Can a pair of PET scans reveal who will beat esophageal cancer?

NCT ID NCT07770672

First seen Aug 18, 2026 ยท Last updated Aug 18, 2026

Summary

This study asks whether two PET/CT scans taken before treatment can predict how well patients with esophageal cancer respond to immunotherapy plus chemotherapy given before surgery. Adults with stage II to IVA esophageal squamous cell carcinoma will receive both scans, and those predicted to have a poor response will be randomly assigned to one of two drug combinations. The goal is to see if the scans can guide treatment choices and improve the chance of eliminating all cancer cells.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
Two PET/CT scans (68Ga-FAPI and 18F-FDG) used to predict treatment response, followed by retlirafusp alfa or adebrelimab combined with chemotherapy
What this could lead to
If successful, this could help doctors identify which patients with esophageal cancer are unlikely to benefit from standard pre-surgery immunotherapy, allowing them to switch to a potentially more effective treatment.
What could go wrong
This is an early-stage exploratory study, so the predictive accuracy of the scans is not yet proven. The experimental drug retlirafusp alfa may not improve outcomes, and both scans and treatments carry risks of side effects.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Zhongshan Hospital, Fudan University

    Shanghai, China

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