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CompletedNCT03914443Updated May 31, 2025

A Feasibility Trial of Nivolumab With Neoadjuvant CF or DCF Therapy for Locally Advanced Esophageal Carcinoma

A Phase 1 interventional study of Nivolumab and 5-FU in Locally Advanced Esophageal Squamous Cell Carcinoma, sponsored by National Cancer Center, Japan. Completed at 1 site in Japan. Open to participants aged 20 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-05-31.

Sponsored by National Cancer Center, Japan · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
37
Allocation
Non-randomized
Ages
20 Years to 75 Years
Sex
All
01

Study summary

The main purpose of this study is to evaluate the safety of the neoadjuvant therapy, nivolumab with CF (5-FU, CDDP) or nivolumab with DCF (5-FU, CDDP, DTX), for locally advanced esophageal carcinoma.

02

Conditions studied

  • Locally Advanced Esophageal Squamous Cell Carcinoma

Keywords

  • Esophageal squamous cell carcinoma
  • Neoadjuvant chemotherapy
  • Nivolumab
  • JCOG
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 enrollment of 37 is below the median of 64 across 550 interventional studies indexed under Esophageal Squamous Cell Carcinoma.

Browse Esophageal Squamous Cell Carcinoma studies →

Lead sponsor

National Cancer Center, Japan is the lead sponsor of 18 studies on the registry; 13 are open to participants now.

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

04

Who can participate

Ages eligible
20 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

  1. Endoscopic biopsy of esophageal primary lesion histologically diagnosed as squamous cell carcinoma, adenosquamous carcinoma, or basal cell carcinoma
  2. All esophageal cancer lesions are localized in the thoracic esophagus
  3. Patients are classified as clinical stage T1N1-3M0 or T2-3N0-3M0 in the UICC-TNM classification 8th edition
  4. The age is over 20 years old and under 75 on the enrollment date
  5. PS 0-1
  6. With or without measurable lesions
  7. Patients who have no medical history of treatment for esophageal cancer
  8. Patients who have no medical history of chemotherapy, radiotherapy, and endocrine therapy, including treatment for other types of cancer
  9. The results of laboratory tests within 14 days before enrollment meet the inclusion criteria
  10. Esophageal cancer radical surgery (R0) by open-chest surgery (or thoracoscopic surgery) and laparotomy (or laparoscopic surgery) is judged possible
  11. Patients who have no complication or history of thyroid dysfunction
  12. Patients who have no complication or history of autoimmune disease
  13. Patients who don't have treatment with systemic corticosteroids (dose of 10mg/day over in prednisolone equivalent) or immunosuppressants within 14 days before enrollment
  14. Patients who have no complication or history of pneumonitis or pulmonary fibrosis which had been diagnosed by imaging tests or physical examination
  15. For females, who have agreed with contraception from start of investigational drug administration to 5 months after last dose of an investigational drug. For males who have agreed with contraception from start of investigational drug administration to 7 months after last dose of an investigational drug.
  16. Obtained written informed consent from patients"

Exclusion criteria

Exclusion criteria:

  1. Patients who have active multiple cancers
  2. Patients who have an infectious disease that is active and need the systemic treatment
  3. Positive with HBs antigen, HCV-RNA or anti-HIV antibody, or anti-HTLV-1 antibody tests
  4. Negative with HBs antigen test and positive with anti HBs antibody or anti HBc antibody tests, and positive with HBV-DNA quantitative test
  5. Pregnant, suspected pregnant, or lactating
  6. Patients who have Psycosis or psychiatric symptoms are judged inappropriate for participation in the trial
  7. Patients who need the treatment with continued use of flucytosine, phenytoin, or warfarin potassium
  8. Patients who have a medical history of allergy to iodine
  9. Patients who have hypersensitivity to docetaxel, cisplatin, and drug-containing polysorbate 80
  10. Patients who have a complication or a history of highly sensitive reactions to antibody formulations
  11. Even if insulin or oral hypoglycemic agent is continued use, the result of HbA1c test is 6.5% or more in JDS or 6.9% or more in NGSP
  12. Patients who have advanced pulmonary emphysema, which is observed by pulmonary function test or CT test
  13. Patients who have uncontrollable hypertension
  14. Patients who have unstable angina or a medical history of myocardial infarction within 6 months before enrollment
  15. Patients who have diverticulitis or symptomatic peptic ulcer disease
  16. Patients who have a history of transplantation therapy, such as hematopoietic stem cell transplantation
  17. Patients who have a medical history of treatment with an anti-PD-1 antibody, anti-PD-L1 antibody, anti-PD-L2 antibody, anti-CD137 antibody, anti-CTLA-4 antibody, or any other antibody for inhibition or modulation of T cell costimulatory pathway or cancer vaccine."
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
37 participants (actual)

Study arms

  • Experimental
    Cohort A

    "Nivolumab: 360 mg, every 3 week 5-FU: 800 mg/m\^2, every 3 week CDDP: 80 mg/m\^2, every 3 week "

