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Clinical Trials/NCT04139967
NCT04139967
Terminated
Not Applicable

Prospective Study of Short Course Radiation Therapy for Elderly Patients With Rectal Cancer

University of Rochester1 site in 1 country2 target enrollmentJanuary 20, 2020
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.

Registry
clinicaltrials.gov
Start Date
January 20, 2020
End Date
August 3, 2022
Last Updated
2 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

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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