About this trial
So far, there is no specific clinical guideline for elderly patients (\>75 yr) with esophageal squamous cell carcinoma (ESCC). Patients with locally advanced ESCC were enrolled and randomly assigned to either definitive radiotherapy group (61.2Gy/34Fx) or the chemoradiotherapy group (50.4Gy/28Fx;Paclitaxel plus carboplatin). The primary end point was 3-year overall survival (OS). The second end points included life quality, radiation side effects and 3-yr cancer specific survival.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Indicates no limit on eligibility based on the sex of participants
The 76 years old for the minimum age a potential participant must meet to be eligible for the clinical study.
Esophageal squamous cell carcinoma confirmed by pathology
No radiotherapy, chemotherapy or other treatments prior to enrollment
Disqualifiers
Total radiotherapy dose cannot reach 61.2Gy/34Fx
Esophageal perforation, or hematemesis
History of radiotherapy or chemotherapy for esophageal cancer
History of surgery within 28 days before Day 1
Trial design
Parallel
Treatments tested in this trial
Paclitaxel plus carboplatin
DrugPaclitaxel (45mg/m2) plus carboplatin (AUC=2); five cycles; qw
radiotherapy
RadiationDifferent radiotherapy dose in different groups.
Treatment groups
Trial outcomes
Primary outcomes
overall survival difference of definitive radiotherapy and chemoradiotherapy groups
The time between the start of the study treatment (Day 1) and death from any cause or last follow-up for patients alive at the end of the study.
Secondary outcomes
difference of quality of life between different groups
Assess the quality of life through life quality questionnaire.
radiation side effects
Record the radiation side effects including acute and late side effects.
cancer specific survival
The time between the start of the study treatment (Day 1) and death from tumor or last follow-up for patients alive at the end of the study.
Sponsors and contacts
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Fudan University
Lead sponsor
Huadong Hospital
Collaborator
Jiangsu Cancer Institute & Hospital
Collaborator
Gansu Cancer Hospital
Collaborator
The First Affiliated Hospital of Xiamen University
Collaborator
Fujian Cancer Hospital
Collaborator
Taihe Hospital
Collaborator
Wuxi No. 4 People's Hospital
Collaborator
Ningbo No.2 Hospital
Collaborator