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OncoMatch/Clinical Trials/NCT06403878

Safety and Efficacy of Neoadjuvant Immunochemotherapy in Elderly Patients With Resectable Esophageal Cancer

Is NCT06403878 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Carboplatin and Nab paclitaxel for esophageal cancer.

Phase 2RecruitingSichuan UniversityNCT06403878Data as of May 2026

Treatment: Carboplatin · Nab paclitaxel · SintilimabWe intend to conduct a prospective single-arm clinical study to explore the efficacy and safety of immunochemotherapy in neoadjuvant therapy in elderly patients with advanced esophageal squamous cell carcinoma. Most previous randomized controlled studies (such as the 5010 study) have excluded older patients ≥70 years of age. However, in the real world, elderly patients with esophageal cancer account for a large number of patients, and elderly people have many complications and poor tolerance to treatment, which limits the application of synchronous chemoradiotherapy in this group. There is no standard treatment plan for patients over 70 years old, and the purpose of this study is to explore the effectiveness and safety of neoadjuvant immunochemotherapy in the treatment of this group of elderly people.

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Extracted eligibility criteria

Cancer type

Esophageal Carcinoma

Disease stage

Required: Stage T2-4AN0M0, T1-4AN+M0 (AJCC eighth edition)

Clinical stage is T2-4aN0M0 or T1-4aN+M0, and MDT evaluation deems the patient operable (AJCC staging eighth edition).

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Lab requirements

Blood counts

Granulocyte count ≥1.5×10^9/L, platelet count ≥80×10^9/L, hemoglobin ≥80g/L

Kidney function

creatinine clearance rate ≥60 mL/min (Cockcroft-Gault formula)

Liver function

Total bilirubin ≤1.5×ULN, ALT or AST ≤2.5×ULN

Cardiac function

Normal ECG or abnormal ECG (deemed clinically insignificant by investigator); LVEF ≥50%

Hematological tests: Granulocyte count ≥1.5×10^9/L, platelet count ≥80×10^9/L, hemoglobin ≥80g/L. Biochemical tests: Total bilirubin ≤1.5×ULN, ALT or AST ≤2.5×ULN; creatinine clearance rate ≥60 mL/min (Cockcroft-Gault formula). Coagulation: INR or PT ≤1.5×ULN. Cardiac: Normal ECG or abnormal ECG (deemed clinically insignificant by investigator); LVEF ≥50%.

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

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