Chemoradiotherapy Following Immunotherapy Plus Chemotherapy for Locally-advanced Esophageal Squamous Cell Cancer (RICE) (RICE)
A Phase 2 Trial of Concurrent Chemoradiotherapy Following Immunotherapy Plus Chemotherapy for Patients With Locally-advanced Esophageal Squamous Cell Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China, 200030
- Shanghai Chest Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Aged ≥ 18 years at the time of screening.
- Histologically confirmed squamous cell carcinoma;
- Locally-advanced ,medical inoperability, technical irresectability, or patient refusal to surgery;
- Eastern Cooperative Oncology Group (ECOG) performance status:0-2;
- Able to eat a semi-liquid diet;
- Less than 20% weight loss within 6 months;
- Adequate hepatic function, renal function, hematologic function and coagulation function;
- Documented informed consent.
Exclusion Criteria:
- Distant metastasis;
- Known malignancy diagnosed or require active treatment in the last 5 years, except for cancers that can be cured by surgery including cervical cancer in situ, basal or squamous cell skin cancer, breast ductal carcinoma in situ, localized prostate cancer;
- Prior thoracic irradiation, chemotherapy, or lobectomy
- Known diseases or conditions that are contraindicated for radiotherapy or surgery;
- Allergy to the research medications;
- Pregnant women or women preparing for pregnancy;
- Diagnosis of autoimmune disease or history of chronic autoimmune disease
- Absence of informed consent because of psychological, family, social and other factors;
- Patients with comorbidities (chronic pulmonary disease, poorly controlled hypertension, unstable angina, myocardial infarction within 6 months, unstable mental disorders requiring therapy).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: experimental arm
Induction Therapy: Two cycles of induction chemotherapy (nab-paclitaxel 200 mg/m², day 1; carboplatin AUC 5, day 1) combined with a PD-1 inhibitor (200 mg, day 1) every 3 weeks. Concurrent Therapy: Followed by concurrent chemoradiotherapy (CCRT). Maintenance Therapy: Patients without progressive disease (PD) will receive maintenance immunotherapy with a PD-1 inhibitor (200 mg every 3 weeks) for up to 1 year. |
Induction chemotherapy combined with PD-1 inhibitors followed with standard concurrent chemoradiotherapy
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Survival Rate
Time Frame: 2 years after last patient enrolled
|
Overall survival rate is defined as the percentage of participants who are alive up to 2 years from enrollment
|
2 years after last patient enrolled
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Treatment related complications
Time Frame: During the procedure
|
complications after treatment
|
During the procedure
|
|
progression-free Survival (PFS)
Time Frame: 2 years after last patient enrolled
|
Progression-free survival is defined as the time between date of enrollment and first date of recurrence or death, whichever occurs first.Recurrence is defined as the appearance of one or more new lesions, which can be local, regional, or distant in location from the primary tumor site ( assessed by imaging or pathology).
All deaths without prior recurrence are considered as PFS events.
|
2 years after last patient enrolled
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Head and Neck Neoplasms
- Esophageal Diseases
- Esophageal Neoplasms
- Antineoplastic Agents, Immunological
- Antineoplastic Agents
- Molecular Mechanisms of Pharmacological Action
- Pharmacologic Actions
- Chemical Actions and Uses
- Therapeutic Uses
- Immune Checkpoint Inhibitors
Other Study ID Numbers
Other Study ID Numbers
- drjunliu
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.