ClinicalTrials.gg
TerminatedNCT03482791Updated Oct 2, 2026Results posted

Proton Beam Therapy in the Treatment of Esophageal Cancer

An interventional study of Proton beam therapy and Patient-Reported Outcome Measures in Esophagus Cancer, Esophageal Cancer and Cancer of the Esophagus, sponsored by Washington University School of Medicine. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-02.

Sponsored by Washington University School of Medicine · Not applicable, Interventional, and Treatment

Why this study was terminated
The study is no longer relevant to have open to ensure insurance approval for this patient population
Updated Oct 2, 2026Now TerminatedStudy completion movedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
22
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 14 studies in Esophageal Neoplasms by Washington University School of Medicine — 2 open to participants now, 3 under way, none of them phase 3. Esophageal Neoplasms · Washington University School of Medicine.

Enrollment
7th of 12
22 · median 23
Started
2018
the only one that year
No phase
4 of 14
none open now
Registered
8th of 14
by date

Among the 14 studies in Esophageal Neoplasms by Washington University School of Medicine, this one is the 7th largest by enrollment of the 12 interventional ones, is the only one that started in 2018, is one of 4 with no phase, and was the 8th registered.

By phase

14 studies; the count open now beside each. This study's row is marked.

No phasethis study4 · 0 open
Phase 14 · 1 open
Phase 23 · 0 open
Observational2 · 1 open
Phase 2/31 · 0 open

By the year they started

First in 2006; this study’s year is marked. 1 started in 2018.

Size and results

Median enrollment 23 across the 12 interventional studies, 206 across the 2 observational. Of the 10 that completed or were terminated, 6 (60%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 14 studies in Esophageal Neoplasms by Washington University School of Medicine, or all of them as a file.
02

Study summary

The investigators plan to include both operable and inoperable patients with esophagus cancer in this prospective trial. Since both proton and photon treatments are biologically equivalent, the investigators do not expect a difference in tumor control compared to intensity modulated radiation therapy (IMRT). The investigators have a prospective experience of physician-reported toxicity and patient outcome using IMRT for patients with inoperable esophagus cancer that will serve as a comparison group. For the resectable patients receiving trimodality therapy (chemoradiation followed by surgery), the investigators will carefully track toxicity and patient outcomes prospectively. The central hypothesis is that the biologic efficacy for tumor control should be similar between protons and photons, and therefore survival measures should be similar between the two groups, but that the main difference lies in the total severe toxicities experienced by the patients undergoing therapy.

03

Conditions studied

  • Esophagus Cancer
  • Esophageal Cancer
  • Cancer 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

  • or cytologically documented adenocarcinoma or squamous cell carcinoma of the cervical or thoracic esophagus or gastroesophageal junction or cardia of stomach.
  • Staged by PET/CT and esophagogastroduodenoscopy (EGD) or endoscopic ultrasound (EUS) OR CT w/contrast and EGD to have stage II or III disease per AJCC 7th edition guidelines
  • Prior endoscopic mucosal resection (EMR) with a diagnosis of stage II or III esophageal cancer (AJCC 7th edition) is eligible, irrespective of margin status.
  • Induction chemotherapy prior to concurrent chemoradiation is allowed.
  • Prior thoracic radiation is allowable if degree of overlap with the esophageal radiotherapy treatment is deemed to be safe by the treating radiation oncologist.
  • At least 18 years of age.
  • performance status \< 2
  • Normal bone marrow and organ function as defined below:

    • WBC > 2,500/mcL
    • > 75,000/mcl
    • Total \< 1.5 x institutional (IULN)
    • (SGOT)/ALT(SGPT) \< 3.0 x IULN
    • Creatinine \< 1.5 x IULN OR > 50 mL/min/1.73 m2 for patients with creatinine levels above institutional normal
  • Women of and men must agree to use adequate (hormonal or barrier method of birth control, abstinence) prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while participating in this study, she must inform her treating physician immediately.
  • Ability to understand and willingness to sign an IRB approved written document.
  • English speaker.
  • Financial coverage for proton therapy.

