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Clinical Trials/NCT02603302
NCT02603302
Unknown
Phase 2

Phase II Study of Neoadjuvant Radiotherapy Dose Escalation in Association With Chemotherapy for the Treatment of Locally Advanced Rectal Cancer

University of Brasilia1 site in 1 country48 target enrollmentJanuary 2016
ConditionsRectal Cancer

Overview

Phase
Phase 2
Intervention
Not specified
Conditions
Rectal Cancer
Sponsor
University of Brasilia
Enrollment
48
Locations
1
Primary Endpoint
Pathologic complete response
Last Updated
9 years ago

Overview

Brief Summary

This is a one arm study where patients with locally advanced rectal cancer will receive neoadjuvant treatment with escalated dose radiotherapy (with 3D conformal radiotherapy, up to 59,4 Gy) and radiosensitizing chemotherapy. Then, patients will operated (total mesorectal excision) after 8 weeks of interval. Primary endpoint will be pCR (pathologic complete response).

Detailed Description

Introduction: Rectal cancer is a highly prevalent disease all over the world. In Brazil, it is the second most common cancer among women (after breast tumors), with an estimated incidence of 17.2 cases per 100,000 inhabitants and is the third most common cancer in men (after prostate and lung cancers), with an estimated incidence of 15.4 cases per 100,000 inhabitants. Goals: The aim of this study is to evaluate the pathologic complete response (pCR) of patients with locally advanced rectal cancer (LARC) treated with neoadjuvant radiochemotherapy (RCT) employing anticancer drugs at standard dose and interval extended to surgery with or without adjuvant neoplastic therapy. Procedures: Neoadjuvant chemoradiotherapy with radiation dose escalation associated with radiosensitizing therapy and surgery with a total mesorectal excision (TME), 8 weeks after completing neoadjuvant treatment.

Registry
clinicaltrials.gov
Start Date
January 2016
End Date
December 2018
Last Updated
9 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Sponsor
University of Brasilia
Responsible Party
Principal Investigator
Principal Investigator

Marcos Santos

MD PhD

University of Brasilia

Eligibility Criteria

Inclusion Criteria

  • Locally advanced rectal cancer, 0-15 cm from anal verge, cT3/4 or cN+

Exclusion Criteria

  • Metastatic disease, previous chemotherapy, previous radiotherapy, previous malignant non-skin tumor

Outcomes

Primary Outcomes

Pathologic complete response

Time Frame: Through study completion, an average of 2 years

Pathologic evaluation of the surgical specimen

Secondary Outcomes

  • Disease free survival(2 years)
  • Overall survival(2 years)

Study Sites (1)

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