Radiation Dose Escalation in Locally Advanced Rectal Cancer

NCT ID: NCT02603302

Last Updated: 2016-06-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-31

Study Completion Date

2018-12-31

Brief Summary

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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

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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.

Conditions

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Rectal Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Locally advanced rectal cancer

RT (3D conformal RT) 45 Gy to the whole pelvis + boost 14.4 Gy to the GTV + Chemotherapy with 5-FU

Surgery 8 weeks after the neoadjvuant treatment.

Group Type EXPERIMENTAL

Dose Escalation Radiotherapy

Intervention Type RADIATION

RT (3D conformal RT) 45 Gy to the whole pelvis + boost 14.4 Gy to the GTV Chemotherapy with 5-FU

Delayed surgery

Intervention Type PROCEDURE

Surgery after 8 weeks with TME (total mesorectal excision)

Interventions

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Dose Escalation Radiotherapy

RT (3D conformal RT) 45 Gy to the whole pelvis + boost 14.4 Gy to the GTV Chemotherapy with 5-FU

Intervention Type RADIATION

Delayed surgery

Surgery after 8 weeks with TME (total mesorectal excision)

Intervention Type PROCEDURE

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Brasilia

OTHER

Sponsor Role lead

Responsible Party

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Marcos Santos

MD PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marcos Santos, MD PhD

Role: STUDY_CHAIR

Brasília University

Locations

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Brasilia Univeristy Hospital

Brasília, Federal District, Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Marcos Santos, MD PhD

Role: CONTACT

+ 55 61 83554308

Facility Contacts

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Marcos Santos, MD PHD

Role: primary

+55 61 83554308

Other Identifiers

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01

Identifier Type: -

Identifier Source: org_study_id

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