Squamous Cell Carcinoma of Esophagus Clinical Trial
Official title:
A Multicenter Randomized Phase II Study to Evaluate the Benefit of Chemotherapy Plus Best Supportive Care (BSC) Versus BSC in Patients With Metastatic Oesophageal Cancer of Squamous Cell-type Who Have Not Experienced a Disease Progression or Unacceptable Toxicity After a 6-weeks Chemotherapy Course .
Interest of continuing systemic chemotherapy or not , after a short initial treatment (6
weeks) in patients who are in response or stable disease("Discontinuation design ")of
patients with metastatic oesophageal cancer of squamous cell type
The secondary aims would be to study : toxicity, the overall survival rate, a study of costs
and quality of life.
As the data in litterature does not provide the basis for well-argued statistical hypothesis, it is suggested to randomize 30 patients per arm. An IDMC will come to a decision after the inclusion of 10, 20 ans 40 patients on the efficacy and the toxicity profile and on whether to maintain the current clinical position, justifying randomisation . In order to take into account any possible effects of prior concomitant radiochemotherapy, patient will be stratified according to whether they have already undergone chemotherapy or radiochemotherapy. ;
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