Unique ID issued by UMIN | UMIN000020815 |
---|---|
Receipt number | R000024030 |
Scientific Title | A phase II study of systemic chemotherapy with S-1 plus oxaliplatin followed by surgery in T3/T4a and/or lymph node-positive advanced adenocarcinoma of the esophagogastric junction |
Date of disclosure of the study information | 2016/03/15 |
Last modified on | 2019/05/18 01:49:45 |
A phase II study of systemic chemotherapy with S-1 plus oxaliplatin followed by surgery in T3/T4a and/or lymph node-positive advanced adenocarcinoma of the esophagogastric junction
ESOX trial
A phase II study of systemic chemotherapy with S-1 plus oxaliplatin followed by surgery in T3/T4a and/or lymph node-positive advanced adenocarcinoma of the esophagogastric junction
ESOX trial
Japan |
adenocarcinoma of the esophagogastric junction
Gastroenterology | Gastrointestinal surgery |
Malignancy
NO
To evaluate the efficacy and safety of systemic chemotherapy with S-1 plus oxaliplatin followed by surgery in T3/T4a and/or lymph node-positive advanced adenocarcinoma of the esophagogastric junction.
Safety,Efficacy
Exploratory
Phase II
R0 rate
response rate, rate of the patients who completed the neoadjuvant treatment, pathological response rate, Perioperative complications rate, 2y recurrence free survivalrate, 3y recurrence free survival rate, overall survival, adverse event rate, severe adverse event rate
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Maneuver |
Three courses of S-1+oxaliplatin (L-OHP 130mg/m2 div 2h day1, S-1 80-120 mg/body p.o. day1 evening~day15 morning ) are given by 3-week interval, prior to the surgery.
20 | years-old | <= |
Not applicable |
Male and Female
1) Pathologically proven adenocarcinoma of the esophagus.
2) Siewert type I or typeII with esophageal invasion over 3 cm.
3) T3/T4a and/or lymph node-positive (over 1cm )
4) Eligible for surgery with curative intent.
5) no prior therapy
6) An age of over 20
7) An ECOG performance status of 0 or 1
8) Major organs are in normal conditions.
Hemoglobin => 8.0g/dL
neutrophil count => 1,500/mm3
Platelet count => 100,000/mm3
Serum bilirubin <= 2.0 mg/dL
AST, ALT <= 100 IU/L
Serum creatinine <= 1.3 mg/dL
Creatinine clearance (or estimated GFR) => 60mL/min
9) Written informed consent must be taken by patients
1) Active synchronous or metachronous malignancy, excepting for early stage cancers
2) Active infectious diseases
3) Uncontrollable HBV infection
4) Pregnant or lactation women, or women with the possibility of the pregnancy.
5) Severe mental disorders, neurological disease
6) under systemic steroid therapy
7) under treatment of flucytosine, phenytoin or warfarin potassium
8) Iodoallergy
9) Unstable angina, or myocardial infarction within 6 months.
10) Patients who are judged inappropriate for the entry into this study by the investigator.
50
1st name | Masayuki |
Middle name | |
Last name | Watanabe |
Cancer Institute Hospital
Esophageal Cancer Division
1358550
3-8-31 Ariake, Koto-ku, Tokyo, 135-8550
03-3520-0111
masayuki.watanabe@jfcr.or.jp
1st name | Takashi |
Middle name | |
Last name | Ichimura |
Cancer Institute Hospital
Gastroenterological Chemotherapy Department
1358550
3-8-31 Ariake, Koto-ku, Tokyo, 135-8550
03-3520-0111
takashi.ichimura@jfcr.or.jp
Cancer Institute Hospital, Gastroenterological Chemotherapy Department
Cancer Institute Hospital, Gastroenterological Chemotherapy Department
Self funding
The Cancer Institute Hospital of JFCR
KKR SAPPORO MEDICAL CENTER
Kyoto University Hospital
Shizuoka Cancer Center
Cancer Institute Hospital
3-8-31 Ariake, Koto-ku, Tokyo, 135-8550
03-3520-0111
med.shinsa@jfcr.or.jp
NO
がん研究会有明病院(東京都)
2016 | Year | 03 | Month | 15 | Day |
Unpublished
Enrolling by invitation
2016 | Year | 02 | Month | 01 | Day |
2016 | Year | 04 | Month | 19 | Day |
2016 | Year | 02 | Month | 01 | Day |
2019 | Year | 05 | Month | 18 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024030