Esophagus CancerPhase 3NCT03002064
Docetaxol Plus Cisplatin Versus 5-Fu Plus Cisplatin as 1st-line Chemotherapy in Advanced ESCC Patients
A Phase 3 study testing Docetaxel, Fluorouracil and Cisplatin in people with Esophagus Cancer and Chemotherapy Effects, run by Sun Yat-sen University at 1 site in China.
Trial summary
This is a phase III clinical trial to compare the efficacy of docetaxel plus cisplatin versus 5-Fu plus cisplatin in the first line chemotherapy for advanced or metastatic esophageal squamous carcinoma patients. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Esophagus Cancer, Chemotherapy Effects
- What is being tested?
- Docetaxel, Fluorouracil and Cisplatin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 358 participants
- Where
- 1 siteChina
- Study dates
- Dec 2016to Dec 2020
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients must give written informed consent signed voluntarily by patients themselves or their supervisors witted by doctors.
- Patients must have histologically confirmed esophageal squamous cell carcinoma without prior treatments including surgery, chemotherapy, radiotherapy, and targeting treatment. Patients were allowed to have palliative radiotherapy 3 months before the enrollment and the target lesions should not be within the radiotherapy region. The last date of adjuvant therapy should be over 6 months before the enrollment.
- With measurable or evaluable disease according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria.
- With an expected life expectancy of ≥ 3 months.
- With a performance status of 0-1 on the Eastern Cooperative Oncology Group (ECOG) scale.
- Without serious system dysfunction and could tolerate chemotherapy.
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- Patients must have normal bone marrow function with a hemoglobin (HGB) of ≥90g/L, an white blood cell (WBC) counts of ≥4.0×10^9/L,a neutrophil count of ≥2.0×10^9/L, , a platelet count of ≥100×10^9/L.
- Patients must have normal liver and renal function with a total bilirubin (TBil) of ≤1.5 upper normal limitation (UNL), a creatinine (Cr) of ≤ 1.0 UNL, alanine aminotransferase (ALAT) and aspartate aminotransferase (ASAT) of ≤2.5 UNL.
- Patients must have normal electrocardiogram results and no history of congestive heart failure.
- Women of childbearing age should voluntarily take contraceptive measures. Without drug addition
- Patients must be with good compliance and agree to accept follow-up of disease progression and adverse events.
Who cannot join
- Allergic to known drug
- Patients who have received prior treatment including chemotherapy, radiotherapy and surgery for the advanced or metastatic diseases.
- Receive docetaxel within 6 months as adjuvant or neoadjuvant chemotherapy.
- Brain metastasis.
- Without measurable or evaluable disease.
- With history of other tumors except for those of cervical carcinoma in situ or skin basal cell carcinoma who had been completely treated and without relapse in last 5 years.
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- With serious diseases such as congestive heart failure, uncontrolled myocardial infarction and arrhythmia, liver failure and renal failure.
- With neurological or psychiatric abnormalities that affect cognitive.
- Pregnant or lactated women (premenopausal women must give urine pregnancy test before enrollment)
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
Cancer center of Sun Yat-sen University
Guangzhou, Guangdong, 510060
Rui-Hua Xu, MD, PhD, 86-020-87343333, xurh@sysucc.org.cn
Miao-Zhen Qiu, MD, PhD, 86-020-87342490, qiumzh@sysucc.org.cn
About this study
Official title: Docetaxel Plus Cisplatin Versus 5-fluorouracil Plus Cisplatin as First-line Treatment for Metastatic Esophageal Squamous Patients: a Prospective Multicenter, Randomized Controlled Clinical Study
This is a phase III clinical trial to compare the efficacy of docetaxel plus cisplatin versus 5-Fu plus cisplatin in the first line chemotherapy for advanced or metastatic esophageal squamous carcinoma patients.
Read the detailed description
Esophageal cancer is the 6th most common cause of cancer deaths worldwide and it is an endemic in many parts of the world, particularly in the developing countries, including China. Histologically, esophageal cancer can be classified as adenocarcinoma and esophageal squamous cell. carcinoma (ESCC) which is the most common histology in Asia. For locally advanced or metastatic ESCC patients, chemotherapy can improve overall survival (OS) and progression free survival (PFS). There is no standard first-line chemotherapy for ESCC patients. Cisplatin (DDP) plus fluorouracil is the most common used combination with a response rate of 25-35%. Previous studies showed that the combination of paclitaxel with cisplatin had good tolerance and efficacy to esophageal carcinoma. This is a prospective randomized control phase III clinical trial to compare the efficacy and safety between docetaxel/cisplatin and 5-Fu/cisplatin as the 1st line treatment in advanced or metastatic esophageal carcinoma patients.
