Overview

Comparable Study of Different Radiation Dose in Esophageal Carcinoma

Status:
Unknown status
Trial end date:
2017-07-01
Target enrollment:
0
Participant gender:
All
Summary
Radiation therapy plus concurrent chemotherapy is now the standard therapy for patients with localized carcinoma of the esophagus selected for nonsurgical treatment. The standard radiation dose is 50-50.4Gy/1.8-2.0Gy/F.All of this were based on 2D radiation technology. Entering new century, 3D-CRT or IMRT has used on esophageal cancer. In China,the recommend radiation dose of concurrent chemoradiation was 60Gy. The study is a clinical phase III, randomized trial to compare the different radiation dose(60Gy vs 50Gy) of concurrent chemoradiation using 3D-CRT or IMRT in patients with unresectable esophageal carcinoma.
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Zhejiang Cancer Hospital
Treatments:
Docetaxel
Criteria
Inclusion Criteria:

- Histological or cytologic diagnosis of esophageal carcinoma

- ECOG performance status 0-1

- Age:18-70 years

- Joined the study voluntarily and signed informed consent form

- Patients must not have received any prior anticancer therapy

- Unresectable disease, or refuse surgery.Stage Ⅰ-ⅣA(AJCC 2009)

- Target lesions can be measured according to RECIST criteria

- No serious system dysfunction and immuno-deficiency, Adequate organ function including
the following: Hemoglobin ≥9 g/dL, WBC≥3x109/L, Neutrophils (ANC )≥1.5x109/L, platelet
count ≥100x 109/L, TBIL<1.5 x ULN, ALT and AST ≦ 2.5 x ULN, creatinine ≦ 1.5 x ULN

- Use of an effective contraceptive for adults to prevent pregnancy

- Life expectancy of more than 3 months

Exclusion Criteria:

- Multiple carcinomas of the esophagus,

- Biopsy-proven invasion of the tracheobronchial tree or tracheoesophageal fistula,

- Metastatic disease (M1),

- A primary tumor that extended to within 2 cm of the gastroesophageal junction,

- Prior chemotherapy, prior thoracic radiation, surgical resection of the primary tumor,

- Concurrent pregnancy or lactation, history of a second malignancy other than
nonmelanoma skin cancer