About this trial
The purpose of this Phase I study is to determine the recommended phase 2 dose (RP2D) and safety profile of NBTXR3 activated by radiation therapy with concurrent chemotherapy for the treatment of patients with esophageal adenocarcinoma. NBTXR3 is a drug that when activated by radiation therapy, may cause targeted destruction of cancer cells. Radiation therapy uses high energy x-rays to kill tumor cells and shrink tumors. Chemotherapy drugs, such as oxaliplatin, fluorouracil, capecitabine, docetaxel, paclitaxel, and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving NBTXR3 activated by radiation therapy with concurrent chemotherapy may help control the disease.
Eligibility criteria
Qualifiers
Biopsy proven adenocarcinoma of the cervical or thoracic esophagus or gastroesophageal junction
Adenocarcinoma of the esophagus stages II-III allowed
Oxaliplatin and fluorouracil (5-FU) or capecitabine
Docetaxel and/or 5-FU or paclitaxel
Disqualifiers
Prior radiation or any therapy for the treatment of esophageal cancer
Prior surgical resection of esophageal tumor
Esophageal cancer with radiographic evidence of metastases at screening
Esophageal fistula
Trial design
Treatments tested in this trial
- Capecitabine
- Carboplatin
- Docetaxel
- Fluorouracil
- Hafnium Oxide-containing Nanoparticles NBTXR3
- Intensity-Modulated Radiation Therapy
- Leucovorin
- Oxaliplatin
- Paclitaxel
Treatment groups
Sponsors and collaborators
M.D. Anderson Cancer Center
Lead sponsor
National Cancer Institute (NCI)
Collaborator