted in the absence of active/autoimmune disease.
  8. Patients with diseases known for to radiotherapy.
  9. Prior treatment for esophageal cancer: surgery, radiotherapy, chemotherapy or immunotherapy (in particular but not limited to , anti-PD-L1, anti-PD-L2, anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways, including prior therapy with anti-tumour vaccines or other immuno-stimulatory anti-tumour agents.
  10. Positive test for virus surface antigen (HBsAg) or virus (ribonucleic acid or HCV antibody) indicating acute or chronic infection.
  11. Positive test for (HIV) or known acquired immunodeficiency syndrome (AIDS).
  12. History of allergy to study drug components or .
  13. Subject with a significant medical, neuro-psychiatric, or surgical condition, currently uncontrolled by treatment, which, in the principal investigator's opinion, may interfere with completion of the study.
Terms in these criteria, in plain language(27)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumor. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorized to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumor sample. Some scores count stained tumor cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colors or preservatives.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Other
    Single arm (classic 3+3 design)

    Drug: Monalizumab · Drug: Oxaliplatin · Drug: 5-Fluorouracil · Radiation: Metabolic · Other: Metabolic · Procedure: Surgery

Interventions

  • Monalizumab (IPH2201) is given at the recommended dose of 10 mg/kg, intravenously (infusion during 60 minutes) every two weeks

    Also known as: IPH2201

  • A total of 4 cycles of FOLFOX is administrated every 2 weeks with one cycle 15 days prior to the radiotherapy and 3 cycles during the radiotherapy whatever the level

  • A total of 4 cycles of FOLFOX is administrated every 2 weeks with one cycle 15 days prior to the radiotherapy and 3 cycles during the radiotherapy whatever the level

  • RadiationMetabolic

    Radiation therapy must start the first day of FOLFOX chemotherapy. Radiation is given once daily for 5 consecutive days; on the days that the patient receives chemotherapy (and monalizumab when applicable), chemotherapy (and monalizumab) should be given prior to radiotherapy.

  • OtherMetabolic

    18-FDG-PET scan will be performed just before the beginning of radio-chemotherapy (D10-D14) and will be blinded for investigators and patients. Another 18-FDG-PET will be performed before surgery (surgery Day-5 to surgery Day -1) to exclude metastatic evolution

    Also known as: FDG-PET

  • ProcedureSurgery

    Surgery is performed preferably 8 weeks after the completion of the radio-chemotherapy, and it should not be performed less than one week after the last dose of monalizumab

06

What researchers measure

Primary outcomes

  1. Phase I: determine the feasibility to administer monalizumab

    Successful and safe administration of the combination of radio-chemotherapy and at least 2 doses of immunotherapy

    Time frame: From date of randomization until the date of first documented disease recurrence, assessed up to 28 months

  2. Phase II: pCR rate

    Defined by the absence of any tumoral cells on the surgical specimen post esophagectomy

    Time frame: At date of surgery, assessed at 16 weeks post randomization

Secondary outcomes

  1. Phase I: pCR rate

    Defined by the absence of any tumoral cells on the surgical specimen post esophagectomy

    Time frame: At date of surgery, assessed at 16 weeks post randomization

  2. Phase I: DFS and OS at 2 years after surgery

    DFS and OS at 2 years after surgery

    Time frame: From date of randomization until the date of first documented event, assessed up to 28 months

  3. Phase I: Human Anti-Human Antibodies against monalizumab (HAHA) in serum

    Human Anti-Human Antibodies against monalizumab (HAHA) in serum

    Time frame: Week 5 to 3 months post surgery

  4. Phase II: Two year-disease free survival (DFS) and two year-overall survival (OS)

    Two year-disease free survival (DFS) and two year-overall survival (OS)

    Time frame: 2 years after the date the last patient had his surgery provided the trial objectives have been met

  5. Phase II: Toxicity profile according to CTCAE v.4.03

    Toxicity profile according to CTCAE v.4.03

    Time frame: From date of randomization until the date of first documented event, assessed up to 28 months

  6. Phase II: Metabolic response after 1 course of CT and before surgery

    Metabolic response after 1 course of CT and before surgery

    Time frame: from week 1 up to the time of surgery

  7. Phase II: Number of the tumour-infiltrating lymphocytes (TILs)

    Number of the tumour-infiltrating lymphocytes (TILs)

    Time frame: at baseline, after 1 course of CT at week 3 and after surgery at 16 weeks

07

Study locations

1 site
  • Institut Jules Bordet
    Brussels, 1000, Belgium
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2017 to primary completion in Dec 2017, 4 months.

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

Registered
Oct 27, 2016
First posted
Oct 12, 2017
StartActual
Jul 20, 2017
Primary completionActual
Dec 11, 2017
CompletionActual
Dec 11, 2017
Last update
Dec 19, 2017
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 Dec 19, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03307941
Collaborators
Innate Pharma
Responsible party
Sponsor
First posted
Oct 12, 2017
Start date
Jul 20, 2017
Primary completion
Dec 11, 2017
Completion
Dec 11, 2017
Last update
Dec 19, 2017

Study contacts

Amelie Deleporte, Physician
study chair · Jules Bordet Institute

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Dec 2017. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Monalizumab · Oxaliplatin · Fluorouracil

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