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Dynamic Follow-up of Symptoms Based on Patient-reported Outcomes in Immunotherapy for Esophageal Cancer: a Prospective Multicentre Cohort Study (SPRING)

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ClinicalTrials.gov Identifier: NCT06012318
Recruitment Status : Not yet recruiting
First Posted : August 25, 2023
Last Update Posted : August 25, 2023
Sponsor:
Collaborators:
First Affiliated Hospital of Shantou University Medical College
The General Hospital of Southern Theater Command
The First Affiliated Hospital of Guangdong Pharmaceutical University
Shantou Central Hospital
Affiliated Cancer Hospital of Shantou University Medical College
Shenzhen Second People's Hospital
Longgang District Central Hospital of Shenzhen
Shenzhen Third People's Hospital
Shenzhen People's Hospital
Sichuan Cancer Hospital and Research Institute
Guangzhou Panyu Central Hospital
Information provided by (Responsible Party):
GuiBin Qiao, Guangdong Provincial People's Hospital

Brief Summary:
Immunotherapy shows satisfactory effectiveness and safety in patients with esophageal cancer. Immunotherapy-based regimens have a better survival benefit compared to previous chemotherapy and radiotherapy. Patient-reported outcomes (PRO) provide a reliable assessment of patients' functional status during treatment. However, the spectrum of symptoms in esophageal cancer patients receiving immunotherapy is uncertain, and there are no studies applying the symptom bank based on PRO to the immunotherapy model for esophageal cancer. In this prospective study, the investigators aimed to preliminarily screen for symptoms associated with immunotherapy for esophageal cancer through a systematic literature review and expert evaluation, and build a symptom item bank for esophageal cancer patients receiving immunotherapy. Adverse symptoms in esophageal cancer patients treated with immunotherapy were collected prospectively. The distribution and severity of the symptoms, as well as the trajectory of symptom change were further analyzed to demonstrate the validity and reliability of the symptom item bank. It would refine the spectrum of symptoms for esophageal cancer patients receiving immunotherapy and provide a foundation for assessing the specific symptom burden in patients with esophageal cancer receiving immunotherapy regimens.

Condition or disease
Esophageal Cancer Patient-reported Outcomes Immunotherapy

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Study Type : Observational
Estimated Enrollment : 220 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Dynamic Follow-up of Symptoms Based on Patient-reported Outcomes in Immunotherapy for Esophageal Cancer: a Prospective Multicentre Cohort Study (SPRING)
Estimated Study Start Date : September 10, 2023
Estimated Primary Completion Date : August 1, 2024
Estimated Study Completion Date : December 31, 2024

Resource links provided by the National Library of Medicine


Group/Cohort
Monoimmunotherapy group
Chemoimmunotherapy group



Primary Outcome Measures :
  1. Prevalence and severity of adverse symptoms [ Time Frame: Patients were evaluated from the beginning of immunochemotherapy to three weeks after completion of the last immunochemotherapy treatment. The total time for patient evaluation is less than 6 months. ]
    Incidence and severity of adverse symptoms in esophageal cancer patients treated with immunotherapy


Secondary Outcome Measures :
  1. Trajectory of adverse symptoms [ Time Frame: Patients were evaluated from the beginning of immunochemotherapy to three weeks after completion of the last immunochemotherapy treatment. The total time for patient evaluation is less than 6 months. ]
    Trajectory of adverse symptoms in esophageal cancer patients treated with immunotherapy



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
The target population of the study is patients with esophageal cancer who have received or are receiving immunotherapy-based regimens in various stages, including resectable, locally advanced, and advanced stages.
Criteria

Inclusion Criteria:

  • Pathologically confirmed resectable, locally advanced, advanced metastatic esophageal cancer
  • Having received or undergoing an immunotherapy-based treatment regimen
  • Age 18-75 years
  • ECOG PS of 0-2
  • Adequate organ function
  • Life expectancy > 6 months
  • Participants are fully informed about the whole study and are willing to sign the informed consent

Exclusion Criteria:

  • Absence of immunotherapy regimen, or recieving radiotherapy.
  • Presence of primary tumours elsewhere, such as gastric cancer, lung cancer or cervical cancer
  • Severe organ function deterioration and intolerance to immunotherapy
  • Pregnant or breast-feeding women
  • Previous autoimmune disease
  • Any other conditions that may affect patients' safety and compliance
  • Psychological, family, social and other factors leading to inability to inform consent

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06012318


Contacts
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Contact: Guibin Qiao, MD 13602749153 guibinqiao@126.com

Locations
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China, Guangdong
Guangdong Provincial People's Hospital
Guangzhou, Guangdong, China, 510080
Sponsors and Collaborators
Guangdong Provincial People's Hospital
First Affiliated Hospital of Shantou University Medical College
The General Hospital of Southern Theater Command
The First Affiliated Hospital of Guangdong Pharmaceutical University
Shantou Central Hospital
Affiliated Cancer Hospital of Shantou University Medical College
Shenzhen Second People's Hospital
Longgang District Central Hospital of Shenzhen
Shenzhen Third People's Hospital
Shenzhen People's Hospital
Sichuan Cancer Hospital and Research Institute
Guangzhou Panyu Central Hospital
Investigators
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Principal Investigator: Guibin Qiao, MD Guangdong Provincial People's Hospital
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Responsible Party: GuiBin Qiao, Professor of Medicine, Guangdong Provincial People's Hospital
ClinicalTrials.gov Identifier: NCT06012318    
Other Study ID Numbers: SPRING
First Posted: August 25, 2023    Key Record Dates
Last Update Posted: August 25, 2023
Last Verified: August 2023
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by GuiBin Qiao, Guangdong Provincial People's Hospital:
Esophageal Cancer
Immunotherapy
Patient-reported Outcomes
Symptom item bank
Additional relevant MeSH terms:
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Esophageal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Neoplasms
Head and Neck Neoplasms
Digestive System Diseases
Esophageal Diseases
Gastrointestinal Diseases