Study of Endostar Combined With TP Regimen for Esophageal Cancer

Study Overview
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Brief Summary
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a randomized controlled trial of endostar combined with TP regimen(liposomal paclitaxel-carboplatin) for chemoradiotherapy in esophageal squamous cell carcinoma(Ⅱ-Ⅲ)

Detailed Description
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This study was a controlled clinical trial.A total of 402 patients with pathologically confirmed esophageal squamous cell carcinoma would be enrolled.Patients were randomly divided into two group ,with 201 in the treatment group and 201 in the control group.The treatment group was treated with endostar,chemotherapy (liposomal paclitaxel-carboplatin)and concurrent radiotherapy.The control group was treated with chemotherapy (liposomal paclitaxel-carboplatin)and concurrent radiotherapy .The efficiency and safety would be evaluated. The objective response rate and progress free survival would be analyzed.This data of this study might provide a more effective treatment for esophageal squamous cell carcinoma

Official Title
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A Clinical Study of Endostar Combined With TP Regimen for Chemoradiotherapy in Esophageal Cancer

Conditions
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Patients With Esophageal Cancer(Ⅱ-Ⅲ)

Intervention / Treatment
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* Drug: endostar+chemoradiotherapy
* Other: chemoradiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 18 to 75 years; Pathology confirmed as esophageal squamous cell carcinoma and Clinical stage is II-III; Initial treatment, No surgery history; ECOG 0 2; Expected survival >=3 months; All the patients should have target lesions that are measurable and evaluable; Should be able to consume liquid diet, no esophageal perforation symptoms, no distant metastases; The main organ function is normal, which meets the following criteria: (1) The standard of blood test should be met (14 days without blood transfusion and blood products, no G-CSF and other hematopoietic stimulation factor correction): Hb>=100g/L;ANC>=1.5x10^9/L;PLT>=100x10^9/L; (2) Biochemical inspection shall meet the following criteria: TBIL < 1.5 ULN; ALT and AST < 2.0 ULN.Serum Cr is less than 1.5 ULN or endogenous creatinine clearance rate > 50 ml/min (the Cockcroft Gault formula); (3) Pulmonary function FEV1 >=1 L or >50% of corresponding value of normal people; 9. Female during the reproductive period should be ensured contraception during the study period; 10. Participants voluntarily joined the study, signed informed consent, and had good compliance and follow-up. Exclusion Criteria: Patients who do not meet the pathological type of the inclusion criteria and the primary site; Allergic to recombinant endostar, carboplatin, paclitaxel, and contrast agents; Have a distant metastasis; The primary focal tumors or lymph node already had a surgical treatment (except for biopsy), chemoradiotherapy or targeted therapy; Patient who suffered from other malignant tumor; Subject with severe pulmonary and cardiopathic disease history; Pregnant woman or Lactating Women and Women in productive age who refuse take contraception in observation period; Subject with a Personality or psychiatric diseases, people with no legal capacity or people with limited capacity for civil conduct; Received other medicine trials in past 4 weeks; Refuse or incapable to sign the informed consent form of participating this trial; The researchers judged other conditions that could affect clinical research and the results of the study.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: treatment group<br>endostar : 7.5mg/m2/d,continuous infusion for 5 days in week 1、3、5、7, chemotherapy：paclitaxel liposomes 50mg / m2, ivgtt, d8, 15, 22, 29, 36, carboplatin AUC 2, ivgtt d8, 15, 22, 29, 36 radiotherapy：EBRT，61.2 Gy，1.8Gy/d | Drug: endostar+chemoradiotherapy<br>* antiangiogenic drug+chemoradiotherapy<br>|
| Active Comparator: control group<br>chemotherapy：paclitaxel liposomes 50mg / m2, ivgtt, d8, 15, 22, 29, 36, carboplatin AUC 2, ivgtt d8, 15, 22, 29, 36 radiotherapy：EBRT，61.2 Gy，1.8Gy/d | Other: chemoradiotherapy<br>* chemoradiotherapy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| objective response rate(ORR) | complete response(CR)+partial response(PR) according to RECIST 1.1 | Time Frame: approximately 18 months | 
| progression-free survival(PFS) | progression-free survival is defined as the time from enrollment to the date of first document disease progression or death from any cause | Time Frame: approximately 36 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| adverse event(AE) | adverse event according to NCI CTCAE V4.0 | Time Frame: approximately 36 months | 
| overall survival (OS) | overall survival is defined as the time from randomization to death from any cause | Time Frame: approximately over 3-5 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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endostar Esophageal Cancer