Clinical trial Recruiting at 1 site Observational Ages 18 and up

Active surveillance for oesophageal cancer after chemoradiotherapy

Official title: A Prospective Cohort Study on Active Surveillance After Neoadjuvant Chemoradiation for Oesophageal Cancer: SANO-2 Study

Run by Erasmus Medical Center · NCT04886635 · Data updated 2026-11-12

This study is testing whether closely monitoring patients with locally advanced oesophageal cancer after they finish chemoradiotherapy can be a safe and effective alternative to immediate surgery.

More Barrett Esophagus trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment360 (estimated)
SponsorErasmus Medical Center
Academic / other
Locations1 site (Rotterdam, South Holland)
StatusRecruiting
StartedMarch 9, 2021
Main results expectedJanuary 1, 2025
Study endsJanuary 1, 2029
Registry record updatedFebruary 20, 2024
Trial IDNCT04886635 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include operable patients aged 18 and older who have recently undergone neoadjuvant chemoradiotherapy for histologically proven oesophageal cancer.

Probably not a fit

Patients with non-FDG-avid tumors, those who have undergone endoscopic resection, or those requiring definitive chemoradiotherapy may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates an active surveillance approach for patients with locally advanced oesophageal cancer who have completed neoadjuvant chemoradiotherapy. It aims to monitor the safety and effectiveness of this approach in a prospective cohort, as current evidence suggests that active surveillance may be a viable alternative to immediate surgery. The study is an extension of the SANO trial, which has shown high participation rates and a demand for tailored surgical approaches based on patient preferences. Continuous monitoring of safety and implementation will be conducted until the final results of the SANO trial are available.

Why it matters

Potential benefit: If successful, this approach could provide a less invasive treatment option for patients with oesophageal cancer, potentially improving their quality of life.

How similar studies have gone: Other studies have shown promising results with active surveillance approaches in similar contexts, but this specific study is an extension and may provide novel insights.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Operable patients who are planned to undergo or who recently underwent neoadjuvant chemoradiotherapy according to CROSS followed by surgical resection for histologically proven oesophageal squamous cell carcinoma or adenocarcinoma of the oesophagus or oesophago-gastric junction
* Age ≥18
* Written, voluntary, informed consent.

Exclusion Criteria:

* Non-FDG-avid tumour at baseline PET-CT scan
* Initial treatment with endoscopic resection
* Patients who underwent of who are planned to undergo definitive chemoradiotherapy
* Language difficulty, dementia or altered mental status prohibiting the understanding and giving of informed consent.

Where it's running

  • Erasmus University Medical Center
    Rotterdam, South Holland, Netherlands
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.