Total Neoadjuvant Therapy With mFOLFOX and Short-course Radiation in Resectable Rectal Cancer

ConditionRectal Cancer
Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorVirginia Commonwealth University

About this trial

This is phase 2 trial of neoadjuvant therapy and short-course radiotherapy in resectable rectal cancer.

Eligibility criteria

Qualifiers

Pathologic diagnosis of adenocarcinoma of the rectum (diagnosis by tissue biopsy) within 90 days prior to registration. At least a portion of the tumor must be located below the peritoneal reflection or begin within 12 cm of the anal verge on flexible endoscopy

Colonoscopy, unless patient presents with an obstructing lesion

History/physical examination

Imaging to exclude distant metastases: either contrast-enhanced CT of the chest, abdomen, and pelvis; or whole-body PET-CT; or MRI

Disqualifiers

Prior RT that would result in unsafe overlap of RT fields with the planned study treatment, per the treating radiation oncologist

Clinically significant cardiac disease, including major cardiac dysfunction, that in the opinion of the treating medical oncologist would preclude them from receiving systemic therapy with 5-fluorouracil, leucovorin or oxaliplatin.

Serious (ie, ≥ grade 3) uncontrolled infection

Pulmonary or respiratory condition that, in the opinion of the treating medical oncologist would preclude them from receiving systemic therapy with 5-fluorouracil, leucovorin or oxaliplatin.

Trial design

Treatments tested in this trial

  • Chemotherapy
  • Radiation Therapy

Treatment groups

64 Participants
are divided into 1 treatment group