Exclusion criteria

Exclusion Criteria:

  • Planned treatment with radiation therapy alone without concurrent chemotherapy or chemotherapy alone.
  • Previous or concomitant cancers within the past 3 years other than curatively treated carcinoma in situ of the cervix, basal cell carcinoma of the skin, curative treatment for transitional cell carcinoma of the bladder, and low risk prostate cancer. Except for prostate cancer (which can be observed if low risk), other cancers listed must have been treated in the past 3 years without evidence of recurrence at the time of registration.
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia not controlled by pacer device, myocardial infarction within 3 months of registration, or psychiatric illness/social situations that would limit compliance with study requirements
  • Pregnant and/or breastfeeding. Patient must have a negative pregnancy test within 7 days of the start of treatment.
Terms in these criteria, in plain language(10)

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.

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.

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.

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.

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.

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 authorised 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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Arm 1: Resectable (proton beam therapy)

    * Proton beam therapy: total dose of 50 or 50.4 Gy * Standard of care chemotherapy - the clinical trial doesn't dictate anything about the chemotherapy given, it is the treating physician's decision * Surgery should ideally be performed no later than 8 to 10 weeks after completing chemoradiation * Patient-reported outcome measures (PROs) performed at several time points

    Radiation: Proton beam therapy · Other: Patient-Reported Outcome Measures

  • Experimental
    Arm 2: Unresectable (proton beam therapy)

    * Proton beam therapy: total dose of 59.4 or 60 Gy * Standard of care chemotherapy - the clinical trial doesn't dictate anything about the chemotherapy given, it is the treating physician's decision * Patient-reported outcome measures (PROs) performed at several time points

    Radiation: Proton beam therapy · Other: Patient-Reported Outcome Measures

Interventions

  • RadiationProton beam therapy

    * The daily prescription dose will be 1.8 or 2 Gy RBE ("Relative Biologic Equivalence") to be delivered to the periphery of the planning target volume (PTV). * The Mevion S-250 Proton Radiation Beam Therapy System will be used.

    Also known as: PBT

  • OtherPatient-Reported Outcome Measures

    -Prior to start of therapy, end of chemoradiation (day of end of treatment or up to 1 week after), 8 weeks, 4, 6, 9, and 12-months following end of chemoradiation

    Also known as: PROs

06

What researchers measure

Primary outcomes

  1. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the MD Anderson Symptom Inventory (MDASI)-Plus

    The MDASI-Plus is a reliable, validated tool for assessing cancer-related symptoms regardless of therapy or specific cancer diagnosis. Patients are asked to fill out a twenty-seven question inventory. 21 questions ask the patient about the severity of their symptoms with answers ranging from 0=not present to 10=as bad as you can imagine. 6 questions ask the patient about how their symptoms interfered with their life with answers ranging from 0=did not interfere to 10=interfered completely. The higher the score the more severe symptom experience the patient experienced.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, and 6 months

  2. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the EuroQol (EQ-5D) Questionnaire

    The EQ-5D is a standardized 2-part, patient-administered instrument used for direct and indirect assessment of health state utilities. The first part asks respondents to "check the ONE box \[next to the appropriate statement\] that best describes your health TODAY" for each of 5 health dimensions, including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The second part of the EQ-5D is a visual analogue scale (VAS) valuing current health state. Both the 5-item index score and the VAS score are transformed into a utility score between 0 "Worst health state" and 1 "Best health state. The higher the score the better health a patient experienced.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, and 6 months

  3. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the Medical Outcomes Study (MOS) Social Support Survey

    The 19-item MOS Social Support Survey was designed for use with patients with chronic diseases and measures how often different kinds of support are available, if needed. Response choices range from "none of the time" (1) to "all of the time" (5). A mean social support score for all 19 items is computed to a 0-100 scale with higher scores indicating a greater availability of social support.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, and 6 months

