A randomised controlled trial comparing standard chemotherapy followed by resection versus Epirubicin, Cisplatin and Xeloda (ECX) chemotherapy followed by resection in patients with resectable adenocarcinoma of the oesophagus

ISRCTN ISRCTN01852072
DOI https://doi.org/10.1186/ISRCTN01852072
ClinicalTrials.gov (NCT) NCT00041262
Protocol serial number OE05
Sponsor Medical Research Council (MRC) (UK)
Funder Cancer Research UK (CRUK) (UK)
Submission date
23/06/2004
Registration date
03/08/2004
Last edited
29/10/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

http://www.cancerhelp.org.uk/trials/a-trial-looking-at-chemotherapy-before-surgery-for-people-with-cancer-of-the-gullet

Contact information

Prof Derek Alderson
Scientific

University Dept of Surgery, Level 7
Bristol Royal Infirmary
Marlborough Street
Bristol
BS2 8HW
United Kingdom

Study information

Primary study designInterventional
Study designRandomised controlled phase III trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleA randomised controlled trial comparing standard chemotherapy followed by resection versus Epirubicin, Cisplatin and Xeloda (ECX) chemotherapy followed by resection in patients with resectable adenocarcinoma of the oesophagus
Study objectivesRandomised controlled phase III trial to compare pre-operative Epirubicin, Cisplatin and Xeloda (ECX) chemotherapy to standard pre-operative chemotherapy, in patients with resectable adenocarcinoma of the oesophagus.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedResectable adenocarcinoma of the oesophagus or oesophago-gastric junction
InterventionPatients with resectable adenocarcinoma of the oesophagus will be randomised to receive:
1. Pre-operative Epirubicin, Cisplatin and Xeloda (ECX) chemotherapy
2. Standard pre-operative chemotherapy
Intervention typeDrug
PhasePhase III
Drug / device / biological / vaccine name(s)Epirubicin, cisplatin, capecitabine, fluorouracil
Primary outcome measure(s)

Not provided at time of registration

Key secondary outcome measure(s)

Not provided at time of registration

Completion date01/11/2010

Eligibility

Participant type(s)Patient
Age groupAdult
SexAll
Target sample size at registration842
Total final enrolment897
Key inclusion criteria1. Histologically verified adenocarcinoma of the oesophagus or type 1 and type 2 adenocarcinoma of the oesophago-gastric junction
2. Adenocarcinoma as above, which includes disease staged as T1 N1, T2 N1, T3 N0, and T3 N1 as assessed by spiral computed tomography (CT) or endoscopic ultrasound. T4 tumours that involve only the diaphragm or crura as well as T4 tumours invading the mediastinal pleura only.
3. Tumours with nodal disease (N1) affecting the origin of the left gastric and splenic artery with the coeliac axis (hitherto staged as M1a)
4. World Health Organisation (WHO) performance status 0 or 1
5. Proven respiratory cardiac, hepatic, renal and haematological function to the following levels: forced expiratory volume in 1 second (FEV1) >1.5 litres; cardiac ejection fraction >50% of normal echocardiography; liver function tests not more than 1.5 x normal; glomerular filtration rate ≥60 ml/min; white blood cell count >3 x 10^9/l; platelets >100 x 10^9/l (from the time diagnosis of cancer was first suspected).
6. Written informed consent
Key exclusion criteriaDoes not match inclusion criteria
Date of first enrolment01/11/2004
Date of final enrolment01/11/2010

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Bristol Royal Infirmary
Bristol
BS2 8HW
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summary
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/09/2017 Yes No
Abstract results results 01/06/2015 No No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes
Plain English results 11/11/2015 29/10/2021 No Yes

Editorial Notes

29/10/2021: The following changes have been made:
1. The Cancer Research UK lay results summary has been added.
2. The total final enrolment number has been added.
09/08/2017: Publication reference added.
08/02/2011: The overall trial end date was changed from 01/11/2010 to 01/04/2011 and the target number of participants was changed from 1300 to 842.