Irinotecan Combined With Cisplatin as 1st Line Treatment for Esophageal Squamous Cell Cancer : a Single Center Prospective Clinical Trial
1 other identifier
interventional
60
1 country
1
Brief Summary
Irinotecan, as one new agent used in advanced esophageal carcinoma, has been shown to be effective and safe in western studies. Different with westerns, squamous carcinoma is the main pathological type in china patients. The investigators then initiated a prospective phase II clinical trial with irinotecan/cisplatin as the 1st line treatment in advanced esophageal carcinoma to observe the efficacy and safety of the combination.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Aug 2009
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2009
CompletedFirst Submitted
Initial submission to the registry
January 19, 2010
CompletedFirst Posted
Study publicly available on registry
January 20, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2012
CompletedJanuary 20, 2010
May 1, 2009
2 years
January 19, 2010
January 19, 2010
Conditions
Outcome Measures
Primary Outcomes (1)
overall survival
2 year
Secondary Outcomes (4)
PFS
1year
response rate
1.5 months
adverse events
2 year
polymorphism of UGT1A
2 year
Study Arms (1)
irinotecan/cisplatin
EXPERIMENTALirinotecan 130mg/m2 d1 cisplatin: 30mg/m2, d1,d2 every three weeks
Interventions
irinotecan 130mg/m2 d1 cisplatin 30mg/m2, d1,d2 every 3 weeks
Eligibility Criteria
You may qualify if:
- Having signed informed consent
- Age 18 to 70 years old
- Histologically confirmed esophageal squamous carcinoma, no prior palliative chemotherapy; recurrence from last adjuvant chemotherapy or adjuvant radiotherapy should be longer than 6 months; no prior treatment of irinotecan as adjuvant chemotherapy, total dose of cisplatin is less than 300mg/m2 if used in adjuvant chemotherapy
- Unresectable recurrent or metastatic disease
- Measurable disease according to the RECIST criteria(diameter of the lesion should be more than 10mm by spiral CT or MRI, more than 20mm by common CT, the date of image should be less than 15 days before enrollment)
- Karnofsky performance status ≥70
- Life expectancy of ≥3 month
- No prior radiotherapy except radiotherapy at non-target lesion of the study more than 4 weeks
- ALT and AST\<2.5 times ULN (≤5 times ULN in patients with liver metastases)(within 7 days before enrollment)
- Serum AKP \< 2.5 times ULN (within 7 days before enrollment)
- Serum creatinine \<1.0 times ULN (within 7 days before enrollment)
- Bilirubin level \< 1.0 times ULN (within 7 days before enrollment)
- WBC\>4,000/mm3, absolute neutrophil count ≥2000/mm3, platelet\>100,000/mm3, Hb\>9g/dl(within 7 days before enrollment)
- No sever complication, such as active gastrointestinal bleeding, perforation, jaundice, obstruction, non-cancerous fever\>38℃;
- Good compliance
You may not qualify if:
- previous treatment of palliative chemotherapy or recurrence less than 6 months from time of last adjuvant chemo-/radiotherapy
- Known hypersensitivity to irinotecan
- Only with Brain or bone metastasis
- Tumor with length≥10cm, liver metastasis covers more than 50% of liver,or lung metastasis covers more than 25% of lung
- No measurable lesions, eg. pleural fluid and ascites
- Surgery (excluding diagnostic biopsy) within 4 weeks prior to study entry
- Heart failure or other sever organ dysfunction, eg. coronary artery disease, myocardial infarction within the last 6 months or
- Pregnancy or lactation period
- Other previous malignancy within 5 year, except non-melanoma skin cancer
- Chronic diarrhea
- Mentally abnormal or disable cognition,including CNS metastasis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Zhang Xiaodong
Beijing, Beijing Municipality, 100142, China
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
January 19, 2010
First Posted
January 20, 2010
Study Start
August 1, 2009
Primary Completion
August 1, 2011
Study Completion
August 1, 2012
Last Updated
January 20, 2010
Record last verified: 2009-05