Nimotuzumab Plus Definite Chemoradiotherapy(dCRT) in Elderly Patients With Esophageal Squamous Cell Carcinoma

NCT06988956 | Recruiting Phase 2

• 1 other identifier: IST-Nim-ESCC-23
• Study Type: interventional
• Target: 95
• Locations: 1 country
• Sites: 1

Brief Summary

investigators plan to conduct a multicenter, prospective, randomized controlled, open, phase clinical study to compare the efficacy and safety of nimotuzumab with concurrent chemoradiation alone in elderly participants with advanced esophageal squamous cell carcinoma.

Conditions

Esophageal Squamous Cell Carcinoma

Keywords

Nimotuzumab

Outcome Measures

Primary Outcomes (1)

• PFS

  PFSProgression-Free-Survival

  From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months

Study Arms (2)

Nimotuzumab plus concurrent chemoradiotherapy group

EXPERIMENTAL

S-1: TBSA\<1.4 m²，40mg；TBSA=1.4-1.6 m²，50mg；TBSA\>1.6 m²，60mg,po,BID, During the synchronous period of radiotherapy，QW，D1-D5, After radiotherapy，Q3W，D1-14，lasting for 1 year Nimotuzumab 400mg, iv, D1, Week 1; Nimotuzumab 200mg, iv, D8, QW, weeks 2-5. The prescribed dose required 95％PTV 50.4Gy/1.8Gy/28f SIB-PGTV 59.92Gy/2.14Gy/28 次

Drug: Nimotuzumab; Drug: Tegafur; Radiation: radiotherapy

concurrent chemoradiotherapy group alone

ACTIVE COMPARATOR

S-1: TBSA\<1.4 m²，40mg；TBSA=1.4-1.6 m²，50mg；TBSA\>1.6 m²，60mg,po,BID, During the synchronous period of radiotherapy，QW，D1-D5, After radiotherapy，Q3W，D1-14，lasting for 1 year The prescribed dose required 95％PTV 50.4Gy/1.8Gy/28f SIB-PGTV 59.92Gy/2.14Gy/28 次

Drug: Tegafur; Radiation: radiotherapy

Interventions

Nimotuzumab DRUG

Nimotuzumab 400mg

Also known as: Nim

Nimotuzumab plus concurrent chemoradiotherapy group

Tegafur DRUG

S-1 60mg/m2

Also known as: S-1

Nimotuzumab plus concurrent chemoradiotherapy group; concurrent chemoradiotherapy group alone

radiotherapy RADIATION

PTV 50Gy/2Gy

Nimotuzumab plus concurrent chemoradiotherapy group; concurrent chemoradiotherapy group alone

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• The subject volunteered to join the study, signed the informed consent form, had good compliance, and cooperated with the follow-up;
• Age 70 or above, male or female;
• The ECOG score is 0-1 point;
• Oesophageal squamous cell carcinoma diagnosed by histology or cytology;
• According to the efficacy evaluation criteria of solid tumors (RECIST 1.1), at least one measurable lesion, and the measurable lesion should not receive local treatment such as radiotherapy (the lesion located in the previous radiotherapy area can also be selected if the progression is confirmed and meets the RECIST1.1 criteria);
• Stage II-IVB (IVB stage only includes supraclavicular/abdominal lymph node metastasis, does not include any other distant metastasis), can tolerate synchronous radiotherapy, chemotherapy, and targeted therapy
• Expected survival time of 6 months;
• Main organ function is normal, that is, meet the following criteria:
• \) Blood routine examination:
• HBG≥90g/L；
• ANC≥1.5×109/L；
• PLT ≥80×109/L； 2) Biochemical examination:
• a.ALB≥30g/L； B. ALT and AST≤2.5ULN; ALT and AST 5 ULN; c.TBIL≤1.5ULN； D. Plasma Cr≤1.5ULN or creatinine clearance (CCr) of 60 ml/min; 9. Echocardiographic assessment: left ventricular ejection fraction (LVEF) low normal value (50%); 10. Women of childbearing age should agree to use contraception (e. g. intrauterine devices, contraceptives or condoms) during the study and within 6 months after the study; serum or urine pregnancy tests were negative within 7 days before study enrollment and must be non-lactating patients; men who agree to use contraception during the study and within 6 months after the end of the study period.

You may not qualify if:

• Received EGFR mAb and EGFR-TKI within half a year;
• Participated in other interventional clinical trials within 30 days before screening;
• Have serious concurrent diseases, such as heart failure, high risk of uncontrolled arrhythmia, severe myocardial infarction, intractable hypertension, renal failure (CKD-4 and above), thyroid insufficiency, mental illness, diabetes, severe chronic diarrhea (more than 7 times a day) and the researchers think not suitable to participate in the clinical research;
• Patients with brain metastases with symptoms or symptom control time for less than 3 months;
• History of other malignant tumors (except for cured cervical carcinoma in situ or basal cell carcinoma of the skin and other malignant tumors that have been cured for more than 5 years);
• presence of active infection or active infectious diseases;
• The presence of multilevel esophageal malignancy or signs of esophageal fistula and perforation;
• Patients whose imaging shows that the tumor has invaded important blood vessels or whose tumor is likely to invade important blood vessels during the subsequent study;
• Those allergic to the use of drugs or their ingredients in this regimen;
• Grade 2 peripheral neurological disease or hearing loss according to the criteria of common adverse event terms (NCI CTCAE V5.0);
• Pregnant or lactating women;
• Patients with a history of psychiatric substance abuse and unable to quit or with mental disorders;
• The investigator is not considered fit to join the investigator; Unwilling to participate in the study or unable to sign the informed consent form

Sponsors & Collaborators

• The First Affiliated Hospital with Nanjing Medical University: lead

Study Sites (1)

The First Affiliated Hospital of Nanjing Medical University

Nanjing, China

RECRUITING

MeSH Terms

Conditions

Esophageal Squamous Cell Carcinoma

Interventions

nimotuzumab; Tegafur; S 1 (combination); Radiotherapy

Condition Hierarchy (Ancestors)

Carcinoma, Squamous Cell; Carcinoma; Neoplasms, Glandular and Epithelial; Neoplasms by Histologic Type; Neoplasms; Neoplasms, Squamous Cell; Esophageal Neoplasms; Gastrointestinal Neoplasms; Digestive System Neoplasms; Neoplasms by Site; Head and Neck Neoplasms; Digestive System Diseases; Esophageal Diseases; Gastrointestinal Diseases

Intervention Hierarchy (Ancestors)

Fluorouracil; Uracil; Pyrimidinones; Pyrimidines; Heterocyclic Compounds, 1-Ring; Heterocyclic Compounds; Therapeutics

Study Officials

• Xiaolin MM GE

  The First Affiliated Hospital with Nanjing Medical University

  STUDY DIRECTOR

Central Study Contacts

Xiaolin MM GE, PHD

CONTACT

13951818797; doctorsxl@163.com

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Professor

Study Record Dates

• First Submitted: April 1, 2024
• First Posted: May 25, 2025
• Study Start: March 31, 2024
• Primary Completion (Estimated): April 1, 2027
• Study Completion (Estimated): April 1, 2027
• Last Updated: May 25, 2025

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)