Sample size:
This is a non-inferior study. The planned sample size was 358 patients, allowing for a 10% dropout rate and assuming the median progression free survival was 5.5 months in the experimental group and 4 months in the control group with a hazard ratio of 0.727, α=0.05, β=0.2. The planned enrolled time was 36 months and 12 months of follow up. The ratio between control and experimental group is 1:1.
- Conditions
- Esophagus Cancer, Chemotherapy Effects
- Being tested
- Docetaxel, Fluorouracil, Cisplatin
- Keywords
- Esophagus squamous carcinoma, First-line chemotherapy, Docetaxel, Cisplatin, 5-fluorouracil
- Medical subject headings
- Esophageal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DocetaxelDrug
Also called Docetaxol
60mg per square metre on day 1, repeated every 3 weeks till progression or at most 6 cycles.
FluorouracilDrug
Also called 5-Fu
5-fluorouracil 3750mg per square metre, civ 120 hours every 3 weeks till progression or at most 6 cycles
CisplatinDrug
Also called DDP
Cisplatin: 60mg per square metre on day 1, repeated every 3 weeks till progression or at most 6 cycles
| Study group | Role | What they receive |
|---|---|---|
| DP group | Experimental | Docetaxel plus cisplatin. Docetaxel: 60mg per square metre on day 1 and Cisplatin: 60mg per square metre on day 1, repeated every 3 weeks till progression or at most 6 cycles. Receives: Drug: Docetaxel; Drug: Cisplatin |
| PF group | Active comparator | Cisplatin plus 5-fluorouracil. Cisplatin: 60mg per square metre on day 1 and 5-fluorouracil 3750mg per square metre, civ 120 hours every 3 weeks till progression or at most 6 cycles. Receives: Drug: Fluorouracil; Drug: Cisplatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression free survival
From the date of randomization until the date of first documented relapse of disease or date of death from any cause, whichever came first
Measured: 36 months
Secondary outcomes (4)
Overall survival
From the date of randomization until the date of death from any cause.
Measured: 36 months
Response rate
Including complete response and partial response
Measured: 36 months
Grade 3 and 4 toxicities
According to the CTCAE
Measured: 36 months
Quality of life--Score of the questionnaire
EORTC QLQ-C30 and QLQ-OES18 questionnaire.
Measured: 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Dec 2016 (estimated)
- Study startDec 2016
- Primary completionDec 2019 (estimated)
- Study completionDec 2020 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Esophagus CancerStudies of the same condition, open and under way.
- More trials run by Sun Yat-sen UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 358 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sun Yat-sen University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ruihua Xu, Sun Yat-sen University
- Investigators
- Rui-Hua Xu, MD, PhD, Principal investigator, Sun Yat-Sen University Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03002064
- Sponsor's protocol ID
- SYSUCC-ESO-01
- Status last verified
- Dec 2016
- First submitted
- 16 Dec 2016
- Last updated
- 26 Dec 2016
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Dec 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Docetaxel Plus Cisplatin Versus 5-fluorouracil Plus Cisplatin as First-line Treatment for Metastatic Esophageal Squamous Patients: a Prospective Multicenter, Randomized Controlled Clinical Study
- ClinicalTrials.gov ID
- NCT03002064
- Acronym / sponsor ID
- SYSUCC-ESO-01
- Conditions
- Esophagus Cancer, Chemotherapy Effects
- Keywords
- Esophagus squamous carcinoma, First-line chemotherapy, Docetaxel, Cisplatin, 5-fluorouracil
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 358 participants (estimated)
- Lead sponsor
- Sun Yat-sen UniversityUniversity, hospital or other
- Study start
- Dec 2016
- Primary completion
- Dec 2019 (estimated)
- Study completion
- Dec 2020 (estimated)
- First posted
- 23 Dec 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a phase III clinical trial to compare the efficacy of docetaxel plus cisplatin versus 5-Fu plus cisplatin in the first line chemotherapy for advanced or metastatic esophageal squamous carcinoma patients.
