Clinical trial · Interventional
Chemoradiotherapy in Esophageal or Esophagogastric Junction Cancer
Cohort Study of Definitive Chemoradiotherapy for Esophageal or Esophagogastric Junction Cancer
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Definitive chemoradiotherapy is the standard of care in unresectable esophageal or esophagogastric cancer. A multidisciplinary approach, including chemotherapy and radiotherapy, is important for these patients. Morerover, molecular targeting agents does not show clear efficacy in EC up to now. Nowadays, the pace of development of cancer immunotherapies is accelerating. Clinical evidence of the efficacy of immune checkpoint inhibitors and adoptive immunotherapies herald the onset of a new era in cancer immunotherapy. There have also been recent developments to provide a promising frontier in extending the use of immunotherpay or targeting agents to radiotherapy. The purpose of this study was to explore the optimal treatment modalities including PD-1/PD-L1 antibody or targeted drug for patients with unresectable esophageal or esophagogastric junction cancer.
Conditions
Conditions (6)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Chemoradiation | — | UNRESOLVED | — |
| Chemotherapy Effect | — | UNRESOLVED | — |
| Esophagogastric Junction Cancer | — | UNRESOLVED | — |
| Esophagus Cancer | — | UNRESOLVED | — |
| Immunotherapy | — | UNRESOLVED | — |
| Targeted Therapy | — | UNRESOLVED | — |
Interventions
Interventions (6)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| 5-FU Analog based chemotherapy | Drug | — | UNRESOLVED |
| Immunotherapy | Drug | Immunotherapy | ALIAS |
| Nimotuzumab | Drug | Nimotuzumab | ALIAS |
| Paclitaxel based chemotherapy | Drug | — | UNRESOLVED |
| Platinum based chemotherapy | Drug | — | UNRESOLVED |
| Radiotherapy | Radiation | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- PLACEBO_COMPARATOR
- label
- Definitive Chemoradiation
- description
- This arm received chemoradiation without immunotherapy/targeting agents as definitive treatment.
- interventionNames
- Radiation: Radiotherapy
- Drug: Platinum based chemotherapy
- Drug: Paclitaxel based chemotherapy
- Drug: 5-FU Analog based chemotherapy
- type
- EXPERIMENTAL
- label
- Chemoradiation Combined With Immunotherapy/targeting agents
- description
- This arm received chemoradiation with immunotherapy/targeting agents as definitive treatment.
- interventionNames
- Radiation: Radiotherapy
- Drug: Platinum based chemotherapy
- Drug: Paclitaxel based chemotherapy
- Drug: Immunotherapy
- Drug: 5-FU Analog based chemotherapy
- Drug: Nimotuzumab
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * ≥18 years; * Esophageal or Esophagogastric cancer; * Histologically proven squamous cell carcinoma or adenocarcinoma in patients staged as I-IVa(AJCC 8th); * Primary treatment performed in Cancer Hospital, Chinese Academy of Medical Sciences; * ECOG PS score: 0\~1; * Estimated survival time ≥3 months; * Normal organ and marrow function as defined below:Hemoglobin: greater than or equal to 100g/L ;Leukocytes: greater than or equal to 4,000 G/L; Neutrophil: greater than or equal to 2,000 G/L; Platelets: greater than or equal to 100,000/mm3 ; Creatinine: less than or equal to 1.5 times the upper limit or CCR greater than or equal to 60 ml/min; AST/ALT: less than or equal to 2.5 times the upper limit; Total bilirubin: less than or equal to 1.5 times the upper limit; INR: less than or equal to 1.5 times the upper limit; APTT: less than or equal to 1.5 times the upper limit; PT: less than or equal to 1.5 times the upper limit; * Informed consent; Exclusion Criteria: * With any distant metastasis out of regional lymphatic drainage or in liver, lung, bone, CNS, etc; * Patients with other cancer history in 5 years except cervical carcinoma in situ and non-malignant melanoma skin cancer; * Existing active infection such as active tuberculosis and hepatitis; * History of myocardial infarction within the past 6 months or history of ventricular arrhythmia; * Uncontrolled illness including, but not limited to, active infection, symptomatic heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness History of allergic reactions attributed to paclitaxel, albumin or cisplatin; * Participation in other clinical trials currently or within 4 weeks of selection; * Pregnant or lactating females; * Absence of medical records.
References
Publications (1)
- DERIVEDYang X, Wang X, Xiao Q, Ge X, Yu N, Li J, Feng G, Zheng Z, Jiang Y, Lu L, Xia X, Deng L, Zhang T, Wang W, Liu W, Wang J, Xiao Z, Zhou Z, Bi N, Wang H, Chen C, Wang X. Definitive chemoradiotherapy combined with anti-PD-1 immunotherapy for inoperable esophageal squamous cell carcinoma: a multicenter real-world study. Cancer Biol Ther. 2025 Dec;26(1):2504726. doi: 10.1080/15384047.2025.2504726. Epub 2025 May 14. PMID 40367097