DCRT vs. Surgery in Resectable ESCC Patient Achiving cCR/PR After nCI
NCT07162506 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2026-05-19
Summary
This is a multi-center, Phase II clinical study aiming to evaluate the efficacy, safety, and organ preservation feasibility of definitive concurrent chemoradiotherapy versus surgery in patients with locally advanced resectable esophageal squamous cell carcinoma (ESCC) who achieve clinical complete response/partial response (cCR/PR) after neoadjuvant chemo-immunotherapy.
A total of 120 eligible subjects will be enrolled. Patients with cCR/PR after 2 cycles of neoadjuvant chemo-immunotherapy will be grouped based on personal willing: the control group (n=60) will receive radical esophagectomy + mediastinal lymph node dissection; the experimental group (n=60) will receive definitive concurrent chemoradiotherapy (radiotherapy: 50.4 Gy/28f; chemotherapy: nab-paclitaxel 175mg/m² + carboplatin AUC=5, q21d for 2 cycles). All the patients will receive camrelizumab maintenance therapy (200mg q21d) up to 1 year.
Conditions
- Esophageal Cancer
Interventions
- PROCEDURE
-
Surgery
Radical esophagectomy + mediastinal lymph node dissection
- RADIATION
-
Radiotherapy
Radiotherapy: 50.4 Gy/28f
- DRUG
-
Chemotherapy: nab-paclitaxel 175mg/m² + carboplatin AUC=5, q21d for 2 cycles
- DRUG
-
Immunotherapy
Camrelizumab maintenance therapy (200mg q21d) up to 1 year.
Sponsors & Collaborators
-
Shanxi Province Cancer Hospital
collaborator OTHER -
Sichuan Province Cancer Hospital
collaborator UNKNOWN -
Henan Province Cancer Hospital
collaborator UNKNOWN -
Tianjin Medical University Cancer Institute and Hospital
lead OTHER
Principal Investigators
-
Wencheng Zhang, M.D. · Tianjin Cancer Hospital
-
Xiaofeng Duan, M.D. · Tianjin Cancer Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-11-03
- Primary Completion
- 2027-08-30
- Completion
- 2030-08-30
Countries
- China
Study Locations
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