  4. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the 4-Item Center for Epidemiological Studies Depression Scale (CES-D)

    The CES-D questionnaire is a 20-item measure which evaluates depressive symptoms. This trial will make use of the validated 4-item screening version in order to reduce participant burden. Possible range of scores is 0-60, with the higher scores indicating the presence of more symptomatology.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, and 6 months

  5. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the MD Anderson Symptom Inventory (MDASI)-Plus

    The MDASI-Plus is a reliable, validated tool for assessing cancer-related symptoms regardless of therapy or specific cancer diagnosis. Patients are asked to fill out a twenty-seven question inventory. 21 questions ask the patient about the severity of their symptoms with answers ranging from 0=not present to 10=as bad as you can imagine. 6 questions ask the patient about how their symptoms interfered with their life with answers ranging from 0=did not interfere to 10=interfered completely. The higher the score the more severe symptom experience the patient experienced.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

  6. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the EuroQol (EQ-5D) Questionnaire

    The EQ-5D is a standardized 2-part, patient-administered instrument used for direct and indirect assessment of health state utilities. The first part asks respondents to "check the ONE box \[next to the appropriate statement\] that best describes your health TODAY" for each of 5 health dimensions, including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The second part of the EQ-5D is a visual analogue scale (VAS) valuing current health state. Both the 5-item index score and the VAS score are transformed into a utility score between 0 "Worst health state" and 1 "Best health state. The higher the score the better health a patient experienced.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

  7. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the Medical Outcomes Study (MOS) Social Support Survey

    The 19-item MOS Social Support Survey was designed for use with patients with chronic diseases and measures how often different kinds of support are available, if needed. Response choices range from "none of the time" (1) to "all of the time" (5). A mean social support score for all 19 items is computed to a 0-100 scale with higher scores indicating a greater availability of social support.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

  8. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the 4-Item Center for Epidemiological Studies Depression Scale (CES-D)

    The CES-D questionnaire is a 20-item measure which evaluates depressive symptoms. This trial will make use of the validated 4-item screening version in order to reduce participant burden. Possible range of scores is 0-60, with the higher scores indicating the presence of more symptomatology.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

  9. Physician-reported Toxicity of PBT for Esophageal Cancer

    Number of participants with grade 3 or higher specific cardiac, metabolism/nutrition, gastrointestinal, respiratory/thoracic/mediastinal, and skin/subcutaneous toxicity using NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 related to PBT

    Time frame: Through 6 months following chemoradiation (estimated to be 9 months)

  10. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Mental Component Score

    The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher scores indicate better quality of life. MCS scores from the SF-12 are recoded, weighted, and summed, and standardized by the SF-12 scoring procedure. SF-12 is a licensed product and this procedure is implemented in the QualityMetric PRO CoRE software package. MCS range is 40-65.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, and 6 months

  11. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Physical Component Score

    The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher scores indicate better quality of life. PCS scores from the SF-12 are recoded, weighted, and summed, and standardized by the SF-12 scoring procedure. SF-12 is a licensed product and this procedure is implemented in the QualityMetric PRO CoRE software package. PCS range is 30-55.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, and 6 months

  12. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Physical Component Score

    The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher scores indicate better quality of life. PCS scores from the SF-12 are recoded, weighted, and summed, and standardized by the SF-12 scoring procedure. SF-12 is a licensed product and this procedure is implemented in the QualityMetric PRO CoRE software package. PCS range is 30-55.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

  13. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Mental Component Score

    The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher scores indicate better quality of life. MCS scores from the SF-12 are recoded, weighted, and summed, and standardized by the SF-12 scoring procedure. SF-12 is a licensed product and this procedure is implemented in the QualityMetric PRO CoRE software package. MCS range is 40-65.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

  14. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - General Health Score

    The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Lower mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-5.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

  15. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Physical Function Score

    The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-3.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

  16. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Physical Role Score

    The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-2.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

  17. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Emotional Role Score

    The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-2.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

  18. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Bodily Pain Score

    The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Lower mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-5.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

  19. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Mental Health Score

    The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Lower mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-6.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

  20. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Vitality Health Score

    The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Lower mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-6.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

  21. Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Social Functioning Score

    The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-5.

