Cisplatin, capecitabine, and radiation therapy with or without cetuximab in treating patients with oesophageal cancer

ISRCTN ISRCTN47718479
DOI https://doi.org/10.1186/ISRCTN47718479
ClinicalTrials.gov (NCT) NCT00509561
Clinical Trials Information System (CTIS) 2006-002241-37
Protocol serial number WCTU01
Sponsor Velindre NHS Trust (UK)
Funder Cancer Research UK (CRUK) (UK) - Clinical Trials Advisory and Awards Committee (CTAAC) (ref: C20177/A6386)
Submission date
20/04/2006
Registration date
18/05/2006
Last edited
19/03/2020
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-chemoradiotherapy-with-or-without-cetuximab-for-cancer-of-the-food-pipe

Contact information

Dr Tom Crosby
Scientific

Velindre Hospital
Whitchurch
Cardiff
CF14 2TL
United Kingdom

Study information

Primary study designInterventional
Study designTwo-arm open randomised phase II/III trial with a 1:1 randomisation ratio
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleA randomised phase II/III multicentre clinical trial of definitive chemoradiation, with or without cetuximab, in carcinoma of the oesophagus
Study acronymSCOPE 1
Study objectivesPatients with histologically confirmed carcinoma of the oesophagus, squamous cell or adenocarcinoma, (considered suitable for definitive chemoradiation by an accredited multi-disciplinary team [MDT] including a specialist upper gastrointestinal [GI] surgeon), will be randomised to receive definitive chemoradiation treatment (CRT) with or without cetuximab.

On 11/02/2009 the overall trial start and end dates were amended. The initial dates at the time of registration were:
Initial overall trial start date: 01/06/2007
Initial overall trial end date: 01/06/2012
All other changes to this record can be found in the relevant field under the update date of 11/02/2009.
Ethics approval(s)Research Ethics Committee for Wales gave multicentre approval on 17/04/2007
Health condition(s) or problem(s) studiedOesophageal cancer
InterventionControl arm: chemoradiation
Experimental arm: chemoradiation plus cetuximab
Intervention typeDrug
PhasePhase II/III
Drug / device / biological / vaccine name(s)Cisplatin, capecitabine, radiation therapy, cetuximab
Primary outcome measure(s)

Phase II: treatment failure
Phase III: overall survival

Key secondary outcome measure(s)

Phase II:
1. Toxicity
2. Feasibility

Phase III:
1. Toxicity
2. Health economics
3. Quality of life
4. Quality assurance

Completion date01/02/2016

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration420
Key inclusion criteriaAmended 11/02/2009:
The following points of the below criteria have been amended as follows:
2. Histologically confirmed carcinoma of the oesophagus (adenocarcinoma, squamous cell, or undifferentiated) or Siewert type 1 tumour of the gastro-oesophageal junction (GOJ) or Siewert Type 2 with no more than 2 cm mucosal extension into the stomach
3. Tumours staged with endoscopic ultrasonography (EUS) and spiral computerised tomography (CT) scan to be T1-4N0-1 confirming localised, non-metastatic disease
7. Adequate cardio-respiratory function for definitive CRT. (Echo or multiple-gated acquisition left ventricular (MUGA LV) function greater than 40% (no acute coronary event in previous six months, myocardial infarction or unstable angina), forced expiratory volume in one second (FEV1) greater than 1 litre)
8. Adequate renal function for definitive CRT (renal glomerular filtration rate greater than 60 ml/min (calculated using Cockroft formula with ethylenediaminetetraacetic acid (EDTA) if predicted less than 60 ml/min
9. Written informed consent to participate in the trial

Initial information at time of registration:
1. Patients older than 18 years of age who have been selected to receive potentially curative definitive chemo-radiation
2. Histologically confirmed carcinoma of the oesophagus (adenocarcinoma or squamous cell) or Siewert type 1 tumour of the gastro-oesophageal junction (GOJ)
3. Tumours staged with endorectal ultrasonography (EUS) and spiral computerised tomography (CT) scan to be T1-4N0-1 confirming localised, non-metastatic disease
4. Total disease length (primary tumour and lymph nodes) less than 10 cm defined by EUS
5. World Health Organization (WHO) performance status 0 or 1
6. Patients physically and psychologically fit and willing to receive definitive chemoradiation with or without cetuximab
7. Adequate cardio-respiratory function for definitive CRT. Echo or multiple-gated acquisition left ventricular (MUGA LV) function greater than 40% (no acute coronary event in previous six months, myocardial infarction or unstable angina), forced expiratory volume in one second (FEV1) greater than 1 litre, renal glomerular filtration rate greater than 60 ml/min (calculated using Cockroft formula with ethylenediaminetetraacetic acid (EDTA) if predicted less than 60 ml/min).
8. Written informed consent to participate in the trial
Key exclusion criteriaAmended 11/02/2009:
The following points of the below criteria have been amended as follows:
3. Patients with previous treatment for malignancy, which will compromise ability to deliver definitive mediastinal chemoradiation or may compromise survival

Initial information at time of registration:
1. Patients who have had previous treatment for oesophageal carcinoma
2. Patients with metastatic disease i.e. M1a/coeliac nodes or M1b
3. Patients with previous treatment for malignancy, which will compromise ability to deliver definitive mediastinal chemoradiation
4. Patients with significant (greater than 2 cm) extension of tumour into the stomach
Date of first enrolment07/02/2008
Date of final enrolment06/02/2011

Locations

Countries of recruitment

  • United Kingdom
  • Wales

Study participating centre

Velindre Hospital
Cardiff
CF14 2TL
United Kingdom

Results and Publications

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

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/06/2013 Yes No
Results article results 14/03/2017 Yes No
Protocol article protocol 28/10/2011 Yes No
Basic results No No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes
Plain English results No Yes
Study website Study website 11/11/2025 11/11/2025 No Yes

Editorial Notes

19/03/2020: EudraCT number added. Added EudraCT link to basic results (scientific).
26/10/2018: Cancer Research UK lay results summary link added to Results (plain English)
28/03/2018: Three publication references added.