Application of Toripalimab as Adjuvant Therapy After Esophageal Cancer Surgery: A Multicenter Clinical Trial

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-75
SponsorHenan Cancer Hospital

About this trial

This study is a prospective, multicenter, multi-cohort Phase III clinical trial. It primarily enrolls high-risk recurrent esophageal cancer patients who have undergone R0 resection after neoadjuvant chemoimmunotherapy. Eligible patients are stratified based on pathological lymph node status and receive either toripalimab monotherapy as maintenance treatment or clinical observation only.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients voluntarily participate in this study, sign the informed consent form, demonstrate good compliance, and cooperate with follow-up.

Initial patients are those with resectable or potentially resectable (T1 N1-3 M0 or T2-3 N0-3 M0) thoracic segment esophageal squamous cell carcinoma (8th UICC-TNM staging); who have undergone surgical resection after 2 cycles of immunotherapy combined with chemotherapy and achieved R0 resection.

Age 18 to 75 years.

Preoperative examinations of various organ functions indicate no surgical contraindications.

Disqualifiers

Patients with double primary cancers;

Patients with infections requiring treatment;

Patients requiring continuous systemic corticosteroid therapy (Note: Replacement therapy (e.g., for thyroid insufficiency, insulin therapy, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered systemic therapy and is permitted);

Patients with unstable angina within 3 months or myocardial infarction within 6 months;

Trial design

Design model

Parallel

Treatments tested in this trial

  • Toripalimab monotherapy

    Drug

    Toripalimab monotherapy as maintenance treatment

Treatment groups

435 Participants
are divided into 3 treatment groups
Group A: ypN+,receive toripalimab monotherapy as maintenance treatmentExperimental treatment 1 intervention
Group B: ypN-,receive toripalimab monotherapy as maintenance treatmentExperimental treatment 1 intervention
Group C: ypN-,clinical observation onlyNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

2-year OS

the percentage of patients in a study who are still alive after 2years

Time frame
every 3 months for 2 years

Secondary outcomes

1

DFS

DFS is defined as the time from surgery to any of the following events: local or distant recurrence, or death for any reason

Time frame
every 6 months until the 5th year
2

OS

OS (Overall Survival) is defined as the time from randomization (or treatment initiation) to death from any cause.

Time frame
every 6 months until the 5th year

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: