New hope for esophageal cancer: drug cocktail trial launches
NCT ID NCT05319730
First seen Jun 25, 2026 · Last updated Sep 03, 2026 · Updated 5 times
Summary
This study tests several new drug combinations, with or without the immunotherapy pembrolizumab, in people with advanced esophageal cancer that has continued to grow after standard treatment. About 230 participants will receive different drug regimens to see which are safest and most effective. The goal is to find better options for this hard-to-treat cancer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Pembrolizumab, MK-4830, Lenvatinib, Sacituzumab tirumotecan, Paclitaxel, Irinotecan
- What this could lead to
- If successful, this could provide new treatment options for people with advanced esophageal cancer whose disease has worsened after initial therapy.
- What could go wrong
- This is an early-phase trial (phase 1/2) with a small number of participants, so the benefits are uncertain. The drug combinations may cause significant side effects, and not all participants will respond.
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 230 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2023
- Expected to finish
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Apr 2029
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.
The main inclusion and exclusion criteria include but are not limited to the following: Inclusion Criteria: * Histologically or cytologically confirmed diagnosis of metastatic or locally advanced unresectable esophageal squamous cell carcinoma (ESCC) * Has experienced investigator documented radiographic or clinical disease progression on one prior line of standard therapy, that includes a platinum agent and previous exposure to an anti-programmed cell death 1 (PD1)/programmed cell death ligand 1 (PD-L1) based immune oncology (IO) therapy * Has provided an archival or most recent tumor tissue sample obtained as part of clinical practice * Participants who have adverse events (AEs) due to previous anticancer therapies must have recovered to ≤Grade 1 or baseline. Participants with endocrine-related AEs who are adequately treated with hormone replacement or participants who have ≤Grade 2 neuropathy are eligible Exclusion Criteria: * Direct invasion into adjacent organs such as the aorta or trachea * Has experienced weight loss \>10% over approximately 2 months prior to first dose of study therapy * Has history of documented severe dry eye syndrome, severe Meibomian gland disease and/or blepharitis, or severe corneal disease that prevents/delays corneal healing * Has active inflammatory bowel disease requiring immunosuppressive medication or previous history of inflammatory bowel disease * Has received an investigational agent or has used an investigational device within 4 weeks prior to study intervention administration * Known additional malignancy that is progressing or has required active treatment within the past 3 years, except basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or carcinoma in situ that has undergone potentially curative therapy * Known active central nervous system (CNS) metastases and/or carcinomatous meningitis * Participants with human immunodeficiency virus (HIV) with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease * History of allogenic tissue/solid organ transplant * Clinically significant cardiovascular disease within 12 months from first dose of study intervention * Has risk for significant gastrointestinal (GI) bleeding such as a serious nonhealing wound, peptic ulcer, or bone fracture within 28 days prior to allocation/randomization, significant bleeding disorders, vasculitis, or has had a significant bleeding episode from the GI tract within 12 weeks prior to allocation/randomization
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Get notified about this study
Sign up to get updates when this study changes or when new studies for Esophageal squamous cell carcinoma are added.
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
49 sites in 14 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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Adana Medical Park Seyhan Hastanesi-Medikal Onkoloji ( Site 3417)
RECRUITINGAdana, 01140, Turkey (Türkiye)
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Aichi Cancer Center ( Site 3702)
RECRUITINGNagoya, Aichi-ken, 464-8681, Japan
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Anhui Provincial Hospital ( Site 3501)
RECRUITINGHefei, Anhui, 230001, China
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Ankara Bilkent City Hospital-Medical Oncology ( Site 3405)
RECRUITINGAnkara, 06800, Turkey (Türkiye)
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Asan Medical Center-Department of Oncology ( Site 3901)
RECRUITINGSeoul, 05505, South Korea
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Atatürk Üniversitesi-onkoloji ( Site 3416)
RECRUITINGErzurum, 25070, Turkey (Türkiye)
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Azienda Ospedaliero Universitaria Pisana ( Site 3206)
RECRUITINGPisa, Tuscany, 56126, Italy
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Beijing Cancer hospital-Digestive Oncology ( Site 3500)
RECRUITINGBeijing, Beijing Municipality, 100142, China
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Centro de Oncología de Precisión-Oncology ( Site 4404)
RECRUITINGSantiago, Region M. de Santiago, 7560908, Chile
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Chang Gung Medical Foundation-Linkou Branch ( Site 4006)
RECRUITINGTaoyuan, 33305, Taiwan
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Chang Gung Memorial Hospital at Kaohsiung ( Site 4003)
RECRUITINGKaohsiung Niao Sung Dist, Kaohsiung, 83301, Taiwan
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Charité Campus Virchow-Klinikum-Klinik Hämatologie Onkologie Tumorimmunologie ( Site 4804)
COMPLETEDBerlin, 13353, Germany
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China Medical University Hospital ( Site 4007)
RECRUITINGTaichung, 404332, Taiwan
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Chulalongkorn University ( Site 4104)
RECRUITINGPathumwan, Bangkok, 10330, Thailand
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Clínica UC San Carlos de Apoquindo ( Site 4405)
RECRUITINGSantiago, Region M. de Santiago, 7620002, Chile
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Clínica las Condes ( Site 4403)
COMPLETEDSantiago, Region M. de Santiago, 7591047, Chile
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Columbia University Irving Medical Center-CUIMC Herbert Irving Comprehensive Cancer Center Clinical ( Site 4907)
