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Towards Response guided ADAptive Radiotherapy for organ preserving treatment of intermediate risk rectal cancer: a phase I dose finding trial

Recruiting
Conditions
rectal cancer
Registration Number
NL-OMON22916
Lead Sponsor
MC Utrecht
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
45
Inclusion Criteria

Age =18;
­- Biopsy proven rectal adenocarcinoma;
­- Intermediate risk tumor, based on TNM (AJCC 8th edition) stage (T3c-d (MRF-) N0M0 or cT1-3 (MRF-) N1M0)
­- Mid-rectal or distal rectal tumor: lower border anteriorly not above peritoneal fold, upper border below sigmoid take-off;
­- Indication for neoadjuvant short course radiotherapy as judged by multidisciplinary tumor board discussion;
­- Fit for multimodal treatment, as judged by multidisciplinary tumor board discussion;
­- Written informed consent.

Exclusion Criteria

- Mucinous tumor or neuro-endocrine tumor, as defined on MRI and/or histopathology;
- No residual luminal tumor after local excision;
- Recurrent tumor or regrowth after previous treatment;
- Extra-mesorectal pathological lymph nodes;
- Planned systemic therapy (either with curative or palliative intent);
- History of inflammatory bowel disease;
- Prior pelvic radiotherapy;
- Contraindications for MRI at 1.5T;
- Orthopedic hip implants;
- Pregnancy.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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