UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009482
Receipt number R000011013
Scientific Title A randomized controlled phase III comparing CF versus DCF versus CF-RT as neoadjuvant treatment for locally advanced esophageal cancer (JCOG1109, NExT study)
Date of disclosure of the study information 2012/12/05
Last modified on 2022/08/30 15:32:21

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Basic information

Public title

A randomized controlled phase III comparing CF versus DCF versus CF-RT
as neoadjuvant treatment for locally advanced esophageal cancer (JCOG1109, NExT study)

Acronym

A randomized controlled phase III comparing CF versus DCF versus CF-RT
as neoadjuvant treatment for locally advanced esophageal cancer (JCOG1109, NExT study)

Scientific Title

A randomized controlled phase III comparing CF versus DCF versus CF-RT
as neoadjuvant treatment for locally advanced esophageal cancer (JCOG1109, NExT study)

Scientific Title:Acronym

A randomized controlled phase III comparing CF versus DCF versus CF-RT
as neoadjuvant treatment for locally advanced esophageal cancer (JCOG1109, NExT study)

Region

Japan


Condition

Condition

clinical stage IB/II/III thoracic esophageal cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery Radiology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the superiority of preoperative chemotherapy with DCF (docetaxel/cisplatin/5-FU) and preoperative chemoradiotherapy with CF (cisplatin/5-FU) over preoperative chemotherapy with CF for clinical stage IB/II/III (excluding T4) thoracic esophageal cancer.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

Overall Survival

Key secondary outcomes

Progression-free survival, R0 resection rate, response rate, pathological complete response rate, adverse events during preoperative therapy, surgical morbidity, late toxicity, serious adverse events


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine Device,equipment Maneuver

Interventions/Control_1

A: Two courses of preopeartive chemotherapy with cisplatin (80 mg/m2/day, day 1) and 5-FU (800 mg/m2/day, day 1-5) repeated every 3 weeks followed by surgery

Interventions/Control_2

B: Three courses of preoperative chemotherapy with docetaxel (70 mg/m2/day, day 1), cisplatin (70 mg/m2/day, day1) and 5-FU (750 mg/m2/day, day 1-5) repeated every 3 weeks followed by surgery

Interventions/Control_3

C: Two courses of preoperative chemoradiotherapy (41.4Gy/23fr) with cisplatin (75 mg/m2/day, day 1) and 5-FU (1000 mg/m2/day, day 1-4) repeated every 4 weeks followed by surgery

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Histologically proven squamous cell carcinoma, adenosquamous carcinoma, or basaloid cell carcinoma
2) All lesion located in the thoracic esophagus
3) Clinical stage IB, II, III (excluding T4) based on the 7th UICC-TNM classification
4) Aged 20 to 75 years old
5) ECOG performance status of 0 or 1
6) Measurable lesions not required
7) No prior therapy against esophageal cancer except for complete resection by EMR/ESD with either pT1a-LPM(M2)/T1a-MM(M3) disease or pT1a-MM(M3) disease without vascular infiltration
8) No prior chemotherapy, radiotherapy or hormonal therapy against any cancers except for hormonal therapy for prostate cancer with more than 5 years of disease-free interval
9) Adequate organ functions
10) R0 esophagectomy is judged as possible by open (or laparoscopic) thoracotomy and laparotomy
11) Written informed consent

Key exclusion criteria

1) Simultaneous or metachronous (within 5 years) double cancers, except for intramucosal tumor curatively resected by local therapy
2) Active infection requiring systemic therapy
3) Positive HBs antigen, HCV antibody or HIV antibody
4) Pregnant or lactating women or women of childbearing potential
5) Psychiatric disease
6) Patients requiring systemic steroids medication
7) Requiring continuous administration of flucytosine, phenytoin or warfarin potassium
8) Iodine hypersensitivity
9) Hypersensitivity for docetaxel, cisplatin or polysorbate 80 containing drug
10) Diabetes mellitus with HbA1c of 6.5%(JDS),6.9%(NGSP)or higher
11) Severe emphysema or pulmonary fibrosis
12) Poorly controlled hypertension
13) Unstable angina within 3 weeks, or with a history of myocardial infarction within 6 months.

Target sample size

600


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ken Kato

Organization

National Cancer Center Hospital

Division name

Gastrointestinal Oncology

Zip code


Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

TEL

03-3542-2511(2369)

Email

kenkato@ncc.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Ken Kato

Organization

JCOG1109 Coordinating Office

Division name

Gastrointestinal Oncology, National Cancer Center Hospital

Zip code


Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

TEL

03-3542-2511(2369)

Homepage URL

http://www.jcog.jp/

Email

JCOG_sir@ml.jcog.jp


Sponsor or person

Institute

Japan Clinical Oncology Group (JCOG)

Institute

Department

Personal name



Funding Source

Organization

National Cancer Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

北海道大学病院(北海道)
岩手医科大学(岩手県)
東北大学病院(宮城県)
茨城県立中央病院・茨城県地域がんセンター(茨城県)
栃木県立がんセンター(栃木県)
埼玉県立がんセンター(埼玉県)
国立がん研究センター東病院(千葉県)
千葉県がんセンター(千葉県)
千葉大学医学部(千葉県)
東京歯科大学市川総合病院(千葉県)
国立がん研究センター中央病院(東京都)
東京女子医科大学(東京都)
国立病院機構東京医療センター(東京都)
慶應義塾大学病院(東京都)
昭和大学病院(東京都)
東京医科歯科大学(東京都)
がん研究会有明病院(東京都)
虎の門病院(東京都)
東海大学医学部(神奈川県)
神奈川県立病院機構神奈川県立がんセンター(神奈川県)
新潟県立がんセンター新潟病院(新潟県)
新潟大学医歯学総合病院(新潟県)
静岡県立総合病院(静岡県)
静岡県立静岡がんセンター(静岡県)
愛知県がんセンター中央病院(愛知県)
名古屋大学医学部(愛知県)
京都大学医学部附属病院(京都府)
大阪大学医学部(大阪府)
大阪府立病院機構大阪府立成人病センター(大阪府)
国立病院機構大阪医療センター(大阪府)
大阪市立総合医療センター(大阪府)
大阪医科大学(大阪府)
神戸大学医学部(兵庫県)
兵庫県立がんセンター(兵庫県)
広島大学病院(広島県)
広島市立安佐市民病院(広島県)
国立病院機構四国がんセンター(愛媛県)
高知医療センター(高知県)
国立病院機構九州がんセンター(福岡県)
久留米大学医学部(福岡県)
九州大学病院(福岡県)
熊本大学医学部附属病院(熊本県)
大分大学医学部附属病院(大分県)


Other administrative information

Date of disclosure of the study information

2012 Year 12 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2012 Year 11 Month 01 Day

Date of IRB

2012 Year 11 Month 22 Day

Anticipated trial start date

2012 Year 12 Month 05 Day

Last follow-up date

2024 Year 03 Month 05 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 12 Month 05 Day

Last modified on

2022 Year 08 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011013


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name