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Trial Title: Angiogenic Factor Expression During Fractionated Irradiation

NCT ID: NCT02072720

Condition: Primary Esophageal Carcinoma

Conditions: Official terms:
Carcinoma
Esophageal Neoplasms
Bevacizumab

Conditions: Keywords:
Radiotherapy
VEGF
esophagus carcinoma
bevacizumab

Study type: Interventional

Study phase: Early Phase 1

Overall status: Unknown status

Study design:

Allocation: Non-Randomized

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Bevacizumab
Description: patients will receive bevacizumab (3mg/kg/wk) starting from the identified induction time point of VEGF expression
Arm group label: bevacizumab

Other name: Bevacizumab (Avastin).

Summary: The main question of this study is if and when VEGF (vascular endothelial growth factor) expression in the tumor is upregulated during chemoradiation and if bevacizumab inhibits subsequent vessel growth in the tumor. - Therefore the first aim of this study is to identify the time point of induction of VEGF in the tumor tissue of esophagus carcinoma during chemoradiation (after 1,2,3 or 4 weeks of chemoradiation). - If we identify increased expression of VEGF at a certain time point, our second aim is to determine if we can inhibit the subsequent tumor vessel growth by administration of bevacizumab.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - patients that will receive chemoradiation following CROSS-schedule before surgery for esophageal carcinoma - ability to give informed consent - age 18 years or older Exclusion Criteria: - pregnancy - evidence of bleeding diathesis, coagulopathy - inflammation of the GI-tract - brain metastases - diastolic/ systolic hypertension, not responding to treatment - arterial thromboembolism in medical history - surgery within the month prior to start of bevacizumab treatment

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: VU university medical center

Address:
City: Amsterdam
Zip: 1081 HV
Country: Netherlands

Status: Recruiting

Investigator:
Last name: Henk Verheul, MD/PhD
Email: Principal Investigator

Facility:
Name: Noordwest Ziekenhuisgroep

Address:
City: Alkmaar
Country: Netherlands

Status: Recruiting

Contact:
Last name: A. M. Van Berkel

Facility:
Name: Academisch Medisch Centrum

Address:
City: Amsterdam
Country: Netherlands

Status: Recruiting

Contact:
Last name: H. W.M. van Laarhoven

Start date: February 2014

Completion date: May 1, 2021

Lead sponsor:
Agency: Amsterdam UMC, location VUmc
Agency class: Other

Collaborator:
Agency: Noordwest Ziekenhuisgroep
Agency class: Other

Collaborator:
Agency: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Agency class: Other

Source: Amsterdam UMC, location VUmc

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT02072720

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