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OncoMatch/Clinical Trials/NCT06676449

TDLN-sparing RT Plus Immunotherapy and Chemotherapy in Locally Advanced ESCC

Is NCT06676449 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including Immunotherapy and chemotherapy: Paclitaxel/Cisplatin or other guideline recommended regimens for esophageal carcinoma.

Phase 3RecruitingFudan UniversityNCT06676449Data as of May 2026

Treatment: Immunotherapy · chemotherapy: Paclitaxel/Cisplatin or other guideline recommended regimensThe goal of this clinical trial is to learn if immunotherapy in combination with tumor draining lymph nodes-sparing radiotherapy (TDLN-sparing RT) and chemotherapy works to treat locally advanced esophageal squamous cell cancer in adults. Researchers will compare immunotherapy in combination with TDLN-sparing RT and chemotherapy to TDLN-sparing RT and chemotherapy to see if immunotherapy works more effectively when using TDLN-sparing RT to treat locally advanced esophageal squamous cell cancer Participants will: TDLN-sparing RT for esophageal cancer 50.4Gy/28Fx Paclitaxel plus cisplatin every 3 weeks for 4 cycles PD-1 inhibitors or observation every 3 weeks for 1 year

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Extracted eligibility criteria

Cancer type

Esophageal Carcinoma

Disease stage

Required: Stage T2-4N0M0, TXN+M0, TXNXM1 (ONLY FOR SUPRACLAVICULAR LYMPH NODES METASTASIS) (8th UICC-TNM classification)

Clinical stages T2-4N0M0 or TxN+M0 or TxNxM1 (Only for supraclavicular lymph nodes metastasis) based on the 8th UICC-TNM classification

Performance status

ECOG 0–1(Restricted strenuous activity)

Lab requirements

Blood counts

Absolute neutrophil counts (ANC) ≥1.5×10^9⁄L; Hemoglobin (Hb) ≥9g⁄dl; Platelet (Plt) ≥100×10^9⁄L

Kidney function

Creatinine ≤1.5 ULN

Liver function

Total bilirubin ≤1.5 upper limit of normal (ULN); AST ≤2.5 ULN; ALT ≤2.5 ULN

Adequate organ functions Absolute neutrophil counts (ANC) ≥1.5×10^9⁄L; Hemoglobin (Hb) ≥9g⁄dl; Platelet (Plt) ≥100×10^9⁄L; Total bilirubin ≤1.5 upper limit of normal (ULN); Aspartate transaminase (AST) ≤2.5 ULN; Alanine aminotransferase (ALT) ≤2.5 ULN; Creatinine ≤1.5 ULN

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

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