UMIN-CTR Clinical Trial

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

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Basic information

Public 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

Acronym

ESOX trial

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

Scientific Title:Acronym

ESOX trial

Region

Japan


Condition

Condition

adenocarcinoma of the esophagogastric junction

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

R0 rate

Key secondary outcomes

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


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

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.

Interventions/Control_2


Interventions/Control_3


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


Not applicable

Gender

Male and Female

Key inclusion criteria

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

Key exclusion criteria

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.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Masayuki
Middle name
Last name Watanabe

Organization

Cancer Institute Hospital

Division name

Esophageal Cancer Division

Zip code

1358550

Address

3-8-31 Ariake, Koto-ku, Tokyo, 135-8550

TEL

03-3520-0111

Email

masayuki.watanabe@jfcr.or.jp


Public contact

Name of contact person

1st name Takashi
Middle name
Last name Ichimura

Organization

Cancer Institute Hospital

Division name

Gastroenterological Chemotherapy Department

Zip code

1358550

Address

3-8-31 Ariake, Koto-ku, Tokyo, 135-8550

TEL

03-3520-0111

Homepage URL


Email

takashi.ichimura@jfcr.or.jp


Sponsor or person

Institute

Cancer Institute Hospital, Gastroenterological Chemotherapy Department

Institute

Department

Personal name



Funding Source

Organization

Cancer Institute Hospital, Gastroenterological Chemotherapy Department

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

The Cancer Institute Hospital of JFCR
KKR SAPPORO MEDICAL CENTER
Kyoto University Hospital
Shizuoka Cancer Center

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Cancer Institute Hospital

Address

3-8-31 Ariake, Koto-ku, Tokyo, 135-8550

Tel

03-3520-0111

Email

med.shinsa@jfcr.or.jp


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

がん研究会有明病院(東京都)


Other administrative information

Date of disclosure of the study information

2016 Year 03 Month 15 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

Enrolling by invitation

Date of protocol fixation

2016 Year 02 Month 01 Day

Date of IRB


Anticipated trial start date

2016 Year 04 Month 19 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 02 Month 01 Day

Last modified on

2019 Year 05 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024030


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name