    Time frame: Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months

Secondary outcomes

  1. Progression-free Survival (PFS) of Proton Beam Therapy (PBT) for Patients With Resectable

    -PFS is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first.

    Time frame: 5 years following chemoradiation (estimated to be 5 years and 3 months)

  2. Overall Survival (OS)of PBT for Patients With Resectable Versus Unresectable Esophageal

    Time frame: 5 years following chemoradiation (estimated to be 5 years and 3 months)

07

Results

Posted Apr 6, 2025

Participant flow

Participant flow — Overall Study
MilestoneArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Started166
Completed156
Not completed10
Withdrew: Patient did not start treatment due to physician decision10

Outcome measures

PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the MD Anderson Symptom Inventory (MDASI)-Plus

The MDASI-Plus is a reliable, validated tool for assessing cancer-related symptoms regardless of therapy or specific cancer diagnosis. Patients are asked to fill out a twenty-seven question inventory. 21 questions ask the patient about the severity of their symptoms with answers ranging from 0=not present to 10=as bad as you can imagine. 6 questions ask the patient about how their symptoms interfered with their life with answers ranging from 0=did not interfere to 10=interfered completely. The higher the score the more severe symptom experience the patient experienced.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, and 6 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the MD Anderson Symptom Inventory (MDASI)-Plus
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline1.994 ± 1.6411.127 ± 0.634
Post completion of chemoradiation4.135 ± 1.7953.024 ± 2.454
2 months1.012 ± 11.31 ± 1.112
4 months2.429 ± 2.1071.714 ± 2.603
6 months1 ± 0.6320.738 ± 1.044
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the EuroQol (EQ-5D) Questionnaire

The EQ-5D is a standardized 2-part, patient-administered instrument used for direct and indirect assessment of health state utilities. The first part asks respondents to "check the ONE box \[next to the appropriate statement\] that best describes your health TODAY" for each of 5 health dimensions, including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The second part of the EQ-5D is a visual analogue scale (VAS) valuing current health state. Both the 5-item index score and the VAS score are transformed into a utility score between 0 "Worst health state" and 1 "Best health state. The higher the score the better health a patient experienced.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, and 6 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the EuroQol (EQ-5D) Questionnaire
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline0.664 ± 0.4050.486 ± 0.496
Post completion of chemoradiation0.56 ± 0.3580.607 ± 0.39
2 months0.803 ± 0.2950.818 ± 0.124
4 months0.802 ± 0.2870.645 ± 0.488
6 months0.816 ± 0.2020.942 ± 0.083
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the Medical Outcomes Study (MOS) Social Support Survey

The 19-item MOS Social Support Survey was designed for use with patients with chronic diseases and measures how often different kinds of support are available, if needed. Response choices range from "none of the time" (1) to "all of the time" (5). A mean social support score for all 19 items is computed to a 0-100 scale with higher scores indicating a greater availability of social support.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, and 6 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the Medical Outcomes Study (MOS) Social Support Survey
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline89 ± 14.271.1 ± 25.8
Post completion of chemoradiation88.2 ± 15.883.4 ± 24.4
2 months90.2 ± 15.998.4 ± 3.3
4 months88.5 ± 25.384.2 ± 27.3
6 months88.2 ± 16.898.7 ± 1.9
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the 4-Item Center for Epidemiological Studies Depression Scale (CES-D)

The CES-D questionnaire is a 20-item measure which evaluates depressive symptoms. This trial will make use of the validated 4-item screening version in order to reduce participant burden. Possible range of scores is 0-60, with the higher scores indicating the presence of more symptomatology.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, and 6 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the 4-Item Center for Epidemiological Studies Depression Scale (CES-D)
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline19.763 ± 13.43816.355 ± 11.098
Post completion of chemoradiation16.67 ± 7.28715.914 ± 11.118
2 months12.47 ± 4.75814.15 ± 8.316
4 months12.47 ± 5.84514.15 ± 10.184
6 months11.21 ± 5.36811.21 ± 4.158
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the MD Anderson Symptom Inventory (MDASI)-Plus

