Docetaxel and S-1 for Advanced Esophageal Cancer

Trial Title: Docetaxel and S-1 for Advanced Esophageal Cancer

NCT ID: NCT01693432

Condition: Esophageal Neoplasms

Conditions: Official terms:
Esophageal Neoplasms
Docetaxel

Conditions: Keywords:
Esophageal neoplasms
Docetaxel
S-1

Study type: Interventional

Study phase: Phase 2

Overall status: Unknown status

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: DS (docetaxel+S-1)
Description: Treatment will be delivered as a 3-week cycle. 1. Docetaxel 60 mg/m²IV on day 1 2. S-1 80 mg/m2/day PO on day 1-14
Arm group label: DS (docetaxel+S-1)

Other name: Taxotere

Other name: TS-1

Summary: This study will evaluate the efficacy of docetaxel and S-1 combination chemotherapy in Korean patients with esophageal cancer.

Detailed description: Esophageal cancer is the ninth most common cancer in male population in Korea. It was estimated that 1,864 new cases of esophageal cancer were reported and 1,434 deaths occurred in Korea in 2005. Although half of the patients with esophageal cancer initially present with locoregional disease amenable to radical surgery or radiation-based therapy, most patients eventually develop metastatic disease with or without local recurrence. Chemotherapy plays a major role in palliative therapy and remains to be the primary mode of treatment for the recurrent or metastatic esophageal cancer. Although various chemotherapy regimens are available, esophageal cancer carries a very poor prognosis, with a mean survival time of less than 8.1 months with current chemotherapies used singly or in combination with 5-fluorouracil (5-FU), vindesine, mitomycin, docetaxel, paclitaxel, cisplatin, irinotecan, vinorelbine, or capecitabine. The majority of the trials performed were in small numbers of patients with reported response rates from 15 to 40%. The response was usually of short duration and there was no survival benefit with single agent chemotherapy. Combination chemotherapy has slightly improved the results in terms of duration of response (3-6 months), but still there was little improvement in overall survival. Therefore, the identification of new active agents is essential to prolong the survival. Clinical trials of single agent docetaxel have been reported in patients with esophageal cancer and the response rate is about 18-25%. S-1, a new biochemical modulator of 5-FU, is an oral dihydropyrimidine dehydrogenase(DPD) inhibitory fluoropyrimidine. The advantages of S-1 compared with 5-FU are greater convenience because of its oral formulation and continuous delivery, without intravenous infusion. S-1 is frequently used as a substitute for 5-FU in gastric cancer, but limited data is available for esophageal cancer. The combination of docetaxel and S-1 is highly active and well tolerated in advanced or recurrent gastric cancer, and the synergistic antitumor activity has been fully elucidated. Therefore, we will evaluate the efficacy of docetaxel and S-1 combination chemotherapy in Korean patients with esophageal cancer.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Pathologically confirmed squamous cell carcinoma or adenocarcinoma of esophagus. - Unresectable locally advanced, recurrent or metastatic disease. - Measurable or evaluable disease by RECIST criteria 1.1. - Minimum age of 18 years. - ECOG Performance status 0-2. - Prior chemotherapy is not allowed. - More than 4 weeks since completion of prior radiotherapy (measurable or evaluable lesions are outside the radiation field) - Adequate organ functions - Patients must sign an informed consent indicating that they are aware of the investigational nature of the study in keeping with the policy of the hospital Exclusion Criteria: - Other tumor type than squamous cell carcinoma and adenocarcinoma - Previous history of chemotherapy except neoadjuvant or adjuvant chemotherapy without docetaxel and S-1 - Obvious bowel obstruction unrelieved by proper management - Evidence of serious gastrointestinal bleeding - Patients with CNS metastases - Patients with active infection, severe heart disease, uncontrollable hypertension or diabetes mellitus, myocardial infarction during the preceding 6 months, pregnancy, or breast feeding - Any previous or concurrent malignancy other than non-melanoma skin cancer or in situ cancer of uterine cervix - Known history of cerebral or leptomeningeal metastases or neurologic disease

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Hallym University Medical Center

Address:
City: Anyang
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Dae Young Zang, MD, PhD

Phone: 82313803871
Email: fhdzang@hallym.or.kr

Contact backup:
Last name: Jin Hee Jung, RN

Phone: 82313803704
Email: jhjung23@daum.net

Investigator:
Last name: Hyeong Su Kim, MD
Email: Sub-Investigator

Investigator:
Last name: Boram Han, MD
Email: Sub-Investigator

Start date: November 2011

Completion date: June 2018

Lead sponsor:
Agency: Hallym University Medical Center
Agency class: Other

Collaborator:
Agency: Jeil Pharmaceutical Co., Ltd.
Agency class: Industry

Source: Hallym University Medical Center

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT01693432