Title
Postoperative Concurrent Chemoradiotherapy Versus Radiotherapy Alone for Patients With Locoregionally Advanced Esophageal Squamous Cell Carcinoma
A Randomized Phase Ⅱ/Ⅲ Trial of Postoperative Concurrent Chemoradiotherapy Versus Radiotherapy Alone for Patients With Locoregionally Advanced Esophageal Squamous Cell Carcinoma
Phase
Phase 2/Phase 3Lead Sponsor
Huai'an First People's HospitalStudy Type
InterventionalStatus
RecruitingIndication/Condition
Esophageal Squamous Cell CarcinomaIntervention/Treatment
Docetaxel plus cisplatin [docetaxel (102342), cisplatin (103414)] ...Study Participants
434The aim of this study is to investigate the effect of postoperative concurrent chemoradiotherapy versus radiotherapy alone for patients with locally advanced esophageal squamous cell carcinoma.
cisplatin 25mg/m2 on day 1 and docetaxel 25mg/m2 on day 1 weekly for 5 weeks
radiotherapy: 50Gy (2.0 Gy/fraction, 5 days a week)
All patients in this group will receive concurrent chemoradiotherapy with DP regimen (docetaxel plus cisplatin).
All patients in this group will receive radiotherapy alone 50Gy (2.0 Gy/fraction, 5 days a week).
Inclusion Criteria: biopsy-confirmed esophageal squamous cell carcinoma age ≤ 70 years old, Karnofsky performance status ≥ 70, R0 esophagectomy according to the pathological examination of the resected specimens, postoperative stage Ⅱ-Ⅳa according to the AJCC 7th edition of tumor-node-metastasis (TNM) classification for esophageal carcinoma Adequate organ functions (1).white blood cell (WBC) ≥3×109⁄L; (2).Absolute neutrophil counts (ANC) ≥1.5×109⁄L; (3).Hemoglobin (Hb) ≥10g⁄dl; (4).Platelet (Plt) ≥100×109⁄L; (5).Total bilirubin <1.5 upper limit of normal (ULN); (6).Aspartate transaminase (AST) ≤2.5 ULN; (7).Alanine aminotransferase (ALT) ≤2.5 ULN; (8).Creatinine ≤1.5 ULN; (9).adequate pulmonary function (FEV1>0.8 L;. no previous treatment or severe complications Written informed consent Exclusion Criteria: previous treatment with chemotherapy or radiotherapy greater than 3 months after surgery complete esophageal obstruction after surgery, esophageal perforation; other malignant tumors, except for skin basal cell carcinoma, or cervical carcinoma in situ, who survived with no evidence disease for over 3 years; pregnant or breast-feeding women; patients with any serious concurrent disease, such as severe diabetes, uncontrolled hypertension, serious chronic obstructive pulmonary disease; drug addiction, Alcoholism or AIDS; uncontrolled seizures or psychiatric diseases, loss of control over their own behavior; with clear chemotherapy drug allergy participation in other interventional clinical trials within 30 days;