The MDASI-Plus is a reliable, validated tool for assessing cancer-related symptoms regardless of therapy or specific cancer diagnosis. Patients are asked to fill out a twenty-seven question inventory. 21 questions ask the patient about the severity of their symptoms with answers ranging from 0=not present to 10=as bad as you can imagine. 6 questions ask the patient about how their symptoms interfered with their life with answers ranging from 0=did not interfere to 10=interfered completely. The higher the score the more severe symptom experience the patient experienced.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the MD Anderson Symptom Inventory (MDASI)-Plus
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline1.994 ± 1.6411.127 ± 0.634
Post completion of chemoradiation4.135 ± 1.7953.024 ± 2.454
2 months1.012 ± 11.31 ± 1.112
4 months2.429 ± 2.1071.714 ± 2.603
6 months1 ± 0.6320.738 ± 1.044
9 months0.878 ± 0.8582.476
12 months1.224 ± 1.3190.524 ± 0.202
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the EuroQol (EQ-5D) Questionnaire

The EQ-5D is a standardized 2-part, patient-administered instrument used for direct and indirect assessment of health state utilities. The first part asks respondents to "check the ONE box \[next to the appropriate statement\] that best describes your health TODAY" for each of 5 health dimensions, including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The second part of the EQ-5D is a visual analogue scale (VAS) valuing current health state. Both the 5-item index score and the VAS score are transformed into a utility score between 0 "Worst health state" and 1 "Best health state. The higher the score the better health a patient experienced.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the EuroQol (EQ-5D) Questionnaire
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline0.664 ± 0.4050.486 ± 0.496
Post completion of chemoradiation0.56 ± 0.3580.607 ± 0.39
2 months0.803 ± 0.2950.818 ± 0.124
4 months0.802 ± 0.2870.645 ± 0.488
6 months0.816 ± 0.2020.942 ± 0.083
9 months0.863 ± 0.1610.734 ± 0.377
12 months0.84 ± 0.1811 ± 0
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the Medical Outcomes Study (MOS) Social Support Survey

The 19-item MOS Social Support Survey was designed for use with patients with chronic diseases and measures how often different kinds of support are available, if needed. Response choices range from "none of the time" (1) to "all of the time" (5). A mean social support score for all 19 items is computed to a 0-100 scale with higher scores indicating a greater availability of social support.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the Medical Outcomes Study (MOS) Social Support Survey
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline89.0 ± 14.271.1 ± 25.8
Post completion of chemoradiation88.2 ± 15.883.4 ± 24.4
2 months90.2 ± 15.998.4 ± 3.3
4 months88.5 ± 25.384.2 ± 27.3
6 months88.2 ± 16.898.7 ± 1.9
9 months87.5 ± 18.899.3 ± 0.9
12 months91.8 ± 11.3100 ± 0
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the 4-Item Center for Epidemiological Studies Depression Scale (CES-D)

The CES-D questionnaire is a 20-item measure which evaluates depressive symptoms. This trial will make use of the validated 4-item screening version in order to reduce participant burden. Possible range of scores is 0-60, with the higher scores indicating the presence of more symptomatology.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the 4-Item Center for Epidemiological Studies Depression Scale (CES-D)
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline19.763 ± 13.43816.355 ± 11.098
Post completion of chemoradiation16.67 ± 7.28715.914 ± 11.118
2 months12.47 ± 4.75814.15 ± 8.316
4 months12.47 ± 5.84514.15 ± 10.184
6 months11.21 ± 5.36811.21 ± 4.158
9 months12.89 ± 5.0528.27 ± 0
12 months12.843 ± 5.3238.27 ± 0
PrimaryPhysician-reported Toxicity of PBT for Esophageal Cancer

