Camrelizumab Combined With Neoadjuvant Concurrent Chemoradiotherapy for Resectable Locally Advanced ESCC(NICE-RT)
- Sponsor
- Shanghai Chest Hospital
- Study ID
- NCT05650216
- Phase
- PHASE2
- Status
- Unknown
Conditions
- Esophageal Squamous Cell Carcinoma
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 75 Years
- Healthy Volunteers
- Not accepted
Interventions
- Chemotherapy (nab-paclitaxel AUC=2 and carboplatin 80mg/m2),Immunotherapy (camrelizumab 200mg)、Radiotherapy(primary lesion and adjacent lymph nodes 41.4Gy, distant lymph node 0.5Gy*4) — DRUG1. Neoadjuvant treatment period: Radiotherapy: Primary lesions and adjacent lymph nodes: The mode of involved field irradiation (IFI) is adopted, no preventive radiation is given. The total dose is 41.4Gy, 1.8Gy/23f. Distal lymph nodes ≥ 5cm away from the primary lesion: low-dose radiotherapy with a total dose of 4Gy, 0.5Gy/8f, Day1 to Day4, Day22 to Day25. Chemotherapy: Carboplatin(AUC=2), Nab-paclitaxel(80mg/m2), Day1/8/15/22/29. Immunotherapy: Camrelizumab(200mg, Day5, Day26). 2. Perioperative period: Undergo surgery within 4-6 weeks after neoadjuvant therapy 3. Adjuvant treatment period: Camrelizumab: (200mg, Q3W),continued for up to 1 years,until PD or intolerable toxicity.
Study Details
NICE-RT study is a "safety run-in" and phase II trial evaluating the safety and efficacy of Camrelizumab combined with Nab-paclitaxel and Carboplatin and Radiotherapy in patients with resectable locally advanced esophageal squamous cell carcinoma.
Key Dates
- Start date
- Dec 25, 2022
- Status verified
- Dec 2022
- Primary completion
- Dec 25, 2023
- Completion
- Dec 25, 2024
Study Design
- Enrollment
- 50 participants (estimated)
- Allocation
- NA
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Experimental: Immunotherapy combined with ChemoradiotherapyA:Chemotherapy: nab-paclitaxel (80mg/m2), carboplatin (AUC=2),on day 1,8,15,22,29; B:Immunotherapy: camrelizumab (200mg),IV on days 5 and 26; C:Radiotherapy: Primary lesion and adjacent lymph nodes: 41.4Gy, 1.8Gy/23f; Abscopal lymph node 2Gy, 0.5Gy/4f. D:Ivor-Lewis or McKeown esophagectomy The participants will receive preoperative A+B+C. 4-6 weeks after completion of preoperative therapy ,D will be performed if there is no contraindication.
Primary Outcome Measure
Safety(The rates of grade 3 and higher-grade treatment-related adverse events) [ Time Frame: From date of treatment allocation until surgery was applied during study period or up to at least 90 days after last dose ]
Central Contacts
- Jun Liu, M.D.+862122200000
- Xiaolong Fu, M.D.+862122200000
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