NCT04139967
Terminated
Not Applicable
Prospective Study of Short Course Radiation Therapy for Elderly Patients With Rectal Cancer
ConditionsCancer, Rectal
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cancer, Rectal
- Sponsor
- University of Rochester
- Enrollment
- 2
- Locations
- 1
- Primary Endpoint
- Number of participants who experience a grade 2 adverse event
- Status
- Terminated
- Last Updated
- 2 years ago
Overview
Brief Summary
This study will help determine if a short course of radiation therapy is effective to treat rectal cancer in older patients. A shorter course of radiation treatment may be better tolerated than a longer course or surgery for the treatment of rectal cancer in the elderly.
Investigators
Haoming (Carl) Qiu
Associate Professor
University of Rochester
Eligibility Criteria
Inclusion Criteria
- •70 years or older at time of diagnosis
- •No restrictions on gender or ethnicity
- •Ability and willingness to make follow up appointments
- •Pathologic diagnosis of rectal cancer
- •Presentation could be symptomatic or asymptomatic
- •T1-T3 primary rectal adenocarcinoma as determined on TRUS, CT, or MRI pelvis
- •Peri-rectal node positive allowed
- •Inability to tolerate radical surgery, as judged by geriatric oncology or surgeon and tumor board OR patient refusal of surgery
- •Inability to receive chemoradiation therapy, defined as concurrent chemotherapy and radiation doses of 45-50.4 Gy, as judged by radiation, medical, or geriatric oncology
- •Patients with dementia eligible if Health Care Proxy (HCP) is available and supportive of follow up schedule
Exclusion Criteria
- •Age under 70 years of age
- •Ability and desire to receive definitive surgical intervention
- •Ability and desire to receive concurrent chemoradiation therapy
Outcomes
Primary Outcomes
Number of participants who experience a grade 2 adverse event
Time Frame: week 5
CTCAE V4.0 will be used to determine the grade 2 AE.
Progression-free survival
Time Frame: 5 years
Progression will be defined as Radiologic response from MRI or CT scans using RECIST v1.1 criteria.
Secondary Outcomes
- Number of participants who received surgery for their cancer(5 years)
- Number of participants with improved symptoms(5 years)
- Number of participant who experience metastatic disease(5 years)
- Change in Mean quality of life(baseline to 24 months)
- Change in Mean functional status(baseline to 24 months)
Study Sites (1)
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