Study for Determination of Feasibility and Toxicity of Pre-Treatment With HPPH (2-1[1-Hexyloxyethyl]-2 Devinyl Pyropheophorbide-a) Photodynamic Therapy Prior to Chemoradiation in Non-Operable Patients With Obstructive Esophageal Cancer

Roswell Park Comprehensive Cancer Center

Status

Withdrawn

Conditions

Esophageal Neoplasm

Treatments

Drug: HPPH 2-1[1-hexyloxyethyl]-2-devinyl Pyropheophorbide-a)

Study type

Interventional

Funder types

Other

Identifiers

RPCI I 148809

Details and patient eligibility

About

This study aim is to find out what effects capecitabine, oxaliplatin and radiation therapy following photodynamic therapy have on esophageal cancer.

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Partially or completely obstructing primary esophageal carcinoma, clinical stage I-IVa as determined by endoscopy, CT-scan, PET +/- endoscopic ultrasound. For distal esophagus tumors involving the GE junction, at least 50% or greater of the tumor bulk should be in the distal esophagus
Ineligible for or refused surgical resection
No Prior therapy allowed for esophageal cancer
ECOG Performance status 0-1
Life expectancy > 4 months
Adequate hematologic parameters (hemoglobin> 9g/dl, ANC > 1500/ul, Platelets > 100,000/ul)
Adequate biochemical parameters (total bilirubin and creatinine within institutional limits, AST and alkaline phosphatase less tham or equal to 3xUNL)
Age > 18 years
Signed informed consent
Bronchoscopy with biopsy and cytology if primary esophageal cancer is < 26 cm from incisors
Female patients of childbearing potential should have a negative serum or urine pregnancy test within 7 days prior to registration
Patients of Childbearing potential agree to use an effective form of contraception during the study and for 90 days following the last dose of study medication (an effective form of contraception is an oral contraceptive or a double barrier method
Both men and women and members of all races and ethnic are eligible for this trial

Exclusion criteria

Hypersensitivity to platinum compounds, fluoropyrimidines or to antiemetics appropriate for administration in conjunction with protocol-directed chemotherapy
Patients may not be receiving any other investigational agents
Patients with known brain metastases should be excluded from this trail
Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia or psychiatric illness/social situations that would limit compliance with study requirements
Peripheral neuropathy ≥ Grade 2
History of second malignancy within the previous years except for curatively treated carcinoma of the cervix in-situ or non-melanomatous skin cancer
Patients who are pregnant or lactating
Porphyria or hypersensitivity to porphyrin-like compounds
Patients with known HIV or Hepatitis B or C (active, previously treated or both)
Patients with tracheal or bronchial involvement, as determined by bronchoscopy
Patients with documented unilateral or bilateral vocal cord paralysis
Patients with T4 lesions by CT, MRI or EUS involving the aorta, lung or pericardium