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Combination Chemotherapy Plus Radiation Therapy Followed By Surgery in Treating Patients With Stage I, Stage II, or Stage III Esophageal Cancer



Combination Chemotherapy Plus Radiation Therapy Followed By Surgery in Treating Patients With Stage I, Stage II, or Stage III Esophageal Cancer

For Condition: squamous cell carcinoma of the esophagus,stage 3 esophageal cancer,Adenocarcinoma of the Esophagus,stage 2 esophageal cancer,stage 1 esophageal cancer
Status: No longer recruiting
Sponsor(s): Washington Hospital Center ,
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Giving chemotherapy drugs and radiation therapy before surgery may shrink the tumor so that it can be removed during surgery. PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy plus radiation therapy given before surgery in treating patients who have stage I, stage II, or stage III esophageal cancer.
Details: OBJECTIVES: I. Determine the total response rate in patients with stage I, II, or III esophageal cancer treated with paclitaxel, carboplatin, and fluorouracil with concurrent radiotherapy followed by surgical resection. II. Determine the overall survival of these patients treated with this regimen. II. Determine the toxicity of this regimen in this patient population. PROTOCOL OUTLINE: Patients receive paclitaxel IV over 1 hour followed by carboplatin IV over 30 minutes on days 1 and 22, and fluorouracil IV continuously on days 1-42. Patients undergo radiotherapy concurrently with chemotherapy daily 5 days a week for 5 weeks. Patients then undergo surgical resection within 3-5 weeks following completion of therapy. Patients are followed every 3 months for 6 months, every 6 months for 1 year, and then annually thereafter. PROJECTED ACCRUAL: A total of 47 patients will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: /
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically confirmed squamous cell carcinoma or adenocarcinoma of the upper, middle, or lower third esophagus; Stage I, II, or III disease - Measurable disease - No distant metastases; Negative liver biopsy; Negative bone scan unless due to benign disease - No tracheobronchial involvement - No vocal cord paralysis - No phrenic nerve involvement - No celiac axis lymph node involvement unless due to primary cancer at gastroesophageal junction - No evidence of disseminated cancer --Prior/Concurrent Therapy-- - Biologic therapy: Not specified - Chemotherapy: No prior chemotherapy - Endocrine therapy: Not specified - Radiotherapy: No prior chest radiotherapy - Surgery: No prior surgical resection of tumor - Other: No prior therapy for esophageal cancer --Patient Characteristics-- - Age: Not specified - Performance status: ECOG 0-2 - Life expectancy: Not specified - Hematopoietic: Absolute neutrophil count at least 1,500/mm3; Platelet count at least 100,000/mm3; Hemoglobin at least 10 g/dL - Hepatic: Bilirubin no greater than 1.5 mg/dL; SGOT/SGPT no greater than 2 times upper limit of normal (ULN); Alkaline phosphatase no greater than 2 times ULN - Renal: Creatinine no greater than 1.5 mg/dL; Creatinine clearance at least 60 mL/min - Cardiovascular: No uncontrolled or severe cardiovascular disease; No congestive heart failure; No myocardial infarction within the past 6 months; No severe or uncontrolled hypertension (systolic greater than 150 mmHg and diastolic greater than 100 mmHg) - Pulmonary: FEV1/FVC at least 75% predicted; Arterial blood saturation at least 92% - Other: Not pregnant or nursing; Negative pregnancy test; Fertile patients must use effective contraception; No other malignancy except curatively treated nonmelanoma skin cancer or carcinoma in situ of the cervix; No other serious medical illness that would limit survival to fewer than 2 years; No active uncontrolled bacterial, viral, or fungal infection; No active uncontrolled duodenal ulcer; No psychiatric disorder that would preclude study
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
DavidPerry,  Study Chair,  Washington Hospital Center

Union Memorial Hospital
Baltimore,  Maryland,  21218
United States
 

Washington Hospital Center
Washington D.C.,  District of Columbia,  20010
United States
 

Washington Cancer Institute
Washington D.C.,  District of Columbia,  20010
United States
 

Harbor Hospital Center
Baltimore,  Maryland,  21225
United States
 

Good Samaritan Hospital of Maryland
Baltimore,  Maryland,  21239
United States
 

Franklin Square Hospital Center
Baltimore,  Maryland,  21237
United States
 


Additional Information:
Study ID Numbers:
  CDR0000068295;  WHC-99692,NCI-V00-1633
Study Start Date: January 2000
Record last reviewed: February 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00006472

Other Stage 2 Esophageal Cancer Studies:
1. Quality-of-Life Assessment of Patients Who Have Cancer of the Esophagus

2. Docetaxel Plus Carboplatin in Treating Patients With Advanced Cancer of the Esophagus

3. Combination Chemotherapy Plus Radiation Therapy in Treating Patients With Esophageal Cancer

4. PET Scan in Patients With Lung and Esophageal Cancers That May Be Removed by Surgery

5. Vaccine Therapy, Interleukin-2, and Sargramostim in Treating Patients With Advanced Tumors

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Combination Chemotherapy Plus Radiation Therapy Followed By Surgery in Treating Patients With Stage I, Stage II, or Stage III Esophageal Cancer

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