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CompletedNCT04359732EscapeUpdated Sep 21, 2026

Assessment of Response to nCRT for GEJ Cancer Using a Fully Integrated PET/MRI

An interventional study of hybrid PET/MRI in Esophageal Cancer and Esophageal Neoplasms, sponsored by IRCCS San Raffaele. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by IRCCS San Raffaele · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
121
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Evaluate the potential role of PET/MRI as a predictor of esophageal and junctional cancers in response to neoadjuvant chemoradiotherapy (nCRT).

Read the detailed description

This is a prospective, observational single center study which plans to enroll patients with biopsy proven potentially resectable esophageal or junctional cancer scheduled to receive nCRT (CROSS regimen) prior to surgery.

The study aims to evaluate Routine pre-treatment work-up includes PET to stage the tumour extension.

  • PET/MRI (Magnetic resonance imaging) will replace the PET component of CT(computed tomography)
  • An additional intermediate 18-FDG (Fluorodeoxyglucose) PET/MRI will be performed during nCRT
  • Post nCRT imaging, as required prior to surgery, will be PET/MRI six weeks after treatment completion.
  • 8-12 weeks post nCRT completion surgery will be performed, based on each patient's performance status and response to nCRT
  • Histopathological samples of the excised tumor and lymph nodes will be used for diagnosis, staging and description of qualitative and quantitative parameters Routine clinical and radiological follow-up for 24 months (for the scope of this study) will follow the standard clinical workflow assigned to this group of patients.
02

Conditions studied

  • Esophageal Cancer
  • Esophageal Neoplasms

Keywords

  • response
  • neoadjuvant
  • PET/MRI
  • radiomics
  • GEJ cancer
03

In context

Esophageal Neoplasms

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

This study's enrollment of 121 is above the median of 58 across 1,171 interventional studies indexed under Esophageal Neoplasms.

Browse Esophageal Neoplasms studies →

Lead sponsor

IRCCS San Raffaele is the lead sponsor of 443 studies on the registry; 234 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • biopsy-proven esophageal or junctional carcinomas (either adenocarcinoma (AC) or squamous cell carcinoma (SCC) for which an Ivor-Lewis transthoracic esophagectomy with supramesocolic and mediastinal lymphadenectomy is indicated;
  • visible tumor on pre-treatment imaging;
  • ≥ 18 years of age;
  • signed informed consent.

Exclusion criteria

Exclusion Criteria:

  • - incomplete preoperative imaging assessment;
  • contraindications to neoadjuvant treatment;
  • contraindications to preoperative imaging (such as pacemaker, allergy to contrast agents);
  • inability to complete imaging examinations (i.e. severe claustrophobia);
  • contraindication to surgery (comorbidities, distant metastatic disease (imaging confirmed));
  • pregnant or lactating women
  • severe hypersensitivity to gadobutrol or fludeoxyglucose F18.
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
121 participants (actual)

Study arms

  • Other
    Hybrid PET/MRI

    For the purposes of the study, in addition to standard imaging (EUS and CT scan), a fully integrated hybrid PET/MRI (PET/MRI) study with FDG will replace the Standard PET (pre-surgical evaluation) used for evaluating distant metastases and will be considered as the add-on procedure at three time points. The additional evaluation for patients is that during nCRT treatment.

    Other: hybrid PET/MRI

Interventions

  • Otherhybrid PET/MRI

    An additional intermediate 18-FDG PET/MRI will be performed during neoadjuvant chemo-radiation therapy. Routine pre-treatment work-up PET/MRI will replace PET alone.

06

What researchers measure

Primary outcomes

  1. Response to neoadjuvant treatment -MRI

    MRI component including Dynamic Contrast Enhanced (DCE); quantitative evaluation and delta between timepoints

    Time frame: 0-36 months

  2. Response to neoadjuvant treatment -PET

    PET component -quantitative evaluation and delta between timepoints

    Time frame: 0-36 months

  3. Response to neoadjuvant treatment - Histology

    Evaluate degree of tumor regression after neoadjuvant therapy according to the Mandard Tumour regression grade ; integrated Immunohistochemistry

    Time frame: 0-36 months

  4. Response to neoadjuvant treatment -Radiomics

    Radiomic features extracted from hybrid imaging

    Time frame: 0-36 months

  5. Imaging parameters as potential predictors of tumor response

    Select imaging parameters that can be considered potential predictors of the responder/non-responder status assessment

    Time frame: 0- 48 months

Secondary outcomes

  1. Early regression model (ERI)

    Evaluate the ERI model as a predictor of histological response (TRG grade) based on MRI tumor volume assessment

    Time frame: 0- 60 months

07

Study locations

1 site
  • Deaprtment of Radiology, IRCCS Ospedale San Raffaele
    Milan, 20132, Italy
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04359732
Lead sponsor
IRCCS San Raffaele
Collaborators
Associazione Italiana per la Ricerca sul Cancro
Responsible party
Francesco De Cobelli (MD, Chair Radiology Department, IRCCS San Raffaele) — Principal investigator
First posted
Apr 24, 2020
Start date
May 10, 2020
Primary completion
Feb 10, 2026
Completion
Feb 28, 2026
Last update
Sep 21, 2026

Study contacts

Francesco De Cobelli, MD
principal investigator · IRCCS Ospedale San Raffaele

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 completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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