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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00193882
Registration number
NCT00193882
Ethics application status
Date submitted
13/09/2005
Date registered
19/09/2005
Date last updated
12/07/2017
Titles & IDs
Public title
Advanced Oesophageal Cancer Study to Compare Quality of Life and Palliation of Dysphagia.
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Scientific title
A Randomised Phase III Study in Advanced Oesophageal Cancer to Compare Quality of Life and Palliation of Dysphagia in Patients Treated With Radiotherapy vs ChemoRadiotherapy.
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Secondary ID [1]
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NCIC CTG ES.2
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Secondary ID [2]
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TROG 03.01
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Esophagus Cancer
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Condition category
Condition code
Cancer
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Oesophageal (gullet)
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Cisplatin
Treatment: Other - Radiotherapy
Treatment: Drugs - 5-Fluorouracil
Active comparator: A: Radiotherapy - Radiotherapy alone
Experimental: B: Chemo-radiotherapy - Chemotherapy (Cisplatin + 5-Fluorouracil ) and Radiotherapy
Treatment: Drugs: Cisplatin
80mg/m2 IV day 1
Treatment: Other: Radiotherapy
35 Gy in 15 fractions
Treatment: Drugs: 5-Fluorouracil
800mg/m2/day IV days 1 - 4
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Relief of dysphagia
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Assessment method [1]
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Timepoint [1]
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This will be measured at nine weeks after the start of radiotherapy and must be maintained at the next review 4 weeks thereafter.
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Secondary outcome [1]
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Dysphagia progression free survival.
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Assessment method [1]
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Timepoint [1]
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This will be measured from randomisation to the time of first progression of dysphagia.
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Secondary outcome [2]
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Quality of Life differences post treatment and at 3 months and 6 months.
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Assessment method [2]
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Timepoint [2]
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post treatment and at 3 months and 6 months.
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Secondary outcome [3]
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Acute and late toxicity.
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Assessment method [3]
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Timepoint [3]
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Interim analyses planned at 110 pateints. Final analyses will occur after 5 years.
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Secondary outcome [4]
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Survival.
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Assessment method [4]
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Timepoint [4]
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Interim analyses planned at 110 pateints. Final analyses will occur after 5 years.
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Secondary outcome [5]
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Time to achieving any response in dysphagia after treatment as measured by an improvement of at least 1 point on the 5 point dysphagia scale.
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Assessment method [5]
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Timepoint [5]
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Interim analyses planned at 110 pateints. Final analyses will occur after 5 years.
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Secondary outcome [6]
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Number of patients receiving secondary treatment (radiation, chemotherapy or stenting).
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Assessment method [6]
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Timepoint [6]
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Interim analyses planned at 110 pateints. Final analyses will occur after 5 years.
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Secondary outcome [7]
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Time to achieving a complete response i.e. dysphagia score of 0.
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Assessment method [7]
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Timepoint [7]
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Interim analyses planned at 110 pateints. Final analyses will occur after 5 years.
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Eligibility
Key inclusion criteria
* Biopsy proven Carcinoma of the oesophagus.
* Not a candidate for radical/curative treatment due to the advanced nature of the disease, presence of metastases, or intercurrent illness. (It should be noted that, patients with mediastinal nodes and no more distant disease maybe suitable for radical treatment).
* Symptomatic patients with dysphagia scores of = 1 i.e. able to eat only some solids (see Mellow Scale appendix 1)
* Performance status ECOG = 2
* Patients must begin treatment within 2 weeks of randomization.
* Patient is at least 18 years old.
* Adequate haematological function to undergo chemotherapy. Peripheral blood - Neutrophils > 1.5 x 10^9/L - Platelets > 100 x 10^9/L
* Adequate renal function, Creatinine - Calculated clearance = 50 ml/min
* Patients capable of childbearing are using adequate contraception.
* Written informed consent of patient.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Previous mega-voltage external beam Radiotherapy or brachy-therapy delivered to the region of the chest.
* Synchronous active malignancies.
* Pregnant or lactating patients.
* Patients unfit for any treatment component.
* Tracheo-oesophageal fistula.
* Stents in situ.