Number of participants with grade 3 or higher specific cardiac, metabolism/nutrition, gastrointestinal, respiratory/thoracic/mediastinal, and skin/subcutaneous toxicity using NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 related to PBT

Time frame:
Through 6 months following chemoradiation (estimated to be 9 months)
Reported as:
Count of participants · Participants
Physician-reported Toxicity of PBT for Esophageal Cancer
ParticipantsArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Physician-reported Toxicity of PBT for Esophageal Cancer20
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Mental Component Score

The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher scores indicate better quality of life. MCS scores from the SF-12 are recoded, weighted, and summed, and standardized by the SF-12 scoring procedure. SF-12 is a licensed product and this procedure is implemented in the QualityMetric PRO CoRE software package. MCS range is 40-65.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, and 6 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Mental Component Score
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline45.0 ± 15.144.5 ± 16.4
Post completion of chemoradiation45.7 ± 9.645.7 ± 13.0
2 months50.9 ± 11.045.3 ± 15.9
4 months50.4 ± 10.244.6 ± 12.3
6 months50.8 ± 8.254.7 ± 1.4
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Physical Component Score

The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher scores indicate better quality of life. PCS scores from the SF-12 are recoded, weighted, and summed, and standardized by the SF-12 scoring procedure. SF-12 is a licensed product and this procedure is implemented in the QualityMetric PRO CoRE software package. PCS range is 30-55.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, and 6 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Physical Component Score
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline45.8 ± 12.641.9 ± 18.1
Post completion of chemoradiation33.5 ± 10.537.6 ± 11.4
2 months40.4 ± 12.039.4 ± 12.6
4 months42.6 ± 13.342.9 ± 14.2
6 months42.3 ± 12.051.9 ± 6.1
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Physical Component Score

The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher scores indicate better quality of life. PCS scores from the SF-12 are recoded, weighted, and summed, and standardized by the SF-12 scoring procedure. SF-12 is a licensed product and this procedure is implemented in the QualityMetric PRO CoRE software package. PCS range is 30-55.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Physical Component Score
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline45.8 ± 12.641.9 ± 18.1
Post completion of chemoradiation33.5 ± 10.537.6 ± 11.4
2 months40.4 ± 12.039.4 ± 12.6
4 months42.6 ± 13.342.9 ± 14.2
6 months42.3 ± 12.051.9 ± 6.1
9 months43.9 ± 9.840.4 ± 17.6
12 months42.1 ± 11.139.8 ± 7.2
SecondaryProgression-free Survival (PFS) of Proton Beam Therapy (PBT) for Patients With Resectable

-PFS is defined as the duration of time from start of treatment to time of progression or death, whichever occurs first.

Time frame:
5 years following chemoradiation (estimated to be 5 years and 3 months)

Results for this outcome have not been posted.

SecondaryOverall Survival (OS)of PBT for Patients With Resectable Versus Unresectable Esophageal
Time frame:
5 years following chemoradiation (estimated to be 5 years and 3 months)

Results for this outcome have not been posted.

PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Mental Component Score

The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher scores indicate better quality of life. MCS scores from the SF-12 are recoded, weighted, and summed, and standardized by the SF-12 scoring procedure. SF-12 is a licensed product and this procedure is implemented in the QualityMetric PRO CoRE software package. MCS range is 40-65.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Mental Component Score
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline45.0 ± 15.144.5 ± 16.4
Post completion of chemoradiation45.7 ± 9.645.7 ± 13.0
2 months50.9 ± 11.045.3 ± 15.9
4 months50.4 ± 10.244.6 ± 12.3
6 months50.8 ± 8.254.7 ± 1.4
9 months48.2 ± 8.647.9 ± 16.0
12 months51.6 ± 7.961.4 ± 5.3
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - General Health Score

