Metachronic Brain Metastases After Esophagectomy for Esophageal Cancer (METABREC)

Study Purpose

Esophagectomy is the cornerstone of the curative treatment of esophageal carcinoma. Despite this treatment, patients can suffer from locoregional or distant metastatic disease and only a very selected group of patients can be cured: mostly those with recurrence in one single organ. Brain metastases are rare after esophagectomy for cancer, but they have a serious impact on survival. Agressive treatment is often moren difficult for brain metastases compared to other metastases and some risk factors have been identified earlier. There is an impression that the incidence of brain metastases in esophageal cancer patients has increased since the introduction of neoadjuvant treatment schemes. However, this is not clear yet. A potential explanation could be that chemotherapy disturbs the blood-brain-barrier, hereby facilitating the migration of tumor cells to the brain. The purpose of this study is to retrospectively analyze the incidence and potential risk factors of brain metastases in patients who underwent esophagectomy for esophageal cancer. Patients treated between 2000 and 2019 will be included and outcome parameters are Odds Ratio for brain metastases (comparison between primary surgery and neoadjuvant treatment followed by surgery), time to recurrence and risk factors, number and characteristics of the brain metastases.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Observational
Eligible Ages N/A and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Patients receiving surgical treatment for esophageal cancer between 1 januari 2000 and 31 december 2019.
  • - All types of neoadjuvant treatment followed by surgery, primary surgery or salvage surgery.
  • - Adenocarcinoma or squamous cell carcinoma histology.

Exclusion Criteria:

  • - other histology type than adenocarcinoma or squamous cell carcinoma.
- Hypopharyngeal carcinoma extending to the esophagus (requiring total laryngo-pharyngo-esophagectomy) - Early esophageal carcinoma (cT IS-1a N0 M0) - palliative esophagectomy

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT04654975
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Universitaire Ziekenhuizen KU Leuven
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Lieven P Depypere, PhD
Principal Investigator Affiliation UZ Leuven
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Recruiting
Countries Belgium, France, Ireland, Netherlands, Sweden, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Esophageal Neoplasms, Esophagectomy, Brain Metastases

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

MD Anderson Cancer Center, Houston, Texas

Status

Not yet recruiting

Address

MD Anderson Cancer Center

Houston, Texas, 77030

Site Contact

Patricia Abraham

[email protected]

+32 16 346820

International Sites

Universitair ziekenhuis Gent, Gent, Belgium

Status

Not yet recruiting

Address

Universitair ziekenhuis Gent

Gent, ,

Site Contact

Inge Vandenbroucke

[email protected]

+32 16 346820

Lille, France

Status

Not yet recruiting

Address

Centre Hospitalier régional Universitaire de Lille

Lille, ,

Site Contact

Sébastien Degisors

[email protected]

+32 16 346820

Saint James Hospital, Dublin, Ireland

Status

Not yet recruiting

Address

Saint James Hospital

Dublin, ,

Site Contact

Noel E Donlon

[email protected]

+32 16 346820

Amsterdam UMC, Amsterdam, Netherlands

Status

Recruiting

Address

Amsterdam UMC

Amsterdam, ,

Site Contact

Daan Voeten

[email protected]

+32 16 346820

Zuyderland MC, Heerlen, Netherlands

Status

Not yet recruiting

Address

Zuyderland MC

Heerlen, ,

Site Contact

Julie Van Den Bosch, MD

[email protected]

+32 16 346820

Erasmus MC, Rotterdam, Netherlands

Status

Not yet recruiting

Address

Erasmus MC

Rotterdam, ,

Site Contact

x gao

[email protected]

+32 16 346820

Karolinska Institutet, Stockholm, Sweden

Status

Recruiting

Address

Karolinska Institutet

Stockholm, ,

Site Contact

Biying Huang

[email protected]

+32 16 346820

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