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Active, not recruiting Phase 2

TNT to Increase the Clinical Complete Response Rate for Distal LARC

NCT03840239 · tracked via the Priya Life Science China tracker
Phase
Phase 2
Started
2018-12-25
Last updated
2023-10-25

Condition(s) studied

Rectal CancerRectal Cancer Stage IIRectal Cancer Stage IIIChemoradiation

Investigational drug(s) / intervention(s)

Capecitabine, Oxaliplatin →External beam radiotherapySurgeryWatch and wait strategy

Capecitabine, Oxaliplatin: Drug: Capecitabine, Oxaliplatin

External beam radiotherapy: External beam radiotherapy to the primary tumor, regional lymph nodes and clinical target volume

Surgery: 'Local excision' or 'Intersphincter resection' or 'Total mesorectal excision' or other surgeries

Watch and wait strategy: Watch and wait strategy recommendation and discussion for cCR patients

Study summary

This is a open-label, single-arm study to investigate the safety and efficacy of total neoadjuvant treatment (TNT) in patients with locally advanced resectable rectal cancer.

Eligibility

Sex
ALL
Min age
18 Years
Max age
70 Years
Healthy volunteers
No
Inclusion Criteria: * Rectal adenocarcinoma * cT3-4aNany or cTanyN+ * Location ≤5 cm from the anal verge * No distant metastasis * No gastrointestinal obstruction or relieved obstruction * No previous surgery of the rectum, no previous chemotherapy, no previous pelvic radiation, no previous biotherapy * ECOG 0-1 * Expected survival length ≥ 2 years * Age 18-70 * Sufficient bone marrow, kidney and liver function * Effective contraception during the study * Patient and doctor have signed informed consent Exclusion Criteria: * Distant metastasis * Chronic intestinal inflammation and/or bowel obstruction * Contra indication for chemotherapy and/or radiotherapy * Previous pelvic radiotherapy or chemotherapy * Severe renal, hepatic insufficiency (serum creatinine\<30ml/min) * Peripheral neuropathy \> grade 1 * Pregnant or breast-feeding woman * Certain or suspicious allergy to research drug * Cachexia, organ dysfunction * Active severe infection * Multiple primary cancers * Epileptic seizures * Malignant history within 5 years, except cervical carcinoma in situ or cutaneous basal cell carcinoma * Severe arrhythmia, cardiac dysfunction (NYHA grade III or IV ) * Uncontollable severe hypertesion * Persons deprived of liberty or under guardianship * Impossibility for compliance to follow-up

Primary outcome measure(s)

  • Rate of clinical complete response — 1.5 year after diagnosis
    Rate of clinical complete response

Trial sites (1)

FacilityCityRegionStatus
Sun Yat-sen University Cancer Center Guangzhou Guangdong
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT03840239 on ClinicalTrials.gov ↗ ← All trials in China