The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Lower mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-5.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - General Health Score
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline3 ± 1.33.5 ± 1.9
Post completion of chemoradiation3.1 ± 0.92.8 ± 1.1
2 months2.5 ± 0.83.2 ± 1.5
4 months3 ± 0.83 ± 1
6 months3.1 ± 1.12.5 ± 0.7
9 months3.1 ± 0.93 ± 1.4
12 months3.1 ± 12 ± 0
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Physical Function Score

The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-3.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Physical Function Score
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline2.6 ± 0.72.6 ± 0.7
Post completion of chemoradiation1.9 ± 0.61.7 ± 0.8
2 months2.1 ± 0.81.9 ± 0.8
4 months2.2 ± 0.72.2 ± 1
6 months2.4 ± 0.62.5 ± 1
9 months2.3 ± 0.61.8 ± 1
12 months2.4 ± 0.81.8 ± 0.5
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Physical Role Score

The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-2.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Physical Role Score
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline1.5 ± 0.51.5 ± 0.5
Post completion of chemoradiation1.1 ± 0.41.3 ± 0.5
2 months1.5 ± 0.51.2 ± 0.5
4 months1.5 ± 0.51.3 ± 0.5
6 months1.5 ± 0.52 ± 0
9 months1.5 ± 0.51.5 ± 0.6
12 months1.5 ± 0.51.5 ± 0.6
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Emotional Role Score

The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-2.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Emotional Role Score
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline1.6 ± 0.51.8 ± 0.5
Post completion of chemoradiation1.6 ± 0.51.5 ± 0.5
2 months1.7 ± 0.51.5 ± 0.5
4 months1.5 ± 0.51.3 ± 0.5
6 months1.8 ± 0.42 ± 0
9 months1.6 ± 0.51.5 ± 0.6
12 months1.8 ± 0.42 ± 0
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Bodily Pain Score

The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Lower mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-5.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Bodily Pain Score
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline2.1 ± 1.32.5 ± 1.9
Post completion of chemoradiation3.1 ± 1.22 ± 1.2
2 months2.6 ± 1.51.5 ± 1
4 months2 ± 1.51.7 ± 1.2
6 months1.9 ± 1.11 ± 0
9 months1.6 ± 0.52 ± 1.4
12 months2 ± 1.11.5 ± 0.7
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Mental Health Score

The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Lower mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-6.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Mental Health Score
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline2.8 ± 1.42.8 ± 1.5
Post completion of chemoradiation2.9 ± 1.12.7 ± 1.3
2 months2.1 ± 1.02.6 ± 1.6
4 months1.9 ± 0.92.5 ± 1.4
6 months2.1 ± 1.42.2 ± 1.0
9 months2.5 ± 1.02.8 ± 2.2
12 months2.1 ± 1.01.5 ± 0.6
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Vitality Health Score

The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Lower mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-6.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Vitality Health Score
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline3.5 ± 1.54 ± 2.3
Post completion of chemoradiation4.4 ± 14.4 ± 1.5
2 months3.4 ± 1.14.2 ± 1.5
4 months3.6 ± 1.73.7 ± 1.5
6 months3.6 ± 1.63 ± 1.4
9 months3.1 ± 1.53.5 ± 2.1
12 months3.4 ± 1.53 ± 1.4
PrimaryChange in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Social Functioning Score

The SF-12 will be measured at each of 7 interviews, and mental and physical component scores will be calculated in addition to calculating the measure's eight individual subscales (physical functioning, social functioning, role limitations due to physical problems, body pain, general health, role limitations due to emotional problems general health, vitality, and mental health). Higher mean scores indicate better quality of life. The subscales are calculated by recoding and averaging the raw scores (Likert scales) the questions associated with the subscale. Range of 1-5.

