Resectable Locally Advanced Thoracic Esophageal Squamous Cell CarcinomaPhase 3NCT04848753
Perioperative Toripalimab (JS001) Combined With Neoadjuvant Chemotherapy in Patients With Resectable Locally Advanced Thoracic Esophageal Squamous Cell Carcinoma
A Phase 3 study testing Toripalimab combined with cisplatin and paclitaxel in people with Resectable Locally Advanced Thoracic Esophageal Squamous Cell Carcinoma, run by Shanghai Junshi Bioscience Co., Ltd. at 48 sites in China.
Trial summary
This is a randomized, placebo-controlled, multi-center, double-blinded, Phase III study to determine the efficacy and safety of patients with locally advanced squamous cell carcinoma of the thoracic esophagus treated with perioperative immunotherapy combined with neoadjuvant chemotherapy versus placebo combined with… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Resectable Locally Advanced Thoracic Esophageal Squamous Cell Carcinoma
- What is being tested?
- Toripalimab combined with cisplatin and paclitaxel
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 663 participants
- Where
- 48 sitesChina
- Study dates
- 12 May 2021to 12 May 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Patients must fulfill all of the following inclusion criteria to be eligible for enrollment in this study:
- Histologically confirmed locally advanced (T1N1-3M0 or T2-3N0-3M0) squamous cell carcinoma of the thoracic esophagus (per the 8th Edition of UICC-TNM Classification);
- No suspicious cervical lymph node metastasis on cervical contrast-enhanced CT; no systemic metastasis from radiological examination;
- Expected to be achievable to conduct R0 resection.
Patients must not enter this study if any of the following exclusion criteria is fulfilled:
- Having malignant tumors other than esophageal carcinoma within 5 years prior to randomization;
- Combined with other inoperable condition;
- Previous serious allergy to chemotherapeutic agents (paclitaxel or cisplatin) or any monoclonal antibody;
- Combined with other conditions unsuitable for participation in this study as judged by investigators.
Other protocol defined Inclusion/exclusion criteria could apply.
Trial locations and contacts
48 sites in 1 country.
48 sites in 1 country
China48 sites
Anyang Cancer Hospital
Anyang, Henan
Beijing Cancer Hospital
Beijing
Peking University Third Hospital
Beijing
The General Hospital of People's Liberation Army
Beijing
The Firest Affiliated Hospital of bengbu Medical College
Bengbu, Anhui
China-Japan Union hosptial of Jilin university
Changchun, Jilin, 130031
Hunan provincial cancer hospital
Changsha, Hunan, 410013
Heping Hospital Affiliated to changzhi Medical College
Changzhi
Sichuan Cancer Hospital & Institute
Chengdu
Fujian Cancer Hospital
Fuzhou
3201 Hospital
Hangzhou
Zhejiang Cancer Hospital
Hangzhou
The First Affiliated Hospital, Zhejiang University School of Medicine
Hanzhou
harbin medical university Cancer Hospital
Harbin
Anhui provincial hospital
Hefei, Anhui, 230001
The Second Hospital of anhui Medical University
Hefei, Anhui
Anhui Provincial Cancer Hospital
Hefei
Huai'an First People's Hospital
Huai'an
Jiangmen central Hospital
Jiangmen, Guangdong
The Affiliated Hospital of jining Medical University
Jining
The first affiliated hospital of jinzhou medical university
Jinzhou, Niaoning, 121001
The First Affiliated Hospital of nanchang University
Nanchang
Jiangsu Cancer Hospital
Nanjing
Hwa Mei Hospital,University of Chinese Academy of sciences
Ningbo, Zhejiang, 315010
The Affiliated Hospital of Qingdao University
Qingdao
Zhongshan Hospital Fudan University
Shanghai
Shantou University Cancer Hospital
Shantou
Liaoning cancer hospital& Institute
Shenyang
