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OncoMatch/Clinical Trials/NCT06452602

Induction Immunochemotherapy Followed by Concurrent Chemoradiotherapy in Patients With ESCC.

Is NCT06452602 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Induction immunochemotherapy followed by Adebrelimab plus concurrent chemoradiotherapy and Induction immunochemotherapy followed by concurrent chemoradiotherapy for esophageal cancer.

Phase 2RecruitingTianjin Medical University Cancer Institute and HospitalNCT06452602Data as of May 2026

Treatment: Induction immunochemotherapy followed by Adebrelimab plus concurrent chemoradiotherapy · Induction immunochemotherapy followed by concurrent chemoradiotherapyThis trial is conducted in patients with unresectable locally advanced esophageal squamous cell carcinoma. The investigators plan to enroll 60 patients with unresectable locally advanced esophageal cancer in Tianjin cancer hospital. After 2 cycles of induction immunochemotherapy, 60 patients with ESCC will be divided into 2 groups (CR+PR group and SD+PD group) according to the efficacy of induction therapy. Patients in the CR+PR group will be treated with the same immunochemotherapy regimen plus concurrent radiotherapy (50.4Gy/1.8Gy/28f) . And immunotherapy will maintain for a maximum of 1 year. Patients in the SD+PD group will be treated with concurrent chemoradiotherapy (Radiotherapy: PTV/PGTV:50.4Gy/59.92Gy/28f and another chemotherapy regimen). Immunotherapy will not used during chemoradiotherapy because of immunotherapy resistance. The trial can effectively stratify patients by induction immunochemotherapy, and a more appropriate treatment regimen for patients has the potential to further improve PFS and prolong OS in all patients.

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Extracted eligibility criteria

Cancer type

Esophageal Carcinoma

Biomarker criteria

Required: PD-L1 (CD274) any tested (testing required; no eligibility threshold specified)

Disease stage

Required: Stage II, III, IVA, IVB (8th AJCC)

Clinically staged as II-IVb inoperable locally advanced ESCC(including non-resectable, or with contraindications to or refusal of surgery)

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

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

Cannot have received: systemic anti-tumor therapy

Haven't received any previous systemic anti-tumor therapy (including but not limited to systemic chemotherapy, radiotherapy, molecularly targeted drug therapy, immunotherapy, biologic therapy, topical therapy and other investigational therapeutic agents)

Cannot have received: anti-PD-1 therapy

Anti-PD-1 or anti-PD-L1 antibody therapy

Cannot have received: anti-PD-L1 therapy

Anti-PD-1 or anti-PD-L1 antibody therapy

Cannot have received: chemotherapy

chemotherapy

Cannot have received: radiotherapy

radiotherapy

Cannot have received: targeted therapy

targeted therapy

Cannot have received: investigational agent

Participation in a study of an investigational agent or device within 4 weeks before the first dose of study treatment

Cannot have received: anti-tumour vaccine

Received an anti-tumour vaccine or received a live vaccine within 4 weeks before the first dose of study treatment

Lab requirements

Blood counts

ANC ≥1500/μl, platelet count ≥100,000/μl and hemoglobin count ≥9.0 g/dl or ≥5.6 mmol/l

Kidney function

creatinine ≤1.5× ULN or measured or calculated creatinine clearance ≥60 mL/min for those with creatinine levels >1.5× ULN (Calculated from the Cockcroft-Gault formula)

Liver function

total bilirubin ≤1.5× ULN and ALT/AST/AKP levels ≤2.5× ULN and albumin ≥2.8 g/dl

Adequate hematologic function, defined as ANC ≥1500/μl, platelet count ≥100,000/μl and hemoglobin count ≥9.0 g/dl or ≥5.6 mmol/l; Adequate renal function, defined as creatinine ≤1.5× ULN or measured or calculated creatinine clearance ≥60 mL/min for those with creatinine levels >1.5× ULN (Calculated from the Cockcroft-Gault formula); Adequate hepatic function, defined as total bilirubin ≤1.5× ULN and ALT/AST/AKP levels ≤2.5× ULN and albumin ≥2.8 g/dl

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

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