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Evaluation of Inflammatory Markers in LARC Patients

Completed
Conditions
Locally Advanced Rectal Cancer
Interventions
Diagnostic Test: Inflammatory markers
Registration Number
NCT05893667
Lead Sponsor
Hospital Pedro Hispano
Brief Summary

Introduction: In locally advanced rectal cancers (LARC), TNM staging is far from optimal. We aimed to investigate the value of previously described circulating biomarkers as predictors of prognosis.

Methods: Retrospective analysis of 245 LARC patients diagnosed between January 2010 and December 2022, who underwent neoadjuvant chemoradiotherapy and surgery at two centers. A Cox regression and Kaplan-Meier analysis were performed.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
245
Inclusion Criteria
  • patients diagnosed pathologically with rectal adenocarcinomas, located within 12cm from the anal verge (measured by MRI), clinically staged T3-4 and/or N+ and treated with neoadjuvant chemoradiotherapy (nCRT) followed by radical surgery
Exclusion Criteria
  • evidence of distant metastasis at diagnosis, emergent or palliative surgery, local excision or "watch and wait" approach and evidence of inflammatory or hematological disorders

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
High levels of inflammatory scoresInflammatory markers-
Low levels of inflammatory scoresInflammatory markers-
Primary Outcome Measures
NameTimeMethod
Overall survival Disease-free survival5 years
Secondary Outcome Measures
NameTimeMethod
Pathological response through Ryan Tumor Regression Gradeat study completion, average of 5 years

TRG 1-5; 1- no viable cancer cells; 5- no fibrosis, with extensive residual disease

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