Predicting Neoadjuvant Therapy Response of Rectal Cancer With MRI

NCT ID: NCT02640586

Last Updated: 2023-06-22

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

NA

Total Enrollment

1614 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-10

Study Completion Date

2023-12-31

Brief Summary

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The purpose of this study is to investigate if MRI scans performed after neoadjuvant radiotherapy can predict the therapeutic response of rectal cancer following preoperative chemo-radiotherapy. This will help doctors to better tailor treatments for rectal cancer in the future.

Detailed Description

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We proposed to constructed multi-parameter predictive model for predicting therapeutic response and pathological complete response(pCR) of patients with rectal cancer who received neoadjuvant chemoradiation. MR radiomics,convolutional neural networks, morphological parameters and quantitative functional parameters derived from diffusion-weighted MR images will be integrated for model construction.

Conditions

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Rectal Neoplasms

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Assessing response with MRI

Preoperative chemo-radiotherapy as standard treatment. Neoadjuvant therapy (long course intensity modulated radio-chemotherapy, GTV 50.6Gy, totally 22 fractions; Capecitabine 825mg/m2 /bid by oral administration).

Three MR examinations: first MRI taken within 1 week before preoperative chemo-radiotherapy; second MRI taken between 14-16days after the initiation of radio-chemotherapy; third MRI taken 7-9 weeks after the completion of preoperative chemo-radiotherapy.

All patients are scheduled to receive total mesorectal excision surgery 12-14 weeks after the completion of preoperative chemo-radiotherapy.

Group Type EXPERIMENTAL

three MR examination

Intervention Type DEVICE

Three MR examinations: first MRI taken within 1 week before preoperative chemo-radiotherapy; second MRI taken between 14-16days after the initiation of radio-chemotherapy; third MRI taken 7-9 weeks after the completion of preoperative chemo-radiotherapy.

Interventions

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three MR examination

Three MR examinations: first MRI taken within 1 week before preoperative chemo-radiotherapy; second MRI taken between 14-16days after the initiation of radio-chemotherapy; third MRI taken 7-9 weeks after the completion of preoperative chemo-radiotherapy.

Intervention Type DEVICE

Other Intervention Names

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imaging

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years
* T3/4 or node positive biopsy-proved primary rectal cancer
* Suitable for pre-operative chemoradiotherapy and surgical resection
* No contraindication to MRI
* Ability to understand and the willingness to sign a written informed consent document

Exclusion Criteria

* History or concurrent of other cancer
* Previous therapy to pelvis
* Unable/unwilling to have MRI
* Pacemaker or implanted defibrillator
* Pregnancy, lactation or inadequate contraception
* Patients with a history of psychological illness or condition such as to interfere with the patient's ability to understand requirements of the study
* Unwilling or unable to give informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Ying-Shi

OTHER

Sponsor Role lead

Responsible Party

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Sun Ying-Shi

Chairman of Department of Radiology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Ying-Shi Sun, MD

Role: STUDY_CHAIR

No.52 Fu Cheng Road, Hai Dian District, Beijing, 10142

Locations

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Peking University Cancer Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Chao Yang Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Friendship Hospital Capital Medical University

Beijing, Beijing Municipality, China

Site Status

Chinese Academy of Medical Sciences, Cancer Hospital & Institute

Beijing, Beijing Municipality, China

Site Status

The First Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status

Guangxi Cancer Hospital

Guilin, Guangxi, China

Site Status

Hubei Cancer Hospital

Wuhan, Hubei, China

Site Status

Hunan Cancer Hospital

Changsha, Hunan, China

Site Status

Jilin Cancer Hospital

Changchun, Jilin, China

Site Status

The First Affiliated Hospital of Jilin University

Changchun, Jilin, China

Site Status

Shanxi Cancer Hospital

Taiyuan, Shanxi, China

Site Status

Countries

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China

Other Identifiers

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PNTRRC-MRI

Identifier Type: -

Identifier Source: org_study_id

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