PD-1 Inhibitors Combined With Local Therapy at Different Timings in Oligometastatic ESCC

⚠️

This is not medical advice. AI-assisted translation — inaccuracies may occur. Always verify the original and consult your oncologist before taking any steps.

About the trial

Although immunotherapy combined with chemotherapy has become the first-line standard regimen for advanced esophageal squamous cell carcinoma (ESCC) and improved clinical outcomes in advanced patients, the prognosis of patients with esophageal cancer remains unsatisfactory, with a 5-year overall survival rate below 20%. As an effective modality for local disease control, local radiotherapy has no established optimal sequencing schedule when combined with systemic therapy. The timing of radiotherapy intervention may directly affect treatment efficacy, treatment tolerance and quality of life of patients. Several studies have explored the impact of radiotherapy timing in oligometastatic ESCC, yet substantial limitations persist in current evidence, resulting in a lack of unified guideline recommendations and wide heterogeneity in clinical practice. Most existing investigations are retrospective or small-sample prospective studies with high heterogeneity in study design, patient population selection and treatment regimens, yielding inconsistent conclusions that cannot support consistent clinical consensus. To clarify the impact of radiotherapy timing on clinical efficacy in oligometastatic esophageal cancer, the investigator designed the present clinical trial. This study aims to compare the efficacy and safety of concurrent radiotherapy versus sequential radiotherapy on the basis of immunochemotherapy among patients with oligometastatic ESCC, so as to fill the evidence gap in existing research.

Original English text from ClinicalTrials.gov

Who can (and can't) join

✓ Qualifies

  • Potwierdzona diagnoza raka przełyku (typ płaskopątkowy)
  • Przerzuty w maksymalnie czterech miejscach w organizmie, maksymalnie trzy w jednym organie, każde nie większe niż 5 cm
  • Ogólny stan zdrowia pozwalający na leczenie (skala ECOG 0-1)
  • Wystarczająco dobre funkcje wątroby, nerek, krwi i krzepnięcia
  • Nie przyjmowana wcześniej immunoterapia (z pewnymi wyjątkami)
  • Dobrowolna zgoda na udział w badaniu

✗ Disqualifies

  • Ciąża lub karmienie piersią
  • Podejrzenie lub potwierdzona przetoka przełyku
  • Wznowa nowotworu w polu poprzedniej radioterapii
  • Aktywna infekcja wymagająca leczenia
  • Aktywna choroba autoimmunologiczna wymagająca leczenia
  • Immunodeficyt lub niedawne przyjmowanie leków immunosupresyjnych

Simplified criteria — AI translation

Trial details

Minimum age
18 Years
Last updated (source)
July 13, 2026
Sex
No restrictions

Therapies / drugs in trial

Locations (1)

Fudan University Shanghai cancer center

Shanghai, China

Trial contact

Contact information from ClinicalTrials.gov. Contact in English.

Share this trial

Data from ClinicalTrials.gov. AI-assisted translation, last sync: 7/14/2026.

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