* Previous chemotherapy for Oesophageal Cancer
* CT scan of thorax and abdomen more than 8 weeks prior to randomization
* Full Blood Count, Biochemistry (including creatinine) and creatinine clearance more than 2 weeks prior to randomization
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
7/07/2003
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
18/06/2013
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Sample size
Target
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Accrual to date
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Final
220
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,TAS,VIC,WA
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Recruitment hospital [1]
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Liverpool Hospital - Liverpool
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Recruitment hospital [2]
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Prince of Wales Hospital - Randwick
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Recruitment hospital [3]
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Royal North Shore Hospital - Sydney
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Recruitment hospital [4]
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Premion - Wesley - Auchenflower
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Recruitment hospital [5]
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Royal Brisbane Hospital - Herston
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Recruitment hospital [6]
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Radiation Oncology - Mater Centre - South Brisbane
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Recruitment hospital [7]
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North Queensland Oncology Service - Townsville
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Recruitment hospital [8]
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Princess Alexandra Hospital - Woolloongabba
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Recruitment hospital [9]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [10]
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Launceston General Hospital - Launceston
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Recruitment hospital [11]
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Peter MacCallum - Box Hill Hospital - Box Hill
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Recruitment hospital [12]
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Peter MacCallum - Moorrabbin - east Bentleigh
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Recruitment hospital [13]
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Andrew Love Cancer Care Centre, Geelong Hospital - Geelong
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Recruitment hospital [14]
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Peter MacCallum Cancer Centre - Melbourne
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Recruitment hospital [15]
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Royal Perth Hospital - Perth
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Recruitment postcode(s) [1]
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1871 - Liverpool
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Recruitment postcode(s) [2]
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2031 - Randwick
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Recruitment postcode(s) [3]
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2069 - Sydney
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Recruitment postcode(s) [4]
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4006 - Auchenflower
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Recruitment postcode(s) [5]
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4029 - Herston
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Recruitment postcode(s) [6]
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4101 - South Brisbane
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Recruitment postcode(s) [7]
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4810 - Townsville
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Recruitment postcode(s) [8]
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4102 - Woolloongabba
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Recruitment postcode(s) [9]
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5000 - Adelaide
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Recruitment postcode(s) [10]
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7250 - Launceston
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Recruitment postcode(s) [11]
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3128 - Box Hill
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Recruitment postcode(s) [12]
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3165 - east Bentleigh
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Recruitment postcode(s) [13]
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3220 - Geelong
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Recruitment postcode(s) [14]
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8006 - Melbourne
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Recruitment postcode(s) [15]
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6001 - Perth
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Recruitment outside Australia
Country [1]
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Canada
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State/province [1]
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Alberta
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Country [2]
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Canada
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State/province [2]
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Manitoba
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Canada
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State/province [3]
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New Brunswick
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Canada
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Nova Scotia
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Canada
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Ontario
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Country [6]
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Canada
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Quebec
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Country [7]
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New Zealand
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State/province [7]
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Christchurch
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Country [8]
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United Kingdom
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State/province [8]
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Hull
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Funding & Sponsors
Primary sponsor type
Other
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Name
Trans Tasman Radiation Oncology Group
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Address
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Other collaborator category [1]
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Other
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Name [1]
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National Health and Medical Research Council, Australia
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Address [1]
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Other collaborator category [2]
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Other
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Name [2]
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Canadian Cancer Trials Group
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Address [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
To compare the treatment of gullet cancer with radiotherapy alone and assess the advantage and toxicity of adding chemotherapy. The hypothesis to be tested is as follows: That the addition of chemotherapy to a short course of radiation treatment improves the proportion of patients who achieve relief of dysphagia and improves quality of life compared to radiation alone in patients with advanced oesophageal cancer.
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Trial website
https://clinicaltrials.gov/study/NCT00193882
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Trial related presentations / publications
Penniment MG, De Ieso PB, Harvey JA, Stephens S, Au HJ, O'Callaghan CJ, Kneebone A, Ngan SY, Ward IG, Roy R, Smith JG, Nijjar T, Biagi JJ, Mulroy LA, Wong R; TROG 03.01/CCTG ES.2 group. Palliative chemoradiotherapy versus radiotherapy alone for dysphagia in advanced oesophageal cancer: a multicentre randomised controlled trial (TROG 03.01). Lancet Gastroenterol Hepatol. 2018 Feb;3(2):114-124. doi: 10.1016/S2468-1253(17)30363-1. Epub 2017 Dec 14.
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Public notes
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Contacts
Principal investigator
Name
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Michael Penniment, FRANZCR
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Address
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Royal Adelaide Hopsital
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Phone
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00193882
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