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OncoMatch/Clinical Trials/NCT05495152

Adjuvant Sintilimab for Locally Advanced Esophageal Squamous Cell Carcinoma

Is NCT05495152 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies Sintilimab for esophageal squamous cell carcinoma.

Phase 3RecruitingHenan Cancer HospitalNCT05495152Data as of May 2026

Treatment: SintilimabNo adjuvant treatment has been established for patients who remain at high risk for recurrence after neoadjuvant chemotherapy plus surgery and incidental pathologic lymph node metastasis following initial surgery for esophageal squamous cell carcinoma (ESCC).Controversy still exists regarding the role of adjuvant immunotherapy for ESCC patients who do not achieve pCR after neoadjuvant chemotherapy plus surgery and clinical T1-2 N0 patients with incidental pathologic lymph node metastasis following initial surgery. To investigate the outcomes of adjuvant Sintilimab in patients with locally advanced ESCC, we initiated this randomized controlled trial (RCT).

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Extracted eligibility criteria

Cancer type

Esophageal Carcinoma

Disease stage

Required: Stage CT1-4AN+M0, T3-4AN0M0, CT1-2N0M0 AND PATHOLOGICALLY PROVEN T1-2N+M0

Patients with resectable cT1-4aN+M0 or T3-4aN0M0 disease and residue disease is found after neoadjuvant chemotherapy plus surgery or cT1-2N0M0 and pathologically proven T1-2N+M0 after upfront surgery. Patients with unresectable disease (bulky metastatic lymph nodes or T4b) and receive induction chemotherapy [excluded].

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: neoadjuvant chemotherapy plus surgery — neoadjuvant

residue disease is found after neoadjuvant chemotherapy plus surgery

Must have received: upfront surgery — upfront

cT1-2N0M0 and pathologically proven T1-2N+M0 after upfront surgery

Cannot have received: neoadjuvant chemoradiation therapy

Patients receive neoadjuvant chemoradiation therapy

Cannot have received: immunotherapy

Patients ever received immunotherapy

Lab requirements

Blood counts

white blood cell count ≥ 4×10^9/L; ANC ≥ 1.5×10^9/L; platelets ≥ 100×10^9/L; haemoglobin ≥ 9 g/dl

Kidney function

glomerular filtration rate ≥ 60 ml/min calculated using the Cockcroft-Gault formula

Liver function

serum bilirubin ≤ 1.5 × ULN; AST and ALT ≤ 2.0 × ULN (ULN as per institutional standard)

Adequate bone marrow function: white blood cell count ≥ 4×10^9/L; absolute neutrophil count (ANC) ≥ 1.5×10^9/l; platelets ≥ 100×10^9/L; haemoglobin ≥ 9 g/dl. Adequate liver function: serum bilirubin ≤ 1.5 × upper limit of normal (ULN); aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 2.0 × ULN (ULN as per institutional standard). Adequate renal function: glomerular filtration rate ≥ 60 ml/min calculated using the Cockcroft-Gault formula.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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