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Immunotherapy is now considered to be one of promising approaches for treating cancer. Radiation therapy has been to be a cornerstone treatment for unresectable advanced esophageal cancer. Radiation-induced mutation genes were identified as new sources of tumor associated antigens using exon sequencing and peptide microarray technologies. Epitope peptides for these targets are able to induce peptide specific cytotoxic T lymphocytes (CTL). In this clinical trial, investigators evaluate the efficacy and safety of peptide specific CTL therapy in combination with radiation therapy in treating patients with unresectable, advanced or recurrent esophageal cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| peptide specific CTL arm | Experimental | peptide specific CTL, radiation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| peptide specific CTL | Biological | Radiation: RT to 60 Gy, 5 x per week,for 6 weeks Biological: Peptide specific CTL Peptide specific CTL will be administered by intravenous injection on day 28 of radiation. |
| Measure | Description | Time Frame |
|---|---|---|
| Local control | occurrence of local or regional progression | two years after enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] | Number of participants with treatment-related adverse events as assessed by Number of participants with treatment-related adverse events as assessed by treatment-related adverse events assessed by CTCAE v4.0 | 3 months |
| Objective response rate as assessed by RECIST criteria |
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Inclusion Criteria:
Patients must have unresectable, locally advanced, recurrent disease of esophageal cancer. Histologically confirmed cancer of the esophagus.
measurable disease by CT scan
ECOG performance status of 0 to 2
Expected survival of at least 3months
Laboratory values as follow:
Able and willing to give valid written informed consent
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hangzhou Cancer Hospital | Recruiting | Hangzhou | Zhejiang | 310000 | China |
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| ID | Term |
|---|---|
| D004938 | Esophageal Neoplasms |
| D004935 | Esophageal Diseases |
| D004066 | Digestive System Diseases |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| 3 months |
| Time to progression | 1 year |
| Overall survival | 1 year |
| D006258 |
| Head and Neck Neoplasms |
| D005767 | Gastrointestinal Diseases |