Surgery or Chemoradiation for Esophageal Cancer - Full Text View

Purpose

The aim of this study is to compare outcomes in patients with operable squamous carcinoma of the esophagus who have received either surgery or definitive chemoradiation (CRT).

Condition	Intervention	Phase
Esophageal Cancers	Procedure: Esophagectomy Radiation: Definitive chemoradiation	Phase 3

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment
Official Title:	Multicenter Prospective Randomized Trial Comparing Standard Esophagectomy With Chemoradiotherapy for Treatment of Squamous Esophageal Cancer: Early Results From the Chinese University Research Group for Esophageal Cancer (CURE)

Resource links provided by NLM:

MedlinePlus related topics: Cancer Esophageal Cancer Esophagus Disorders

U.S. FDA Resources

Further study details as provided by Chinese University of Hong Kong:

Primary Outcome Measures:

Overall survival and disease-free survival [ Time Frame: 2 year and 5 year ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:

Quality of life and function outcomes [ Time Frame: 2 year ] [ Designated as safety issue: Yes ]

Enrollment:	40
Study Start Date:	July 2000
Study Completion Date:	June 2009
Primary Completion Date:	June 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Active Comparator: Surgery, esophagectomy The patients randomized to receive either standard esophagectomy will have the operation performed in an open manner with two-field lymphadenectomy	Procedure: Esophagectomy The patients will receive standard open esophagectomy with two-field lymphadenectomy
Active Comparator: Definitive chemoradiation 3-weekly cycles of cisplatin and 5-fluorouracil chemotherapy and radical radiotherapy delivered in a three-dimensional conformal mode (total of 50-60 Gy given in 25-30 fractions) will be given over a period 5-6 weeks.	Radiation: Definitive chemoradiation 3-weekly cycles of cisplatin and 5-fluorouracil chemotherapy and radical radiotherapy delivered in a three-dimensional conformal mode (total of 50-60 Gy given in 25-30 fractions) will be given over a period 5-6 weeks.

Eligibility

Ages Eligible for Study:	18 Years to 75 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Eligible patients had mid or lower thoracic esophageal cancers that were confirmed on histology to be a squamous cell carcinoma deemed to be resectable.

Exclusion Criteria:

The investigators excluded those patients who had distant metastasis to solid visceral organs or local invasion into trachea, descending aorta, or recurrent laryngeal nerve.
Those patients who were older than 75 years or who had a serious premorbid condition or a poor physical status that compromised a thoracotomy were also excluded.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01032967

Sponsors and Collaborators

Chinese University of Hong Kong

Investigators

Principal Investigator:

Philip W Chiu, FRCSEd (Gen)

Chinese University of Hong Kong

More Information

No publications provided by Chinese University of Hong Kong

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Teoh AY, Chiu PW, Yeung WK, Liu SY, Wong SK, Ng EK. Long-term survival outcomes after definitive chemoradiation versus surgery in patients with resectable squamous carcinoma of the esophagus: results from a randomized controlled trial. Ann Oncol. 2013 Jan;24(1):165-71. doi: 10.1093/annonc/mds206. Epub 2012 Aug 10.

Teoh AY, Yan Chiu PW, Wong TC, Liu SY, Hung Wong SK, Ng EK. Functional performance and quality of life in patients with squamous esophageal carcinoma receiving surgery or chemoradiation: results from a randomized trial. Ann Surg. 2011 Jan;253(1):1-5.

Responsible Party:	Professor Philip Chiu, Chinese University of Hong Kong
ClinicalTrials.gov Identifier:	NCT01032967 History of Changes
Other Study ID Numbers:	Surgery or CRT Ca Esophagus
Study First Received:	December 15, 2009
Last Updated:	December 15, 2009
Health Authority:	Joint CUHK-NTEC Clinical Research Ethics Committee, Hong Kong:

Keywords provided by Chinese University of Hong Kong:

squamous cell carcinoma
esophagectomy
chemoradiotherapy
chemoradiation
Squamous cell carcinomas of the esophagus

Additional relevant MeSH terms:

Esophageal Diseases
Esophageal Neoplasms
Gastrointestinal Diseases
Digestive System Diseases
Gastrointestinal Neoplasms

Digestive System Neoplasms
Neoplasms by Site
Neoplasms
Head and Neck Neoplasms

ClinicalTrials.gov processed this record on May 16, 2013