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NCT06361043Recruiting

Conebeam CT-based Online Adaptive Radio-Therapy for Esophageal Cancer (ARTEC)

Summary

Despite multimodal therapy, patients with esophageal cancer have poor prognosis with 5-year overall survival around 25%. Considering tumor-related death as main reason for high mortality rate in those patients, treatment-related cardio-pulmonary toxicities could also play a role in this regard. Online adaptive radiotherapy offers the possibility for daily re-planning and therefore helps radiation oncologists to better spare the organs at risk and reduce radiation-induced toxicity. Tha aim of ARTEC is to assess the pulmonary toxicity in patients with esophageal cancer treated with online adaptive radiotherapy.

Inclusion criteria

• Written informed consent • Histologically confirmed diagnosis of AC (Adenocarcinoma) or SCC (squamos cell carcinoma) of the thoracic esophagus or gastroesophageal junction (Siewert I-II) • Patients with cT2-4b cN0 cM0 or cTany cN+ cM0 or any patient with early stage EC ineligible for upfront surgery • Age \>= 18 years old • Karnofsky Performance Status (KPS) \>= 70 or ECOG (Eastern Cooperative Oncology Group) 0 - 1 • Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with patients before registration in the trial

Exclusion criteria

• Cervical esophageal cancers (15-18 cm from the incisors) • Definitive clinical or radiologic evidence of metastatic disease • Any active malignancy within 2 years of study registration that may alter the course of esophageal cancer treatment • Prior thoracic radiotherapy that would result in overlap of radiation therapy fields • Induction chemotherapy for the current malignancy prior to RCHT is allowed if last dose is no more than 90 days and no less than 10 days prior to registration • Pregnant and/or breast-feeding females

Contacts

The trial team's contact details are shown on request.

See the official trial record
Status
Recruiting
Phase
—
Study type
Observational
Countries
Switzerland
Sponsor
Insel Gruppe AG, University Hospital Bern(Other)
Protocol no.
2023-01833
Conditions
Esophageal Cancer
Interventions
—

Locations · 1

  • Bern, SwitzerlandInselspital, University of Berne, Deparftment of Radio-OncologyRecruiting at this site

In total, worldwide, the only site listed in the registry is recruiting.

Site status per the ClinicalTrials.gov registry (last update posted: April 25, 2024).

This status may have changed and says nothing about your eligibility: before taking any step, check with your oncologist or the site.

Other identifiers

  • 2023 · NIH grant

See also

Other versions

These results are indicative and do not replace medical advice — discuss them with your doctor.