Blood test may spot hidden cancer cells, guiding smarter treatment for esophageal cancer
NCT ID NCT07371247
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether a blood test that finds tiny traces of cancer DNA (called ctDNA-MRD) can help doctors decide who needs more treatment after standard chemoradiation for advanced esophageal cancer. About 65 people with unresectable cancer will get extra immunotherapy and chemo if their blood test shows leftover cancer cells. The goal is to see if this approach is safe and helps prevent the cancer from coming back.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
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About 65 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Nov 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
* Inclusion Criteria 1. Histologically confirmed locally advanced esophageal squamous cell carcinoma (ESCC), with clinical stage Ⅱ-Ⅳ unresectable disease (including unresectable cases, patients with surgical contraindications, or those who refuse surgery). According to the 8th edition AJCC staging system, the pretreatment clinical stage is defined as: cT1N2-3M0, cT2-4bN0-3M0; M1 disease is limited to non-regional lymph node metastases, excluding distant organ metastases. 2. No prior systemic therapy administered for the disease, and planned to receive definitive chemoradiotherapy (dCRT). 3. Having undergone 1021-gene large panel testing on tissue samples. 4. Aged 18-80 years old. 5. Expected overall survival ≥ 6 months. 6. ECOG performance status 0-1. 7. Normal blood biochemical parameters, with normal liver and kidney function. 8. Able to understand the study protocol, voluntarily participate in the study, and sign the informed consent form. 9. Good compliance, able to cooperate with specimen collection at all designated time points and provide relevant clinical data. * Exclusion Criteria 1. Have participated in other clinical trials within 3 months prior to enrollment. 2. Have a history of other malignant tumors within 3 years prior to the diagnosis of esophageal cancer. 3. Have a history of severe mental illness. 4. Patients who are unable to understand the study protocol and thus cannot cooperate, or who refuse to sign the informed consent form. 5. Have contraindications to chemoradiotherapy. 6. Have a history of autoimmune diseases.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Jiangsu Province Hospital
Nanjing, Jiangsu, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Blood proteins may predict who beats esophageal cancer with chemoradiation
- New Antibody-Drug conjugate put to the test against Hard-to-Treat cancers
- Can a direct hit to tumors make immunotherapy work better?
- New antibody aims to preserve immune checkpoint while fighting cancer
- Can a guided missile for chemo hit tumors harder and spare healthy tissue?
- Can a new drug shrink tumors that resist standard care?