    Biological: Nivolumab · Drug: 5-FU · Drug: CDDP

  • Experimental
    Cohort B

    "Nivolumab: 240 mg lead-in followed by 360 mg, every 3 week 5-FU: 800 mg/m\^2, every 3 week CDDP: 80 mg/m\^2, every 3 week "

    Biological: Nivolumab · Drug: 5-FU · Drug: CDDP

  • Experimental
    Cohort C

    "Nivolumab: 360 mg, every 3 week 5-FU: 750 mg/m\^2, every 3 week CDDP: 70 mg/m\^2, every 3 week DTX: 70mg/m\^2, every 3 weeks"

    Biological: Nivolumab · Drug: 5-FU · Drug: CDDP · Drug: DTX

  • Experimental
    Cohort D

    "Nivolumab: 240 mg lead-in followed by 360 mg, every 3 week 5-FU: 750 mg/m\^2, every 3 week CDDP: 70 mg/m\^2, every 3 week DTX: 70mg/m\^2, every 3 weeks"

    Biological: Nivolumab · Drug: 5-FU · Drug: CDDP · Drug: DTX

Interventions

  • BiologicalNivolumab

    240 mg or 360 mg

    Also known as: ONO-4538

  • Drug5-FU

    750 or 800 mg\^2

    Also known as: 5-Fluorouracil

  • DrugCDDP

    70 or 80 mg/m\^2

    Also known as: Cisplatin

  • DrugDTX

    70 mg/m\^2

    Also known as: Docetaxel

06

What researchers measure

Primary outcomes

  1. Rate of participants with dose limiting toxicities (DLTs)

    To evaluate the safety of combination chemotherapy with nivolumab as neoadjuvant Tx

    Time frame: from initial dose to 30 post-operative days

Secondary outcomes

  1. Response rate (RR): percentage of participants with with a best response of CR or PR

    To evaluate the efficacy of combination chemotherapy with nivolumab as neoadjuvant Tx

    Time frame: from baseline to date of disease progression, approximately 24 months

  2. Pathological complete response rate

    To evaluate the efficacy of combination chemotherapy with nivolumab as neoadjuvant Tx

    Time frame: from baseline to operation, average of 10 weeks after initial dose

  3. Radical resection rate

    To evaluate the efficacy of combination chemotherapy with nivolumab as neoadjuvant Tx

    Time frame: at operation, average of 10 weeks after initial dose

  4. Treatment completion rate

    To evaluate the efficacy of combination chemotherapy with nivolumab as neoadjuvant Tx

    Time frame: from baseline to operation, average of 10 weeks after initial dose

  5. Adverse event (AE) expression rate

    To evaluate the safety of combination chemotherapy with nivolumab as neoadjuvant Tx

    Time frame: up to 30 postoperative days

  6. Progression-free survival (PFS)

    To evaluate the efficacy of combination chemotherapy with nivolumab as neoadjuvant Tx

    Time frame: from baseline to date of disease progression or death, approximately 24 month

  7. Overall survival (OS)

    To evaluate the efficacy of combination chemotherapy with nivolumab as neoadjuvant Tx

    Time frame: from baseline to date of death, approximately 24 month

07

Study locations

1 site
  • National Cancer Center Hospital
    Tokyo, Japan
08

References and documents

Publications

  • Yamamoto S, Kato K, Daiko H, Kojima T, Hara H, Abe T, Tsubosa Y, Nagashima K, Aoki K, Mizoguchi Y, Kitano S, Yachida S, Shiba S, Kitagawa Y. Feasibility study of nivolumab as neoadjuvant chemotherapy for locally esophageal carcinoma: FRONTiER (JCOG1804E). Future Oncol. 2020 Jul;16(19):1351-1357. doi: 10.2217/fon-2020-0189. Epub 2020 May 12. PubMed 32396014 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2019 to primary completion in Mar 2025, 70 months.

Of 40 phase 1 interventional studies under Esophageal Squamous Cell Carcinoma, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 34 and three quarters within 70. This study's 70 months is above that.

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

Registered
Apr 11, 2019
First posted
Apr 16, 2019
StartActual
May 7, 2019
Primary completionActual
Mar 31, 2025
CompletionActual
Mar 31, 2025
Last update
May 31, 2025
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 May 31, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03914443
Lead sponsor
National Cancer Center, Japan
Collaborators
Ono Pharmaceutical Co., Ltd., Fiverings Co., Ltd.
Responsible party
Sponsor
First posted
Apr 16, 2019
Start date
May 7, 2019
Primary completion
Mar 31, 2025
Completion
Mar 31, 2025
Last update
May 31, 2025

Study contacts

Ken Kato, MD/PhD
study chair · Department of Gastrointestinal Medical Oncology, National cancer center hospital

Oversight

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

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This study is completed, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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