New hope for recurrent rectal cancer: adding radiation before surgery may boost cure rates
NCT ID NCT03879109
First seen Jun 25, 2026 · Last updated Jul 09, 2026 · Updated 3 times
Summary
This phase 3 trial studies whether adding pelvic reirradiation to chemotherapy before surgery can help more patients with locally recurrent rectal cancer achieve complete tumor removal. The study enrolls 58 adults who have had prior pelvic radiation and now face a recurrence. Participants receive either chemotherapy alone or chemotherapy followed by targeted reirradiation, then surgery. The main goal is to see which approach leads to more curative resections.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- Chemotherapy (FOLFIRINOX) and pelvic reirradiation with capecitabine
- What this could lead to
- If successful, this approach could increase the chance of complete surgical removal of recurrent rectal cancer, potentially improving survival.
- What could go wrong
- This is a small phase 3 trial with only 58 participants, and reirradiation carries risks of side effects in previously treated pelvic areas. Results may not apply to all patients.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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CHRU Nancy
Nancy, France
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CHU Bordeaux
Bordeaux, France
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CHU Grenoble
Grenoble, France
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CHU Rennes
Rennes, France
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CHU Rouen
Rouen, France
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CHU Toulouse
Toulouse, France
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Centre Oscar Lambret
Lille, France
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Groupe Hospitalier Paris Saint-Joseph
Paris, France
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Hospices Civils de Lyon, HCL
Lyon, France
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Institut Paoli Calmette
Marseille, France
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Institut Sainte Catherine
Avignon, France
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Institut de Cancérologie de l'Ouest
Saint-Herblain, France
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Institut du Cancer de Montpellier
Montpellier, France
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Other studies related to the condition(s) this trial covers.
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- Can precision protons spare rectal cancer patients from harsh side effects?
- A new radiation combo may spare the rectum in early cancer