esophagectomy: esophagectomy with at least two-field (thoracic-abdominal) lymphadenectomy
chemoradiation: concurrent chemotherapy and radiotherapy
active surveillance: No further adjuvant therapy
Study summary
The ad-ESD trial is phase III randomized trial to compare adjuvant esophagectomy and chemoradiation for patients with clinical stage N0 and pathological stage T1b squamous cell carcinoma (after endoscopic submucosal dissection).
Eligibility
Sex
ALL
Min age
18 Years
Max age
75 Years
Healthy volunteers
No
Inclusion Criteria:
* Biopsy proven with esophageal squamous cell cancer.
* Clinical N0 stage diagnosed by imaging examinations.
* Pathological T1b stage confirmed by endoscopic submucosal dissection.
* Age: 18-75.
* Tumor located at the thorax.
* Performance status Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
* Written informed consent.
Exclusion Criteria:
* Prior intervention treatment before endoscopic submucosal resection.
* Inability to accept any treatment component.
* Prior intervention (surgery, chemoradiation, et al.) for other primary tumor disease.
* Distant metastasis.
* The circumference of the lumen over 3/4
* Main tumor size \> 5cm assessed by endoscopy
* Inability to understand the informed consent.
Primary outcome measure(s)
5-year overall survival rate — 5 years after enrollment day The overall survival is defined as days from date of randomization to death from any cause, and cencored at the last day of follow up when patients are alive.
Trial sites (6)
Facility
City
Region
Status
The First Affiliated Hospital of Nanchang University
Nanchang
Jiangxi
Active Not Recruiting
Changhai Hospital, The Second Military Medical University
Shanghai
China
Active Not Recruiting
Ruijin Hospital, Shanghai Jiao Tong University, School of Medicine
Shanghai
China
Active Not Recruiting
Shanghai Chest Hospital, Shanghai Jiao Tong University
Shanghai
China
Recruiting
Zhongshan Hospital, Fudan University
Shanghai
China
Active Not Recruiting
Tianjin Medical University Cancer Institute and Hospital
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time on our Cookie Policy page. See also our Privacy Policy.