Detailed description
Esophageal cancer is the 6th most common cause of cancer deaths worldwide and it is an endemic in many parts of the world, particularly in the developing countries, including China. Histologically, esophageal cancer can be classified as adenocarcinoma and esophageal squamous cell. carcinoma (ESCC) which is the most common histology in Asia. For locally advanced or metastatic ESCC patients, chemotherapy can improve overall survival (OS) and progression free survival (PFS). There is no standard first-line chemotherapy for ESCC patients. Cisplatin (DDP) plus fluorouracil is the most common used combination with a response rate of 25-35%. Previous studies showed that the combination of paclitaxel with cisplatin had good tolerance and efficacy to esophageal carcinoma. This is a prospective randomized control phase III clinical trial to compare the efficacy and safety between docetaxel/cisplatin and 5-Fu/cisplatin as the 1st line treatment in advanced or metastatic esophageal carcinoma patients.
Sample size:
This is a non-inferior study. The planned sample size was 358 patients, allowing for a 10% dropout rate and assuming the median progression free survival was 5.5 months in the experimental group and 4 months in the control group with a hazard ratio of 0.727, α=0.05, β=0.2. The planned enrolled time was 36 months and 12 months of follow up. The ratio between control and experimental group is 1:1.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| DP group | Experimental | Drug: Docetaxel, Drug: CisplatinDocetaxel plus cisplatin. Docetaxel: 60mg per square metre on day 1 and Cisplatin: 60mg per square metre on day 1, repeated every 3 weeks till progression or at most 6 cycles. |
| PF group | Active comparator | Drug: Fluorouracil, Drug: CisplatinCisplatin plus 5-fluorouracil. Cisplatin: 60mg per square metre on day 1 and 5-fluorouracil 3750mg per square metre, civ 120 hours every 3 weeks till progression or at most 6 cycles. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Patients must give written informed consent signed voluntarily by patients themselves or their supervisors witted by doctors.
- Patients must have histologically confirmed esophageal squamous cell carcinoma without prior treatments including surgery, chemotherapy, radiotherapy, and targeting treatment. Patients were allowed to have palliative radiotherapy 3 months before the enrollment and the target lesions should not be within the radiotherapy region. The last date of adjuvant therapy should be over 6 months before the enrollment.
- With measurable or evaluable disease according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria.
- With an expected life expectancy of ≥ 3 months.
- With a performance status of 0-1 on the Eastern Cooperative Oncology Group (ECOG) scale.
Key exclusion criteria (9 listed)
- Allergic to known drug
- Patients who have received prior treatment including chemotherapy, radiotherapy and surgery for the advanced or metastatic diseases.
- Receive docetaxel within 6 months as adjuvant or neoadjuvant chemotherapy.
- Brain metastasis.
- Without measurable or evaluable disease.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DocetaxelAlso: Docetaxol60mg per square metre on day 1, repeated every 3 weeks till progression or at most 6 cycles. | Drug | DP group |
| FluorouracilAlso: 5-Fu5-fluorouracil 3750mg per square metre, civ 120 hours every 3 weeks till progression or at most 6 cycles | Drug | PF group |
| CisplatinAlso: DDPCisplatin: 60mg per square metre on day 1, repeated every 3 weeks till progression or at most 6 cycles | Drug | DP group, PF group |
Primary outcome
Progression free survival
Time frame: 36 months
From the date of randomization until the date of first documented relapse of disease or date of death from any cause, whichever came first
4 secondary outcomes
Overall survival
Time frame: 36 months
Response rate
Time frame: 36 months
Grade 3 and 4 toxicities
Time frame: 36 months
Quality of life--Score of the questionnaire
Time frame: 36 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Dec 2016.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Rui-Hua Xu, MD, PhD principal investigator
Sun Yat-Sen University Cancer Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Docetaxel, Fluorouracil and Cisplatin in people with Esophagus Cancer and Chemotherapy Effects, run by Sun Yat-sen University at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 26 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Rui-Hua Xu, MD, PhD (86-020-87343333, xurh@sysucc.org.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression free survival (time frame: 36 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Dec 2016; AzTrials last refreshed its copy on 1 Nov 2026.