A Phase II Trial to Evaluate the Effect of Itraconazole on Pathologic Complete Response Rates in Resectable Esophageal Cancer
NCT05563766 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 78
Last updated 2025-11-05
Summary
Esophageal cancer, which has a low 5-year overall survival rate (\<20%) is increasing in incidence. Previous studies have shown that Hedgehog, AKT, and angiogenic signaling pathways are activated in a significant number of esophageal cancers. Itraconazole, a widely used anti-fungal medication, effectively inhibits these pathways. In this multi-site phase II trial, the investigators will evaluate the effect of itraconazole as a neoadjuvant therapy added to standard of care chemoradiation and surgery in the the treatment of locoregional esophageal and gastroesophageal junction cancers.
Conditions
- Esophageal Adenocarcinoma
- Esophageal Squamous Cell Carcinoma
- Gastroesophageal Junction Carcinoma
Interventions
- DRUG
-
Itraconazole
Itraconazole 300 mg po bid for two weeks prior and 6-8 weeks after completion of standard of care neoadjuvant chemoradiation
Sponsors & Collaborators
-
Durham VA Health Care System
collaborator FED -
VA Palo Alto Health Care System
collaborator FED -
Portland VA Medical Center
collaborator FED -
VA Puget Sound Health Care System
collaborator FED -
Michael E. DeBakey VA Medical Center
collaborator FED -
VA Boston Healthcare System
collaborator FED -
North Texas Veterans Healthcare System
collaborator FED -
VA Ann Arbor Healthcare System
collaborator FED -
VA Office of Research and Development
lead FED
Principal Investigators
-
David H Wang, MD PhD · VA Ann Arbor Healthcare System, Ann Arbor, MI
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-10-01
- Primary Completion
- 2029-04-30
- Completion
- 2029-06-15
- FDA Drug
- Yes
Countries
- United States
Study Locations
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