Esophageal Squamous Cell CarcinomaPhase 2NCT04699994
Prospective Trial to Evaluate the Safety and Efficacy to Treat Esophageal Cancer Using 5-FU, Oxaliplatin, and Docetaxel
A Phase 2 study testing FLOT therapy in people with Esophageal Squamous Cell Carcinoma, run by Keio University at 1 site in Japan.
Trial summary
The current multicenter prospective phase II study aims to evaluate the safety and efficacy of preoperative FLOT therapy for esophageal squamous cell carcinoma. Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Esophageal Squamous Cell Carcinoma
- What is being tested?
- FLOT therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteJapan
- Study dates
- 25 Jun 2020to 31 Oct 2024
- Phase
- Phase 2
- 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 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically diagnosed as esophageal squamous cell carcinoma (squamous, adenosquamous, basaloid)
- Primary tumor is located mainly in the thoracic esophagus
- cT1N1-3M0-1 (only supraclavicular LN metastasis is included as M1), cT2-3N0-3M0-1 (only supraclavicular LN metastasis is included as M1)
- Twenty years old or older as of registration
- Performance status (PS) 0 or 1
- Patients have target lesions
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- No previous history of esophageal cancer except for the followings
- 1) pT1a-LPM (M2) or deeper following EMR/ESD 2) pT1a-MM (M3) with vascular invasion following EMR/ ESD 8. No previous history of chemotherapy/radiotherapy/endocrine therapy except for hormone therapy for prostate cancer after 5 years interval 9. Patients who meet the following criteria
- Neutrophil > 1,500 /mm3
- Platelet > 10.0x10^4 /mm3
- Hb ≧9.0 g/dL
- Total bilirubin ≦ 1.5 mg/dL
- AST ≦ 100 IU/L
- ALT ≦ 100 IU/L
- SpO2 ≧ 95 %
- Creatinine clearance ≧ 50 mL/min 10. Patients who can undergo esophagectomy 11. Agree with the participation to the current study
Who cannot join
- Patients who received any treatment for cancer within 3 years
- Patients who have active infectious diseases
- HBs Ag positive or HIV Ab positive
- Pregnant or breast feeding
- Patients with psychological disorder
- On systemic steroid therapy
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- Require flucytocine, phenytoin, warfarin
- Allergic to iodine
- Allergic to DTX, LOHP, polisorbate 80
- Uncontrollable diabetes
- Severe COPD or lung fibrosis
- Severe hypertension
- Unstable angina
- Patients whom investigators evaluate as ineligible
Trial locations and contacts
1 site in 1 country.
Japan1 site, 1 recruiting
- Recruiting
Keio University Hospital
Tokyo, 1608582
Satoru Matsuda, +81333531211, s.matsuda.a8@keio.jp
About this study
Official title: Multicenter Phase II Trial to Evaluate the Safety and Efficacy of FLOT Therapy for Resectable Esophageal Squamous Cell Carcinoma (Preoperative FLOT PII)
The current multicenter prospective phase II study aims to evaluate the safety and efficacy of preoperative FLOT therapy for esophageal squamous cell carcinoma.
- Conditions
- Esophageal Squamous Cell Carcinoma
- Being tested
- FLOT therapy
- Medical subject headings
- Esophageal Squamous Cell Carcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FLOT therapyDrug
Preoperative FLOT therapy
| Study group | Role | What they receive |
|---|---|---|
| FLOT therapy | Experimental | Not described Receives: Drug: FLOT therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Histological response rate (Grade 2 or 3 in Japanese Classification of Esophageal Cancer, 11th Edition)
Measured: 2.5 years
Secondary outcomes (11)
Response rate
Measured: 2.5 years
Histological complete response rate
Measured: 2.5 years
Treatment completion rate
Measured: 2.5 years
Curative resection rate
Measured: 2.5 years
Recurrence free survival
Measured: 4.5 years
Overall survival
Measured: 4.5 years
Incidence rate of adverse event during FLOT
Measured: 2.5 years
Perioperative complication rate
Measured: 2.5 years
Late phase complication rate
Measured: 4.5 years
Incidence rate of severe adverse event
Measured: 2.5 years
Incidence rate of all adverse event
Measured: 4.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jan 2021
- Study start25 Jun 2020
- Primary completion31 Oct 2024 (estimated)
- Study completion31 Oct 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Esophageal Squamous Cell CarcinomaStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Keio University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Hirofumi Kawakubo, Keio University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04699994
- Sponsor's protocol ID
- N20190007
- Status last verified
- Aug 2022
- First submitted
- 5 Jan 2021
- Last updated
- 17 Aug 2022
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 Aug 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multicenter Phase II Trial to Evaluate the Safety and Efficacy of FLOT Therapy for Resectable Esophageal Squamous Cell Carcinoma (Preoperative FLOT PII)
- ClinicalTrials.gov ID
- NCT04699994
- Acronym / sponsor ID
- N20190007
- Conditions
- Esophageal Squamous Cell Carcinoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Keio UniversityUniversity, hospital or other
- Study start
- 25 Jun 2020 (actual)
- Primary completion
- 31 Oct 2024 (estimated)
- Study completion
- 31 Oct 2024 (estimated)
- First posted
- 7 Jan 2021 (actual)
- 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.
The current multicenter prospective phase II study aims to evaluate the safety and efficacy of preoperative FLOT therapy for esophageal squamous cell carcinoma.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| FLOT therapy | Experimental | Drug: FLOT therapy |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Histologically diagnosed as esophageal squamous cell carcinoma (squamous, adenosquamous, basaloid)
- Primary tumor is located mainly in the thoracic esophagus
- cT1N1-3M0-1 (only supraclavicular LN metastasis is included as M1), cT2-3N0-3M0-1 (only supraclavicular LN metastasis is included as M1)
- Twenty years old or older as of registration
- Performance status (PS) 0 or 1
Key exclusion criteria (14 listed)
- Patients who received any treatment for cancer within 3 years
- Patients who have active infectious diseases
- HBs Ag positive or HIV Ab positive
- Pregnant or breast feeding
- Patients with psychological disorder
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 |
|---|---|---|
| FLOT therapyPreoperative FLOT therapy | Drug | FLOT therapy |
Primary outcome
Histological response rate (Grade 2 or 3 in Japanese Classification of Esophageal Cancer, 11th Edition)
Time frame: 2.5 years
11 secondary outcomes
Response rate
Time frame: 2.5 years
Histological complete response rate
Time frame: 2.5 years
Treatment completion rate
Time frame: 2.5 years
Curative resection rate
Time frame: 2.5 years
Recurrence free survival
Time frame: 4.5 years
Overall survival
Time frame: 4.5 years
Incidence rate of adverse event during FLOT
Time frame: 2.5 years
Perioperative complication rate
Time frame: 2.5 years
Late phase complication rate
Time frame: 4.5 years
Incidence rate of severe adverse event
Time frame: 2.5 years
Incidence rate of all adverse event
Time frame: 4.5 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Aug 2022.
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing FLOT therapy in people with Esophageal Squamous Cell Carcinoma, run by Keio University at 1 site in Japan.
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 16 inclusion and 14 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 17 Aug 2022. 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 Japan. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 Satoru Matsuda (+81333531211, s.matsuda.a8@keio.jp), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Histological response rate (Grade 2 or 3 in Japanese Classification of Esophageal Cancer, 11th Edition) (time frame: 2.5 years). 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 17 Aug 2022.