Induction Chemotherapy for Locally Recurrent Rectal Cancer

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorCatharina Ziekenhuis Eindhoven

About this trial

This is a multicentre, open-label, parallel arms, phase IIII study that randomises patients with locally recurrent rectal cancer in a 1:1 ratio to receive either induction chemotherapy followed by neoadjuvant chemoradiotherapy and surgery (experimental arm) or neoadjuvant chemoradiotherapy and surgery alone (control arm)

Eligibility criteria

Qualifiers

18 years or older

Confirmed locally recurrent rectal cancer after total or partial mesorectal resection for rectal or distal sigmoidal cancer either by histopathology ór clinically proven (evidence on imaging in combination with clinical findings, with consensus in MDT)

Resectable disease determined by magnetic resonance imaging (MRI) or deemed resectable after neoadjuvant treatment with chemoradiotherapy.

WHO performance score 0-1

Disqualifiers

Radiological evidence of metastatic disease (e.g. liver, lung) at time of randomisation or in the six months prior to randomisation.

Known homozygous DPD deficiency

Any chemotherapy in the past 6 months.

Any contraindication for the planned chemotherapy, as determined by the medical oncologist.

Trial design

Treatments tested in this trial

  • Combination drug
  • Chemoradiotherapy
  • Surgery locally recurrent rectal cancer

Treatment groups

364 Participants
are divided into 2 treatment groups

Sponsors and collaborators