- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04851132
Radiotherapy Plus Durvalumab in Elderly Esophageal Squamous Cell Carcinoma
June 20, 2021 updated by: Zhouguang Hui, M.D., Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Radiotherapy Plus Durvalumab in Elderly Esophageal Squamous Cell Carcinoma: A Prospective Phase II Clinical Trial
The incidence and mortality of esophageal cancer are at the forefront in China, among which the elderly patients account for a large proportion.
Concurrent chemoradiotherapy is the standard treatment for inoperable locally advanced esophageal cancer.
Most elderly patients with esophageal cancer cannot tolerate concurrent chemotherapy because of complications and other reasons.
Immunotherapy has definite efficacy and low toxicity in advanced esophageal squamous cell carcinoma, and the results combined with radiotherapy have also been preliminarily reported.
Therefore, it is necessary to further explore the efficacy and safety of radiotherapy combined with immunotherapy in elderly patients with esophageal cancer.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
33
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Beijing, China, 100021
- Recruiting
- National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
70 years and older (Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age 70-85 years old, both men and women
- Histologically confirmed esophageal squamous cell carcinoma located in thoracic segment, treatment naive
- Stage cT2-4aNanyM0 (AJCC 8 TNM classification)
- Unresectable, unable to tolerate or refuse surgery and concurrent chemoradiotherapy
- ECOG PS 0-2
- Measurable disease based on Response Evaluation Criteria In Solid Tumors (RECIST) 1.1
- No severe abnormalities of the Hematologic system, heart, lung, liver, kidney, and immunodeficiency
Adequate bone marrow and organ function as defined below (excluding the use of any blood components and cell growth factors within 7 days):
- Absolute neutrophil count≥1,500/mm3
- Platelets ≥ 100,000/mm3
- Hemoglobin ≥ 5.6 mmol/L (9g/dL)
- Serum creatinine ≤ 1.5 x ULN or Creatinine clearance ≥50 mL/min by Cockcroft-Gault estimation
- Total bilirubin ≤ 1.5 x ULN
- ALT and AST ≤ 2.5 x ULN
- Proteinuria < 2+, for subjects with urine protein ≥ 2 + at baseline, urine samples should be collected within 24 hours and urine protein in 24 hours should be ≤ 1g
- INR or PT or aPTT ≤ 1.5 x ULN
- Life expectancy more than 6 months
- Ability to understand and willingness to sign an IRB approved written informed consent document, and capable of proper therapeutic compliance, and accessible to correct follow-up
Exclusion Criteria:
- Complete esophageal obstruction that unable to eat fluid and cannot provide necessary nutrition through nasal feeding
- Patients with obvious ulcer or esophageal perforation or hematemesis
- Placement of esophagotracheal stents
- Has a history or current evidence of pulmonary fibrosis, interstitial pneumonia, pneumonoconiosis, drug-associated pneumonia, severe impairment of pulmonary function
- Has had major surgery within 28 days prior to the start of the treatment
- Immunosuppressive drugs used within 4 weeks prior to the initial study treatment, excluding local glucocorticoids, or systemic glucocorticoids at physiological doses (i.e., no more than 10 mg/ day of prednisone or equivalent doses of other glucocorticoids);
- The patient has any active autoimmune disease or a history of autoimmune disease (such as the following, but not limited to: interstitial pneumonia, uveitis, enteritis, hepatitis, hypophysitis, vasculitis, glomerulonephritis, thyroiditis (patients with vitiligo or asthma has been completely relieved in childhood, and do not need any intervention during adulthood can be included; patients with type I diabetes with good insulin control can also be included; hypothyroidism caused by autoimmune thyroiditis requiring hormone replacement therapy can also be included)
- Has had congenital or acquired immunodeficiency, such as human immunodeficiency virus (HIV) infection, active hepatitis B (HBV-DNA ≥ 104 copies/ml) or hepatitis C (HCV-RNA ≥ 103 copies/ml; For chronic hepatitis B virus carriers, HBV viral load must be < 2000 IU/ml (< 104 copies / ml), and must receive antiviral therapy at the same time before they can be enrolled