Time frame:
Baseline, post completion of chemoradiation, 2 months, 4 months, 6 months, 9 months, and 12 months
Reported as:
Mean · score on a scale
Change in Patient-reported Outcomes of PBT for Esophageal Cancer as Measured by the SF-12 Questionnaire - Social Functioning Score
score on a scaleArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Baseline3.9 ± 1.43 ± 1.8
Post completion of chemoradiation2.9 ± 1.33.4 ± 1.3
2 months3.6 ± 1.43.8 ± 1
4 months4.3 ± 1.33.7 ± 1.5
6 months4 ± 1.25 ± 0
9 months3.9 ± 1.34 ± 1.4
12 months4 ± 1.14.5 ± 0.7

Adverse events

Collected over Adverse events are collected from start of treatment through 1 year. All-cause mortality is collected from start of treatment through 5 years.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arm 1: Resectable (Proton Beam Therapy)8/15 (53.3%)12/15 (80%)5/15 (33.3%)
Arm 2: Unresectable (Proton Beam Therapy)4/6 (66.7%)4/6 (66.7%)1/6 (16.7%)
Most frequent serious events
Showing 10 of 31
Most frequent serious events
EventArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
Disease progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)4/151/6
Heart failureCardiac disorders0/151/6
Pericardial effusionCardiac disorders0/151/6
Pericardial tamponadeCardiac disorders0/151/6
HypoxiaRespiratory, thoracic and mediastinal disorders0/151/6
Pleural effusionRespiratory, thoracic and mediastinal disorders0/151/6
Pulmonary artery pseudoaneurysmRespiratory, thoracic and mediastinal disorders0/151/6
CellulitisSkin and subcutaneous tissue disorders0/151/6
DysphagiaGastrointestinal disorders2/150/6
SepsisInfections and infestations2/150/6
Most frequent other events
Most frequent other events
EventArm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)
DyspneaRespiratory, thoracic and mediastinal disorders0/151/6
DiarrheaGastrointestinal disorders1/150/6
Gastric stenosisGastrointestinal disorders1/150/6
Hepatitis viralInfections and infestations1/150/6
SepsisInfections and infestations1/150/6
Flank painMusculoskeletal and connective tissue disorders1/150/6
AspirationRespiratory, thoracic and mediastinal disorders1/150/6

Baseline characteristics

Age, Continuous
Age, Continuous(years)Arm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)Total
Median68.5 (52 to 78)77.5 (55 to 84)70.5 (52 to 84)
Sex: Female, Male
Sex: Female, Male(Participants)Arm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)Total
Female426
Male12416
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Arm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)Total
Hispanic or Latino011
Not Hispanic or Latino16521
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Arm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)Total
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American101
White15621
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Arm 1: Resectable (Proton Beam Therapy)Arm 2: Unresectable (Proton Beam Therapy)Total
United States16622
08

Study locations

1 site
  • Washington University School of Medicine
    St Louis, Missouri 63110, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Ran from Apr 2018 to primary completion in Sep 2022, 52 months.

Results were first posted in Apr 2025, 2 years 6 months after primary completion.

Completion moved once since we started tracking on Sep 25, 2026: Aug 2026 → Sep 2026, on Oct 2, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Mar 15, 2018
First posted
Mar 29, 2018
StartActual
Apr 19, 2018
Primary completionActual
Sep 13, 2022
CompletionActual
Sep 9, 2026was Aug 2026
Results first posted
Apr 6, 2025
Last update
Oct 2, 2026
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.
Status
Active, not recruiting→Terminated The study is no longer relevant to have open to ensure insurance approval for this patient population
changed Oct 2, 2026
Study completion
Aug 9, 2026→Sep 9, 2026 (actual)
Oct 2, 2026
Show all 1 update
  1. Oct 2, 2026
    Active, not recruiting→Terminated
    Why stopped The study is no longer relevant to have open to ensure insurance approval for this patient population
    Study completion Aug 9, 2026→Sep 9, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT03482791
Responsible party
Sponsor
First posted
Mar 29, 2018
Start date
Apr 19, 2018
Primary completion
Sep 13, 2022
Completion
Sep 9, 2026
Results posted
Apr 6, 2025
Last update
Oct 2, 2026

Study contacts

Gregory Vlacich, M.D., Ph.D.
principal investigator · Washington University School of Medicine

Oversight

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

Not currently enrolling

This study is terminated, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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