Higher Radiation Dose to the Tumor May Help Avoid Surgery in Rectal Cancer Patients

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorClaudia Schuurhuizen

About this trial

The goal of this prospective study is to evaluate if a higher radiation dose to the tumor can increase the organ preservation rate in non-locally advanced rectal cancer.

Eligibility criteria

Qualifiers

Age ≥18 years

Eastern cooperative oncology group (ECOG) performance status ≤2

Histologically confirmed rectal adenocarcinoma

Non-locally advanced rectal cancer, defined as (magnetic resonance imaging (MRI)-based) T1-3, N0/N1 (≤3 positive mesorectal lymph nodes), MX/M0

Disqualifiers

Previous radiotherapy in the pelvic area

Other malignancies, except for adequately treated basal cell carcinoma (BCC), at time of inclusion or within 3 years prior to inclusion

Contra-indications for (chemo)radiotherapy or surgery

Presence of lateral lymph nodes, cN2 status, extramural vascular invasion (EMVI) or mesorectal fascia involvement as seen on MRI

Trial design

Treatments tested in this trial

  • Simultaneous integrated boost to the tumor and positive mesorectal lymph nodes

Treatment groups

25 Participants
are divided into 1 treatment group

Sponsors and collaborators

Claudia Schuurhuizen

Lead sponsor

Erasmus Medical Center

Sponsor institution