- Known allogeneic organ transplantation (except corneal transplantation) or allogeneic hematopoietic stem cell transplantation
- Uncontrolled clinically significant disease, including active infection, uncontrolled hypertension, unstable angina pectoris, angina within the past 3 months, heart failure > NYHA II, myocardial infarction within the past 6 months, severe arrhythmias requirement for treatment or intervention, liver/kidney or metabolic disease
- System infections that require treatment
- Received a live vaccine within 4 weeks of the first dose of study medication
- Synchronous or metachronous second primary malignancy. Participants with basal cell carcinoma of the skin, or cervical cancer in situ that have undergone potentially curative therapy are not excluded from the study
- Patients who have participated in other clinical trials within 30 days
- Drug addiction, chronic alcoholism and AIDS
- Patients with uncontrollable seizures or loss of self-control due to mental illness
- Those with a history of severe allergy or specific physique
- The investigators judge not suitable for inclusion
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Exprimental Arm
IMRT plus Durvalumab
|
IMRT (Intensity Modulated RT) or 3D-CRT (three-dimensional conformal radiotherapy); 95% PGTV 59.92Gy/2.14Gy/28f;
95% GTVnd 59.92Gy/2.14Gy/28f;
95% PTV 50.40Gy/1.80Gy/28f;
5 days a week; 6 weeks.
Durvalumab 1000 mg, intravenously (IV), on Day 1 of radiotherapy, every 3 weeks for up to 18 administrations.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression-free survival (PFS)
Time Frame: 1-year
|
PFS was assessed by Response Evaluation Criteria in Solid Tumors (RECIST)1.1.
Progression-free survival defined as the time from enrollment to the first documented disease progression of local recurrence or distant metastasis or death due to any cause.
|
1-year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall survival (OS)
Time Frame: 1-, 2- and 3-year
|
Overall survival defined as the time from enrollment to death due to any cause.
|
1-, 2- and 3-year
|
Progression-free survival (PFS)
Time Frame: 2- and 3-year
|
PFS was assessed by Response Evaluation Criteria in Solid Tumors (RECIST)1.1.
Progression-free survival defined as the time from enrollment to the first documented disease progression of local recurrence or distant metastasis or death due to any cause.
|
2- and 3-year
|
Objective Response Rate (ORR)
Time Frame: during the intervention up to 60 weeks
|
ORR was Assessed by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1).
|
during the intervention up to 60 weeks
|
Disease Control Rate (DCR)
Time Frame: during the intervention up to 60 weeks
|
DCR was Assessed by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1).
|
during the intervention up to 60 weeks
|
Number of participants with an adverse event
Time Frame: Up to 60 weeks
|
Evaluanted by CTCAE 5.0
|
Up to 60 weeks
|
Quality of Life (QOL): questionnaire EORTC QLQ-C30 (version 3)
Time Frame: up to 60 weeks
|
Evaluate the quality of life via questionnaire EORTC QLQ-C30 (version 3), minimum value 30, maximum value 126, higher scores mean a worse outcome.
|
up to 60 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quality of Life (QOL): questionnaire EORTC QLQ-OES18
Time Frame: up to 60 weeks
|
Evaluate the quality of life via questionnaire EORTC QLQ-OES18, minimum value 18, maximum value 72, higher scores mean a better outcome.
|
up to 60 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 11, 2021
Primary Completion (Anticipated)
March 1, 2023
Study Completion (Anticipated)
June 1, 2023
Study Registration Dates
First Submitted
April 5, 2021
First Submitted That Met QC Criteria
April 16, 2021
First Posted (Actual)
April 20, 2021
Study Record Updates
Last Update Posted (Actual)
June 22, 2021
Last Update Submitted That Met QC Criteria
June 20, 2021
Last Verified
June 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Neoplasms, Glandular and Epithelial
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Head and Neck Neoplasms
- Esophageal Diseases
- Neoplasms, Squamous Cell
- Esophageal Neoplasms
- Carcinoma
- Carcinoma, Squamous Cell
- Esophageal Squamous Cell Carcinoma
- Antineoplastic Agents
- Antineoplastic Agents, Immunological
- Durvalumab
Other Study ID Numbers
- NCC2840
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
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