mFOLFIRI Combine With Nimotuzumab Second Line Chemotherapy for Squamous-cell Carcinoma of the Esophagus
Conditions
Advanced Esophageal Carcinoma
Conditions: official terms
Esophageal Neoplasms
Study Type
Interventional
Study Phase
Phase 2
Study Design
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Intervention
Name: mFOLFIRI+Nimotuzumab
Type: Drug
Overall Status
Recruiting
Summary
There are few studies about 2nd line treatment in advanced esophageal carcinoma (AEC), some showed that irinotecan may be effective. The investigators previous study has shown the efficacy and safety of paclitaxel/cisplatin as 1st line treatment, so in this phase II study, the investigators would like to observe the efficacy and safety of Nimotuzumab plus Irinotecan/5FU/leucovorin as 2nd line treatment if AEC after failure to 1st treatment of PTX/DDP.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: 75 Years
Minimum Age: 18 Years
Gender: Both
Criteria: Inclusion Criteria:

- Histologically confirmed esophageal squamous carcinoma,failed to 1st line treatment of paclitaxel/cisplatin

- Age 18 to 75 years old

- Measurable disease according to the RECIST criteria(diameter of the lesion should be more than 10mm by spiral CT or MRI, more than 20mm by common CT, the date of image should be less than 15 days before enrollment)

- Life expectancy of ≥3 month

- Karnofsky performance status ≥80

- WBC>3,500/mm3, absolute neutrophil count ≥2000/mm3, platelet>100,000/mm3, Hb>9g/dl,Bilirubin level < 1.0 times ULN,Serum creatinine <1.0 times ULN,ALT and AST<2.5 times ULN ,AKP < 2.5 times ULN ,(≤5 times ULN in patients with liver metastases)(within 7 days before enrollment)

- No sever complication, such as active gastrointestinal bleeding, perforation, jaundice, obstruction, non-cancerous fever>38℃;

- Normal ECG/cardiac function

- Good compliance

- Having signed informed consent

Exclusion Criteria:

- More than 1 Previous systemic therapy for metastatic esophageal squamous carcinoma

- Known hypersensitivity to study drugs

- Tumor with length≥10cm, liver metastasis covers more than 50% of liver,or lung metastasis covers more than 25% of lung

- No measurable lesions, eg. pleural fluid and ascites

- Only with Other previous malignancy within 5 year, except non-melanoma skin cancer

- Heart failure or other sever organ dysfunction, eg. coronary artery disease, myocardial infarction within the last 6 months only Brain or bone metastasis

- Chronic diarrhea

- Mentally abnormal or disable cognition,including CNS metastasis

- Pregnancy or lactation period
Location
Zhang Xiaodong
Beijing, Beijing, China
Status: Recruiting
Contact: XIAODONG ZHANG, MD - 861088196175 - zxd0829@yahoo.com.cn
Start Date
November 2011
Completion Date
November 2012
Sponsors
Peking University
Source
Peking University
Record processing date
ClinicalTrials.gov processed this data on July 28, 2015
ClinicalTrials.gov page