ArticleClinical and translational radiation oncology2026
Postoperative chemoradiotherapy for esophageal squamous cell Carcinoma: Results from ESO-Shanghai 17 and joint analyses for phase II clinical trials.
Article in Clinical and translational radiation oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: To explore efficacy and safety of postoperative chemoradiotherapy in esophageal squamous cell carcinoma. Materials and methods: Two single-arm, phase II trials (ESO-Shanghai 9 and 17) were conducted with the same inclusion criteria: 1) age 18-75, 2) ECOG 0-1, 3) within 3 months after surgery, 4) pathologically confirmed esophageal squamous cell carcinoma(pT3-4orN+,M0), with R0 margins, 5) no preoperative therapy. Both were postoperative concurrent chemoradiotherapy with weekly paclitaxel and carboplatin, and extended-field or small T-shaped field radiotherapy at dose of 45 Gy/25Fx or 50.4 Gy/28Fx in ESO-Shanghai 9 or 17. The primary endpoint was 2-year local control rate, secondary endpoints including overall survival, treatment-related toxicities, and failure patterns. Results: ESO-Shanghai 17 enrolled 70 patients from 2020 to 2023. 2-year local control rate was 83.8 %, and 1, 2, 3-year overall survival rates were 95.7 %, 84.0 %, 67.1 %. Local recurrence occurred in 24.3 % and distant metastasis in 21.4 %. There were no significant differences in local recurrence and metastasis. Both studies exhibited similar local recurrence-free survival and overall survival, disease free survival, and distant metastasis-free survival ( Conclusion: Postoperative chemoradiotherapy (50.4 Gy/28Fx with small T-shaped field) yielded local control and survival comparable to ESO-Shanghai 9, with no radiation pneumonitis-related deaths in esophageal squamous cell carcinoma.(
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