Camrelizumab, chemotherapy and Ivarmacitinib before surgery for resectable esophageal squamous cell carcinoma
Official title: A Prospective, Single-arm, Single-center, Exploratory Study of the Safety and Efficacy of the Combination of Camrelizumab, Chemotherapy and Ivarmacitinib in Patients With Resectable Esophageal Squamous Cell Carcinoma
Run by Second Affiliated Hospital, Zhejiang University, School of Medicine · NCT07505186 · Data updated 2026-11-12
This trial tests whether giving camrelizumab with chemotherapy and the JAK inhibitor Ivarmacitinib before surgery can improve outcomes for patients with locally advanced esophageal squamous cell carcinoma that can be removed by operation.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 45 (estimated) |
| Sponsor | Second Affiliated Hospital, Zhejiang University, School of Medicine Academic / other |
| Drugs / interventions | camrelizumab, Ivarmacitinib, chemotherapy, immunotherapy |
| Locations | 1 site (Hangzhou, China) |
| Status | Recruiting |
| Started | August 17, 2026 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2033 |
| Registry record updated | October 2, 2026 |
| Trial ID | NCT07505186 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18–75 with primary resectable esophageal squamous cell carcinoma, stage II–IVA, ECOG 0–1, no distant metastases, able to undergo surgery.
✕Probably not a fit
Patients with contraindications to immunotherapy or chemotherapy, significant cardiovascular disease, active autoimmune conditions, or distant metastases may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a phase 2, interventional study evaluating a neoadjuvant treatment approach for resectable esophageal squamous cell carcinoma. Participants receive camrelizumab in combination with chemotherapy and the JAK inhibitor Ivarmacitinib prior to esophagectomy. The goal is to see if this combination can increase tumor response and potentially improve surgical and survival outcomes. Eligible patients are adults 18–75 with resectable, stage II–IVA ESCC, good performance status, and no distant metastases. The study is conducted at Zhejiang University’s Second Affiliated Hospital in Hangzhou, China. Prior literature suggests potential synergy between ICIs, chemotherapy, and JAK inhibitors, but data in the neoadjuvant ESCC setting remain limited.
Why it matters
Potential benefit: If successful, patients may have higher response rates before surgery and potentially improved progression-free and overall survival.
How similar studies have gone: Existing studies of neoadjuvant ICIs show promise in some ESCC cases, but the specific combination with chemotherapy plus Ivarmacitinib is novel and exploratory.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. signed informed consent; 2. patients age 18 to 75 years old 3. primary resectable, histologically confirmed esophageal squamous cell cancer; 4. Esophageal squamous cell carcinoma the clinical stage was II-IVA (according to AJCC TNM stage, 8th edition). 5. ECOG PS 0-1. 6. No distant metastasis, the diseases could be resectable assessed by thoracic oncologist. Exclusion Criteria: 1. with significant cardiovascular disease; 2. current treatment with anti-viral therapy or HBV; 3. Female patients who are pregnant or lactating; 4. history of malignancy within 5 years prior to screening; 5. active or history of autoimmune disease or immune deficiency; 6. signs of distant metastases.
Where it's running
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2nd Affiliated Hospital, School of Medicine, Zhejiang University
Hangzhou, China, China Recruiting
Study contacts
- Study coordinator: Zixiang Wu, M.D
- Email: zixiang0717@zju.edu.cn
- Phone: +8615268156132
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Ivonescimab plus chemotherapy before surgery for resectable esophageal squamous cell cancer
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Neoadjuvant therapy for locally advanced esophageal squamous cell carcinoma
This study is testing two different treatment plans for people with advanced esophageal cancer to see which one works better and is safer before surgery.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.