The Effect of Prophylactic TPO Combined with BMS-IMRT to Esophageal Cancer Patients
NCT05944809 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 32
Last updated 2025-01-24
Summary
The goal of this interventional study is to explore the protective effect of prophylactic TPO combined with bone marrow sparing (BMS)-IMRT in patients with esophageal cancer undergoing concurrent chemoradiotherapy. The main purpose is to reduce the incidence of all grades of thrombocytopenia from 35% to less than 10% by the intervention of study.
Participants will initiate concurrent chemoradiotherapy within 2 weeks after enrollment,and they will receive subcutaneous injection of recombinant human thrombopoietin (rhTPO) 15000U once a week during the radiotherapy.
Conditions
- Esophageal Cancer
- Intensity-modulated Radiation Therapy
- Concurrent Chemoradiotherapy
- Thrombocytopenia
Interventions
- DRUG
-
rhTPO
Standard treatment options: Radiotherapy: 95% planning target volume (planning target volume,PTV) ≥45Gy(without simultaneous boost). Concurrent chemotherapy: Weekly regimen: paclitaxel 50mg/m2 d1, nedaplatin/cisplatin 25 mg/m2d1, a total of 5 cycles. Three weeks regimen: paclitaxel 135-175mg/m2 d1, nedaplatin/cisplatin 80mg/m2, a total of 2 cycles. The active bone marrow was determined by magnetic resonance(magnetic resonance,MR), and the dose limits are: V5\<95%,V10\<85%,V20\<60%,V30\<40%;95%PTV\>45Gy. rhTPO,15000U ih. qw(during the radiotherapy course)
Sponsors & Collaborators
-
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
collaborator OTHER -
JIANYANG WANG
lead OTHER
Principal Investigators
-
Jianyang Wang, MD · Cancer Institute and Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
Study Design
- Allocation
- NA
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-07-20
- Primary Completion
- 2024-06-30
- Completion
- 2024-12-31
Countries
- China
Study Locations
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