Esophageal Cancer Clinical Trial
Official title:
A Phase II Trial of Dose Escalated Proton Beam Therapy or Photon Therapy for Resectable and Unresectable Esophageal Cancer
This study will evaluate if proton beam therapy as part of chemoradiation results in a decrease in diffusion lung capacity of carbon monoxide (DLCO) compared to photon radiation therapy for esophageal carcinoma. A secondary objective is to determine effects on cardiac function, quality of life, and compare acute and late toxicities.
Radiation Modality: Proton radiotherapy will be offered to all patients that meet trial
eligibility. If patients decline proton radiotherapy or are otherwise unable to receive
proton therapy they will be included in x-ray cohort (group 2).
Chemotherapy will be delivered at the discretion of the treating Medical Oncologist. Weekly
carboplatin and paclitaxel at standard doses is preferred. It is recommended that the weekly
chemotherapy regimen be continued throughout the course of radiotherapy. Chemotherapy should
begin within 48 hours of beginning radiotherapy.
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