- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02636088
Definitive Chemoradiotherapy and Cetuximab in the Treatment of Locally Advanced Esophageal Cancer (LERFOX-C)
A Phase II Study With Oxaliplatin + 5-FU + Ceuximab and Radiotherapy for the Treatment of Non-resectable, Locally Advanced But Not Metastatic Cancer of Oesophagus or the Cardia.
Studieoversigt
Detaljeret beskrivelse
Patients are treated with three cycles of oxaliplatin and fluorouracil 750 mg/m2/24 hours, day 1-5. Each cycle lasts for 21 days. Oxaliplatin is given with 130 mg/m2 in the first cycle and in cycle 2 and 3 which are administered concomitant with radiotherapy the dose is reduced to 85 mg/m2.
A loading dose of cetuximab 400 mg/m2 is given one week before the start of radiotherapy, and thereafter 250 mg/m2 is given weekly during the course of radiotherapy.
Concomitant with chemotherapy radiotherapy to a total dose of 50 Gy is given (2 Gy once daily in 25 fractions, 5 days a week) with a photon beam linear accelerator.
After treatment patients are followed every 6 months for three years with clinical examination and a CT-scan.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 2
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Histological verified squamos cell carcinoma or adenocarcinoma of the oesophagus or cardia
- Performance status WHO 0-2, age 18-75 years
- Locally advanced disease, non-resectable (T4 N0-N3 M0) or disease which is not operable for any other reason (T2/T3 N0-N3 M0)
- Adequate hematological, liver and renal function
- Written informed consent
Exclusion Criteria:
- Distant metastases
- Prior chemotherapy or radiotherapy for oesophageal cancer or cancer of the cardia
- Symptomatic peripheral neuropathy equal to or greater than NCI grade 2
- Other concomitant serious illness or medical condition that would not permit the patient to complete the study treatment or sign the informed consent
- Myocardial infarction within 6 months prior to study entry
- Second primary malignancy (except in situ carcinoma of the cervix or adequately treated basal cell carcinoma of the skin) unless treated, in remission and off active treatment for greater than 2 years
- Pregnancy
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
---|---|
Eksperimentel: Cetuximab
Cetuximab is administered once a week.
The initial dose is 400 mg/m2 body surface area.
First Cetuximab infusion should start day 15 in cycle 1.The subsequent weekly doses are 250 mg/m2.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Local tumour Control
Tidsramme: 1 year
|
Local tumour control will be measured with a computed tomography
|
1 year
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Progression-free survival
Tidsramme: 3 years
|
Tumour respons evaluation with CT-scan
|
3 years
|
Toxicity
Tidsramme: 3 years
|
Toxicity will be measured with the Common Toxicity Criteria Scale
|
3 years
|
Patterns of relapse
Tidsramme: 3 years
|
First site of recurrence will be evaluated with CT, supplemented with biopsy if indicated
|
3 years
|
Overall and disease-free survival
Tidsramme: 3 years
|
Tumour respons evaluation with CT scan
|
3 years
|
Quality of life
Tidsramme: 3 years
|
Quality of life assessed with the EORTC QLQ-C30 questionnaire.
|
3 years
|
Samarbejdspartnere og efterforskere
Efterforskere
- Ledende efterforsker: Gabriella A von Döbeln, MD, Karolinska University Hospital
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 2008-006802-40
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