New hope for advanced esophageal cancer: combo therapy trial launches
NCT ID NCT06780111
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 14 times
Summary
This study tests new drug combinations (including an antibody-drug conjugate) with the immunotherapy pembrolizumab, with or without chemotherapy, for people with advanced esophageal cancer that cannot be removed by surgery or has spread. About 298 participants will join to see if the treatments are safe and help shrink tumors. The goal is to find better options for this hard-to-treat cancer.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 298 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2025
- Expected to finish
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Jan 2032
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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 years and older
- 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 The main inclusion criteria include but are not limited to the following: * Has histologically or cytologically confirmed diagnosis of locally advanced unresectable or metastatic squamous cell carcinoma of the esophagus in first-line (1L) setting. * Has measurable disease per RECIST 1.1 as assessed by the local site. investigator or designee/radiology assessment and verified by BICR. Lesions situated in a previously irradiated area are considered measurable if progression has been shown in such lesions. * Has had AEs due to previous anticancer therapies that have recovered to ≤Grade 1 or baseline. Endocrine-related AEs that are adequately treated with hormone replacement are elegible. * Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy (ART). * Has Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1. * Has adequate organ function. Exclusion Criteria The main exclusion criteria include but are not limited to the following: * Has had systemic anticancer therapy for locally advanced unresectable or metastatic esophageal cancer. * Has tumor invasion into organs located adjacent to the esophageal disease site (eg, aorta or respiratory tract) at an increased risk of fistula. * Has uncontrollable pleural effusion, pericardial effusion, or ascites requiring frequent drainage or medical intervention. * Has clinically significant corneal disease, history of documented severe dry eye syndrome, severe Meibomian gland disease and/or blepharitis, or severe corneal disease that prevents/delays corneal healing. * HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease. * Has received prior therapy with an anti-programmed cell death 1 protein (PD-1), anti-programmed cell death ligand 1 (PD-L1), or anti-programmed cell death ligand 2 (PD-L2) agent, or with an agent directed to another stimulatory or coinhibitory T-cell receptor. * Has received prior systemic anticancer therapy including investigational agents within 4 weeks before the first dose of study intervention. * Has received prior radiotherapy within 2 weeks of start of study intervention, or has radiation-related toxicities, requiring corticosteroids. * Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention. Administration of killed vaccines is allowed. * Has inadequate cardiac function assessed as by a corrected QT interval by Fredericia (QTcF) value ≥470 msec. * Has clinically significant cardiovascular disease within 6 months from first dose of study intervention, including New York Heart Association Class III or IV congestive heart failure, unstable angina, myocardial infarction, cerebral vascular accident, or cardiac arrhythmia associated with hemodynamic instability. * Has peripheral neuropathy ≥ Grade 2. * Has diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of study intervention. * Has known additional malignancy that is progressing or has required active treatment within the past 3 years. * Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis. * Has active autoimmune disease that has required systemic treatment in the past 2 years. * Has had a history of interstitial lung disease (ILD)/pneumonitis irrespective of steroid use (except for a history of radiation pneumonitis that did not require steroids), has a current diagnosis of ILD, or has clinical or radiographic suspicion of ILD for which the diagnosis of ILD cannot be ruled out. * Has active infection requiring systemic therapy. * Has clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses, including, but not limited to, any underlying pulmonary disorder.
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
48 sites in 16 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Aichi Cancer Center ( Site 9702)
RECRUITINGNagoya, Aichi-ken, 464-8681, Japan
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Ankara Bilkent Şehir Hastanesi ( Site 9403)
RECRUITINGAnkara, 06800, Turkey (Türkiye)
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Asan Medical Center ( Site 9901)
RECRUITINGSeoul, 05505, South Korea
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Beijing Cancer Hospital ( Site 9500)
RECRUITINGBeijing, Beijing Municipality, 130021, China
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Bradford Hill Norte ( Site 1405)
RECRUITINGAntofagasta, 1263521, Chile
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Bradfordhill ( Site 1401)
RECRUITINGSantiago, Region M. de Santiago, 8420383, Chile
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C.H.R.U. de Brest - Hopital Cavale Blanche ( Site 9104)
RECRUITINGBrest, Finistere, 29609, France
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CHU Lille - Institut Coeur Poumon ( Site 9100)
RECRUITINGLille, Nord, 59037, France
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Centro de Oncología de Precisión ( Site 1402)
RECRUITINGSantiago, Region M. de Santiago, 7560913, Chile
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Chang Gung Memorial Hospital - Linkou Branch ( Site 1006)
RECRUITINGTaoyuan, 33305, Taiwan
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China Medical University Hospital ( Site 1007)