Shengjing Hospital of China Medical University
Shenyang
The first Hospital of china Medical University
Shenyang
Shenzhen people's hosptial
Shenzhen, Guangdong, 518040
The fourth hospital of hebei medical university
Shijiazhuang, Hebei, 050019
Shanxi provincial cancer hosptial
Taiyuan, Shanxi, 030013
Taizhou hospital of zhejiang province
Taizhou, Zhejiang, 317000
Tianjin Medical University Cancer Institute and Hospital
Tianjin
Affiliated Tumor Hospital of Xinjiang Medical University
Ürümqi, Xinjiang
Hubei Cancer Hospital
Wuhan
Renmin Hospital of Wuhan University
Wuhan
Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology
Wuhan
The First Affiliated Hospital of Xiamen University
Xiamen
Zhongshan Hospital Affiliated to Xiamen University
Xiamen
The First Affiliated Hospital of xinxiang Medical University
Xinxiang, Henan
Xinyang central Hospital
Xinyang
The Affiliated Hospital of xuzhou Medical University
Xuzhou
Yantai yuhuangding Hospital
Yantai
Henan provincial pepples hospital
Zhengzhou, Henan, 450003
The first affilated hospital of zhengzhou university
Zhengzhou, Henan, 450052
Henan Cancer Hospital
Zhengzhou
About this study
Official title: A Phase III Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate Perioperative Toripalimab (JS001) Combined With Neoadjuvant Chemotherapy in Patients With Resectable Locally Advanced Thoracic Esophageal Squamous Cell Carcinoma
This is a randomized, placebo-controlled, multi-center, double-blinded, Phase III study to determine the efficacy and safety of patients with locally advanced squamous cell carcinoma of the thoracic esophagus treated with perioperative immunotherapy combined with neoadjuvant chemotherapy versus placebo combined with neoadjuvant chemotherapy.
- Being tested
- Toripalimab combined with cisplatin and paclitaxel, Placebo combined with cisplatin and paclitaxel
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Toripalimab combined with cisplatin and paclitaxelCombination product
Specified doses on specified days.
Placebo combined with cisplatin and paclitaxelCombination product
Specified doses on specified days.
| Study group | Role | What they receive |
|---|---|---|
| Experimental Group | Active comparator | Toripalimab combined with cisplatin and paclitaxel Receives: Combination Product: Toripalimab combined with cisplatin and paclitaxel |
| Control Group | Placebo comparator | Placebo combined with cisplatin and paclitaxel Receives: Combination Product: Placebo combined with cisplatin and paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
To compare IRC-assessed events-free survival (EFS) in 2 arms
Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed approximately up to 60 months
Secondary outcomes (6)
pathologically complete remission (pCR) rate
To compare the percentage of patients who achieved pCR in the 2 arms, pCR rate was defined as the percentage of subjects who achieved a complete pathological response (PCR)
Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed approximately up to 60 months
Investigator-assessed EFS according to RECIST v1.1
To compare Investigator-assessed events-free survival (EFS) in patients with locally advanced squamous cell carcinoma of the thoracic esophagus treated with perioperative immunotherapy combined with neoadjuvant chemotherapy versus placebo combined with neoadjuvant chemotherapy.
Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed approximately up to 60 months
Overall survival
To compare Overall survival in patients with locally advanced squamous cell carcinoma of the thoracic esophagus treated with perioperative immunotherapy combined with neoadjuvant chemotherapy versus placebo combined with neoadjuvant chemotherapy.
Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed approximately up to 60 months
1-year OS rate
To compare 1-year OS rates in patients with locally advanced squamous cell carcinoma of the thoracic esophagus treated with perioperative immunotherapy combined with neoadjuvant chemotherapy versus placebo combined with neoadjuvant chemotherapy
Measured: from randomization to death from any cause at 1 year
3- year OS rate
To compare 3-year OS rates in patients with locally advanced squamous cell carcinoma of the thoracic esophagus treated with perioperative immunotherapy combined with neoadjuvant chemotherapy versus placebo combined with neoadjuvant chemotherapy
Measured: from randomization to death from any cause at 3 year
5- year OS rate
To compare 5-year OS rates in patients with locally advanced squamous cell carcinoma of the thoracic esophagus treated with perioperative immunotherapy combined with neoadjuvant chemotherapy versus placebo combined with neoadjuvant chemotherapy
Measured: from randomization to death from any cause at 5 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Apr 2021
- Study start12 May 2021
- Primary completion12 May 2027 (estimated)
- Study completion12 May 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Resectable Locally Advanced Thoracic Esophageal Squamous Cell CarcinomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 663 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shanghai Junshi Bioscience Co., Ltd.
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Lin Shen, Principal investigator, Peking University Cancer Hospital & InstituteYongtao Han, Principal investigator, Sichuan Cancer Hospital and Research InstituteYan Zheng, Principal investigator, Henan Cancer HospitalKeneng Chen, Principal investigator, Peking University Cancer Hospital & Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04848753
- Sponsor's protocol ID
- JS001-042-III-ESCC
- Status last verified
- Apr 2026
- First submitted
- 9 Apr 2021
- Last updated
- 8 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate Perioperative Toripalimab (JS001) Combined With Neoadjuvant Chemotherapy in Patients With Resectable Locally Advanced Thoracic Esophageal Squamous Cell Carcinoma
- ClinicalTrials.gov ID
- NCT04848753
- Acronym / sponsor ID
- JS001-042-III-ESCC
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 663 participants (actual)
- Lead sponsor
- Shanghai Junshi Bioscience Co., Ltd.University, hospital or other
- Study start
- 12 May 2021 (actual)
- Primary completion
- 12 May 2027 (estimated)
- Study completion
- 12 May 2027 (estimated)
- First posted
- 19 Apr 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomized, placebo-controlled, multi-center, double-blinded, Phase III study to determine the efficacy and safety of patients with locally advanced squamous cell carcinoma of the thoracic esophagus treated with perioperative immunotherapy combined with neoadjuvant chemotherapy versus placebo combined with neoadjuvant chemotherapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental Group | Active comparator | Combination Product: Toripalimab combined with cisplatin and paclitaxelToripalimab combined with cisplatin and paclitaxel |
| Control Group | Placebo comparator | Combination Product: Placebo combined with cisplatin and paclitaxelPlacebo combined with cisplatin and paclitaxel |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Toripalimab combined with cisplatin and paclitaxelSpecified doses on specified days. | Combination product | Experimental Group |
| Placebo combined with cisplatin and paclitaxelSpecified doses on specified days. | Combination product | Control Group |
Primary outcome
To compare IRC-assessed events-free survival (EFS) in 2 arms
Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed approximately up to 60 months
6 secondary outcomes
pathologically complete remission (pCR) rate
Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed approximately up to 60 months
Investigator-assessed EFS according to RECIST v1.1
Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed approximately up to 60 months
Overall survival
Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed approximately up to 60 months
1-year OS rate
Time frame: from randomization to death from any cause at 1 year
3- year OS rate
Time frame: from randomization to death from any cause at 3 year
5- year OS rate
Time frame: from randomization to death from any cause at 5 year
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Apr 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Lin Shen principal investigator
Peking University Cancer Hospital & Institute
Yongtao Han principal investigator
Sichuan Cancer Hospital and Research Institute
Yan Zheng principal investigator
Henan Cancer Hospital
48 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Toripalimab combined with cisplatin and paclitaxel in people with Resectable Locally Advanced Thoracic Esophageal Squamous Cell Carcinoma, run by Shanghai Junshi Bioscience Co., Ltd. at 48 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 8 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 48 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
To compare IRC-assessed events-free survival (EFS) in 2 arms (time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed approximately up to 60 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Apr 2026.