COMPLETEDNew York, New York, 10032, United States
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FALP-UIDO ( Site 4400)
RECRUITINGSantiago, Region M. de Santiago, 7500921, Chile
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Faculty of Medicine Siriraj Hospital ( Site 4102)
RECRUITINGBangkoknoi, Bangkok, 10700, Thailand
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First Huai'an Hospital Affiliated to Nanjing Medical University ( Site 3506)
RECRUITINGHuai'an, Jiangsu, 223300, China
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Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 3200)
RECRUITINGMilan, Lombardy, 20133, Italy
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HOPE Hamburg/Norddeutsches Studienzentrum fuer Innovative Onkologie ( Site 4807)
RECRUITINGErdgeschoss, Free and Hanseatic City of Hamburg, 22297, Germany
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Hacettepe Universite Hastaneleri-oncology hospital ( Site 3402)
COMPLETEDAnkara, 06230, Turkey (Türkiye)
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Hematology-Oncology Associates of Central NY, P.C. ( Site 4925)
RECRUITINGEast Syracuse, New York, 13057, United States
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Henan Cancer Hospital ( Site 3518)
RECRUITINGZhengzhou, Henan, 450008, China
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Hospital Nossa Senhora da Conceição ( Site 4301)
RECRUITINGPorto Alegre, Rio Grande do Sul, 91350-200, Brazil
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Hôpitaux Universitaires de Genève (HUG) ( Site 4702)
RECRUITINGGeneva, Canton of Geneva, 1211, Switzerland
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I.E.U. Medical Point Hastanesi-Oncology ( Site 3406)
COMPLETEDIzmir, 35575, Turkey (Türkiye)
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ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO ( Site 4300)
RECRUITINGSão Paulo, 01246-000, Brazil
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IRCCS - Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori"-Oncologia Medica ( Site 3207)
RECRUITINGMeldola, Emilia-Romagna, 47014, Italy
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Institut für Klinisch Onkologische Forschung-Klink für Onkologie und Hämatologie ( Site 4801)
COMPLETEDFrankfurt am Main, Hesse, 60488, Germany
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Istituto Europeo di Oncologia IRCCS-Divisione di Sviluppo di Nuovi Farmaci per Terapie Innovative ( Site 3201)
COMPLETEDMilan, 20141, Italy
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Istituto Oncologico Veneto IRCCS-Oncologia Medica 1 ( Site 3203)
RECRUITINGPadova, Veneto, 35128, Italy
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Kantonsspital Graubünden-Medizin ( Site 4700)
RECRUITINGChur, Kanton Graubünden, 7000, Switzerland
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Liga Norte Riograndense Contra o Câncer ( Site 4303)
RECRUITINGNatal, Rio Grande do Norte, 59062-000, Brazil
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Memorial Ankara Hastanesi-Medical Oncology ( Site 3408)
COMPLETEDAnkara, 06520, Turkey (Türkiye)
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National Cancer Center Hospital ( Site 3700)
RECRUITINGChuo-ku, Tokyo, 104-0045, Japan
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National Cancer Center Hospital East ( Site 3701)
RECRUITINGKashiwa, Chiba, 277-8577, Japan
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National Cheng Kung University Hospital ( Site 4001)
RECRUITINGTainan, 704, Taiwan
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National Taiwan University Hospital ( Site 4000)
RECRUITINGTaipei, 10002, Taiwan
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National University Hospital ( Site 3800)
RECRUITINGSingapore, South West, 119074, Singapore
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Oslo universitetssykehus, Radiumhospitalet ( Site 4501)
RECRUITINGOslo, 0379, Norway
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Ospedale San Raffaele-Oncologia Medica ( Site 3202)
RECRUITINGMilan, 20132, Italy
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Saitama Prefectural Cancer Center ( Site 3703)
RECRUITINGKitaadachi-gun, Saitama, 3620806, Japan
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Samsung Medical Center-Division of Hematology/Oncology ( Site 3900)
RECRUITINGSeoul, 06351, South Korea
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Shanghai Chest Hospital-Esophageal surgery department ( Site 3513)
RECRUITINGShanghai, Shanghai Municipality, 200030, China
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Shizuoka Cancer Center ( Site 3704)
RECRUITINGNagaizumi-cho,Sunto-gun, Shizuoka, 411-8777, Japan
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Songklanagarind hospital ( Site 4105)
RECRUITINGHat Yai, Changwat Songkhla, 90110, Thailand
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TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 3403)
RECRUITINGIstanbul, 34722, Turkey (Türkiye)
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Taichung Veterans General Hospital-Radiation Oncology ( Site 4008)
RECRUITINGTaichung, 407, Taiwan
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Taipei Veterans General Hospital ( Site 4005)
RECRUITINGTaipei, 112, Taiwan
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The First Affiliated Hospital of Xiamen University ( Site 3516)
RECRUITINGXiamen, Fujian, 361003, China
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The First Affiliated Hospital of Xinxiang Medical University-Oncology ( Site 3510)
RECRUITINGXinxiang, Henan, 453100, China
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UCLA Hematology/Oncology - Santa Monica ( Site 4905)
RECRUITINGLos Angeles, California, 90404, United States
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UPMC Hillman Cancer Center-UPMC ( Site 4904)
RECRUITINGPittsburgh, Pennsylvania, 15232, United States
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Universitaetsklinikum Duesseldorf ( Site 4802)
COMPLETEDDüsseldorf, North Rhine-Westphalia, 40225, Germany
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University of Arizona Cancer Center-University of Arizona Cancer Center ( Site 4927)
RECRUITINGTucson, Arizona, 85719, United States
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Zhejiang Cancer Hospital-Thoracic oncology ( Site 3511)
RECRUITINGHangzhou, Zhejiang, 310022, 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