Clinical trial Recruiting at 19 sites Observational Ages 18 and up

Evaluating lymph node metastases in esophageal cancer after surgery

Official title: Distribution of Lymph Node Metastases in Esophageal Carcinoma

Run by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) · NCT03222895 · Data updated 2026-11-12

This study is trying to understand how lymph node cancer spreads in people with esophageal cancer after surgery to see if it can help predict their recovery and survival.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment5000 (estimated)
SponsorAcademisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Academic / other
Drugs / interventionsradiation, chemotherapy
Locations19 sites (Houston, Texas and 18 other locations)
StatusRecruiting
StartedMarch 1, 2019
Main results expectedJanuary 1, 2025
Study endsJune 1, 2028
Registry record updatedFebruary 13, 2024
Trial IDNCT03222895 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are patients with resectable primary squamous cell or adenocarcinoma of the esophagus or esophago-gastric junction who are in adequate physical condition for surgery.

Probably not a fit

Patients with previous thoracic or abdominal surgeries that disrupt lymph drainage or those with in situ carcinoma or high-grade dysplasia 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 observational study aims to assess the distribution of lymph node metastases in patients with esophageal carcinoma following transthoracic esophagectomy with at least a 2-field lymphadenectomy. It will include patients with resectable esophageal or gastro-esophageal junction carcinoma from multiple centers across 18 countries over a period of approximately 7 years. The study will also evaluate the accuracy of preoperative diagnostics and the prognostic value of different lymph node stations, as well as overall and disease-free survival rates.

Why it matters

Potential benefit: If successful, this study could improve surgical strategies and outcomes for patients with esophageal cancer by providing insights into lymph node metastasis patterns.

How similar studies have gone: While the study's specific focus on lymph node distribution in a large cohort is novel, similar studies have shown the importance of lymph node status in esophageal cancer prognosis.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Primary squamous cell or adenocarcinoma of the esophagus or esophago-gastric junction
* Surgically resectable (cT1-4a, N0-3, M0)
* Adequate physical condition to undergo transthoracic surgery (ASA 1-3)
* Transthoracic esophagectomy

Exclusion Criteria:

* Previous thoracic or abdominal (upper GI) surgery disturbing lymph drainage of the esophagus and stomach
* Patients with in situ carcinoma or high grade dysplasia

Where it's running

  • MD Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • Instituto Nacional de Câncer
    Rio de Janeiro, Brazil
    Recruiting
  • University of Toronto
    Toronto, Canada
    Recruiting
  • Fudan University Shanghai Cancer Center
    Shanghai, Yangpu, China
    Recruiting
  • Hospital District of Helsinki and Uusimaa
    Helsinki, Finland
    Recruiting
  • University Medical Center of the Johannes Gutenberg University
    Mainz, Germany
    Recruiting
Show 13 more locations
  • University of Athens, School of Medicine
    Athens, Greece
    Recruiting
  • University of Hong Kong
    Hong Kong, Hong Kong
    Recruiting
  • Tata Memorial Centre
    Mumbai, India
    Recruiting
  • IRCCS Policlinico San Donato
    Milan, Italy
    Recruiting
  • Ospedale San Raffaele
    Milan, Italy
    Recruiting
  • University of Verona
    Verona, Italy
    Recruiting
  • Uonuma Institute and Niigata University
    Niigata, Japan
    Recruiting
  • Keio University School of Medicine
    Tokyo, Japan
    Recruiting
  • The Cancer Institute Hospital of JFCR
    Tokyo, Japan
    Recruiting
  • Ziekenhuisgroep Twente, Almelo & Hengelo
    Almelo, Netherlands
    Recruiting
  • Amsterdam UMC
    Amsterdam, Netherlands
    Recruiting
  • Hospital Universitario del Mar
    Barcelona, Spain
    Recruiting
  • Karolinska Institutet
    Stockholm, Sweden
    Recruiting

Study contacts

  • Principal investigator: Mark I van Berge Henegouwen, MD, PHD — Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
  • Study coordinator: Suzanne S Gisbertz, MD, PhD
  • Email: s.s.gisbertz@amc.nl
  • Phone: +31205669111

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.