Aiming to cure esophageal cancer without the knife

NCT ID NCT05713838

First seen Aug 07, 2026 · Last updated Aug 07, 2026

Summary

This trial is testing whether a combination of the immunotherapy drug durvalumab, chemotherapy, and radiation can completely eliminate early-stage esophageal cancer, potentially making surgery unnecessary. The study enrolls adults with early-stage (cT1 or cT2N0) esophageal adenocarcinoma who would normally need radical surgery. The goal is to see if this non-surgical approach can achieve a complete response, meaning no cancer remains, and preserve the esophagus.

What this could mean

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

Active substance
durvalumab (an immunotherapy drug) combined with chemotherapy (FLOT or mFOLFOX-6) and radiation therapy
What this could lead to
If successful, this approach could allow people with early-stage esophageal cancer to avoid radical surgery, preserving their esophagus while potentially curing the cancer.
What could go wrong
This is a small, early-phase trial, so results may not apply broadly. The combination of immunotherapy, chemotherapy, and radiation can cause significant side effects, and not all patients may respond completely.

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Conditions

The condition(s) this trial relates to.

Adenocarcinoma Of Esophagus esophageal adenocarcinoma

As listed by the trial registrant

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

Contacts and locations

Locations

  • Charite Univeristätsmedizin Berlin

    Berlin, 13353, Germany

  • Gemeinschaftspraxis für Hämatologie und Onkologie GEHO

    Münster, Germany

  • HELIOS Klinikum Bad Saarow

    Bad Saarow, Germany

  • Institute of Clinical Cancer Research, University Cancer Center (UCT) Frankfurt Krankenhaus Nordwest

    Frankfurt, Germany

  • Kliniken Essen Mitte Klinik für Internistische Onkologie und Hämatologie

    Essen, Germany

  • Klinikum Darmstadt GmbH

    Darmstadt, 64283, Germany

  • Klinikum Ludwigshafen gGmbH

    Ludwigshafen, 67063, Germany

  • Klinikum Mutterhaus Trier

    Trier, Germany

  • Klinikum St. Marien Kommunalunternehmen - Anstalt des öffentlichen Rechts der Stadt Amberg

    Amberg, Germany

  • Klinikum Wolfsburg

    Wolfsburg, Germany

  • Klinikum rechts der Isar der Technischen Universität München

    München, Germany

  • Klinikverbund Allgäu gGmbH

    Kempten, 87439, Germany

  • Krankenhaus St. Joseph-Stift GmbH

    Bremen, 28209, Germany

  • Kreiskliniken Reutlingen GmbH Klinikum am Steinberg Reutlingen Ermstalklinik, Bad Urach

    Reutlingen, Germany

  • Leopoldina-Krankenhaus Medizinische Klinik II

    Schweinfurt, Germany

  • St. Elisabeth Gruppe GmbH, St. Anna Hospital Herne

    Herne, Germany

  • Universitätsklinikum Brandenburg an der Havel Medizinische Hochschule Brandenburg

    Brandenburg an der Havel, Germany

  • Universitätsklinikum Halle (Saale) Universitätsklinik und Poliklinik für Innere Medizin I

    Halle, Germany

  • Universitätsklinikum Heidelberg, RadioOnkologie & Strahlentherapie

    Heidelberg, Germany

  • Universitätsklinikum Schleswig-Holstein

    Kiel, 24105, Germany

  • Universitätsmedizin Göttingen

    Göttingen, 37075, Germany

  • ÜBAG - Medizinisches Versorgungszentrum Dr. Vehling-Kaiser GmbH

    Landshut, 84036, Germany

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