Total Neoadjuvant Therapy in Rectal Cancer

ConditionRectal Cancer
Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age20+
SponsorNational Cheng-Kung University Hospital

About this trial

In this phase 2 study, the efficacy of total neoadjuvant therapy in Taiwanese patients with rectal cancer will be investigated. Patients with stage II or III middle/low rectal cancer will be prospective enrolled. The total neoadjuvant therapy with the short-course radiotherapy (5×5 Gy over a maximum of 8 days) followed by chemotherapy with mFOLFOX6 for 9 cycles will be administered. The primary endpoint is the complete response (CR) rate which will take into account the patients with clinical and pathological complete response.

Eligibility criteria

Qualifiers

Histologically confirmed diagnosis of adenocarcinoma of the rectum;

Tumors located at mid or low rectum (distal extension less than 10 cm from the anal verge);

Clinical stage II or III (T3/4 and/or N+; no distant metastasis);

No prior chemotherapy, radiotherapy or surgery for rectal cancer;

Disqualifiers

Recurrent rectal cancer;

Patients who have concomitant malignancies, except for adequately treated basal cell carcinoma of the skin or in situ carcinoma of the cervix. Subjects who have prior malignancies and have been disease-free for more than 5 years can be enrolled;

Patients who have received prior pelvic radiotherapy;

Patients with active infection requiring intravenous antibiotic treatment;

Trial design

Treatments tested in this trial

  • Short-course radiotherapy
  • mFOLFOX6

Treatment groups

42 Participants
are divided into 1 treatment group