Study for Wait and Watch Suitable in Rectal Cancer

NCT ID: NCT06252142

Last Updated: 2025-04-10

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

RECRUITING

Total Enrollment

260 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-04-01

Study Completion Date

2026-06-30

Brief Summary

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One of the standard treatment options offered to patients of locally advanced rectal cancer is neoadjuvant (treatment given before surgery) radiotherapy \& chemotherapy followed by surgery. In patients whose tumour has completely reduced after neoadjuvant treatment, the wait and watch strategy is also an option. This is another standard treatment option for patients of locally advanced rectal cancers. In this, the patient is monitored after treatment completion. In this study, investigators are only going to observe the patient's response to treatment, monitor their side-effects due to treatment and assess their quality of life using standardized quality of life questionnaires. No additional tests or hospital visits will be required as a part of this study. The patient will be followed up, as per standard follow-up protocol, for at least 2 years after the completion of their treatment.

Detailed Description

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The standard treatment options offered to patients of locally advanced rectal cancer are neoadjuvant (treatment given before surgery), radiotherapy \& chemotherapy, followed by surgery. In patients whose tumour has completely reduced after neoadjuvant treatment, the watch and wait or non-operative management is an option. In this, the patient is monitored after treatment completion. In this study, investigators will only observe the patient's response to treatment, monitor their side effects due to treatment, and assess their quality of life using standardized quality-of-life questionnaires. The patient will be followed up, as per standard follow-up protocol, for at least two years after the completion of their treatment.

Conditions

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Rectal Neoplasms

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

OTHER

Study Groups

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Retrospective LCRT

No interventions assigned to this group

Retrospective SCRT

No interventions assigned to this group

Prospective LCRT

No interventions assigned to this group

Prospective SCRT

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Age more than 18 years.
* Patients diagnosed with locally advanced rectal cancer and suitable for wait and watch as per international consensus guidelines \[3,1\]
* Biopsy-proven adenocarcinoma (non-signet or non-mucinous) T1-4a or N0-2, plus Limited metastatic disease (metastases in 1to 2 organs OR 1to 2 metastases involving a single organ)
* Non-circumferential disease with CCL less than 7 cm
* Lower - mid rectum starting upto 7 cm from Anal verge
* Previously treated with the intent of wait-and-watch with TNT or LCRT with or without brachytherapy and completed TNT part of treatment till March 2024(for retrospective cohort).
* Patients not consenting to ongoing interventional studies, such as the SCOTCH study or any future studies, will be considered and offered
* Consent to be on standard regular follow-up and answer quality of life questionnaires
* Patients on lost to follow up will be included if they have completed treatment and taking follow up locally, accepting telephonically to participate.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tata Memorial Centre

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rahul KRISHNATRY, MD

Role: PRINCIPAL_INVESTIGATOR

Tata Memorial Centre

Locations

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Tata Memorial centre

Mumbai, Maharashtra, India

Site Status RECRUITING

Countries

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India

Central Contacts

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Rahul Krishnatry, MD

Role: CONTACT

022-24177000 ext. . 7028

Facility Contacts

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RAHUL KRISHNATRY, MD

Role: primary

Other Identifiers

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4307

Identifier Type: -

Identifier Source: org_study_id

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