RECRUITINGTaichung, 40707, Taiwan
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Clínica Puerto Montt ( Site 1406)
RECRUITINGPort Montt, Los Lagos Region, 5500243, Chile
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Clínica UC San Carlos de Apoquindo ( Site 1403)
RECRUITINGSantiago, Region M. de Santiago, 7620002, Chile
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FALP ( Site 1400)
RECRUITINGSantiago, Region M. de Santiago, 7500921, Chile
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HOPE Hamburg/Norddeutsches Studienzentrum fuer Innovative Onkologie ( Site 1807)
RECRUITINGErdgeschoss, Free and Hanseatic City of Hamburg, 22297, Germany
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Hacettepe Universite Hastaneleri ( Site 9401)
RECRUITINGAnkara, 06230, Turkey (Türkiye)
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Henan Cancer Hospital ( Site 9509)
RECRUITINGZhengzhou, Henan, 450008, China
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Hopitaux Universitaires de Geneve HUG. ( Site 1701)
RECRUITINGGeneva, 1211, Switzerland
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Hospital Nossa Senhora da Conceicao ( Site 1300)
RECRUITINGPorto Alegre, Rio Grande do Sul, 91010-004, Brazil
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IBCC - Instituto Brasileiro de Controle do Cancer ( Site 1303)
RECRUITINGSão Paulo, São Paulo, 03102-002, Brazil
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ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO ( Site 1302)
RECRUITINGSão Paulo, 01246-000, Brazil
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Istituto Oncologico Veneto IRCCS ( Site 9202)
RECRUITINGPadova, Veneto, 35128, Italy
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Kantonsspital Graubuenden ( Site 1700)
RECRUITINGChur, Kanton Graubünden, 7000, Switzerland
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Kaohsiung Chang Gung Memorial Hospital ( Site 1003)
RECRUITINGKaohsiung City, 83301, Taiwan
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Kaohsiung Medical University Chung-Ho Memorial Hospital ( Site 1009)
RECRUITINGKaoshiung, Kaohsiung, 807, Taiwan
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Liga Norte Riograndense Contra o Cancer ( Site 1301)
RECRUITINGNatal, Rio Grande do Norte, 59062-000, Brazil
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Masarykuv onkologicky ustav-Klinika komplexni onkologicke pece ( Site 9000)
RECRUITINGBrno, Brno-mesto, 656 53, Czechia
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Memorial Ankara Hastanesi ( Site 9406)
RECRUITINGAnkara, 06520, Turkey (Türkiye)
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National Cancer Center ( Site 9902)
RECRUITINGGoyang-si, Kyonggi-do, 10408, South Korea
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National Cancer Center Hospital ( Site 9700)
RECRUITINGChūō, Tokyo, 104-0045, Japan
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National Cancer Center Hospital East ( Site 9701)
RECRUITINGKashiwa, Chiba, 277-8577, Japan
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National Cheng Kung University Hospital ( Site 1001)
RECRUITINGTainan, 704302, Taiwan
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National Taiwan University Hospital ( Site 1000)
RECRUITINGTaipei, 100225, Taiwan
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National University Hospital ( Site 9800)
RECRUITINGSingapore, Central Singapore, 119074, Singapore
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Oslo Universitetssykehus Radiumhospitalet ( Site 1501)
RECRUITINGOslo, 0379, Norway
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Ospedale San Raffaele-Oncologia Medica ( Site 9201)
RECRUITINGMilan, Lombardy, 20132, Italy
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Pitie Salpetriere University Hospital ( Site 9102)
RECRUITINGParis, 75013, France
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Ramathibodi Hospital ( Site 1103)
RECRUITINGRatchathewi, Bangkok, 10400, Thailand
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Samsung Medical Center ( Site 9900)
RECRUITINGSeoul, 06351, South Korea
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Songklanagarind hospital ( Site 1101)
RECRUITINGHat Yai, Changwat Songkhla, 90110, Thailand
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Taipei Veterans General Hospital ( Site 1005)
RECRUITINGTaipei, 11217, Taiwan
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The First Affiliated Hospital of Nanchang University ( Site 9505)
RECRUITINGNanchang, Jiangxi, 330006, China
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The First Affiliated Hospital of Xiamen University ( Site 9503)
RECRUITINGXiamen, Fujian, 361003, China
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The Second Affiliated Hospital of Anhui Medical University ( Site 9511)
RECRUITINGHefei, Anhui, 230601, China
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UPMC Hillman Cancer Center ( Site 1904)
RECRUITINGPittsburgh, Pennsylvania, 15232, United States
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Universitaetsklinikum Duesseldorf ( Site 1808)
RECRUITINGDüsseldorf, North Rhine-Westphalia, 40225, Germany
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Universitätsklinikum Carl Gustav Carus - Medical Oncology ( Site 1806)
RECRUITINGDresden, Saxony, 01307, Germany
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Xuzhou Central Hospital ( Site 9512)
RECRUITINGXuzhou, Jiangsu, 221000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Experimental drug put to the test against Hard-to-Treat GI cancers
- Can a drug combo shrink esophageal tumors before surgery?
- Two-Drug combo targets esophageal cancer that outsmarted immunotherapy
- Can a Triple-Drug combo shrink esophageal tumors before surgery?
- Can a Triple-Drug combo wipe out esophageal tumors before surgery?
- Dye-Guided surgery may spare healthy lymph nodes in esophageal cancer