New combo attack on rectal cancer: chemo plus targeted surgery shows promise

NCT ID NCT06048146

First seen Apr 08, 2026 · Last updated Jun 22, 2026 · Updated 11 times

Summary

This study looked at 180 people with rectal cancer that had spread to lymph nodes in the pelvis. One group received a three-drug chemotherapy regimen (FOLFOXIRI) followed by surgery to remove the affected lymph nodes. The other group got standard chemoradiotherapy before surgery. The goal was to see if the new approach improves how long people live without the cancer coming back. The trial is complete, and results will help determine if this more intensive treatment is worth the extra side effects.

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Contacts and locations

Locations

  • Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College

    Beijing, Beijing Municipality, 100021, China

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

FOLFOXIRI (irinotecan, oxaliplatin, 5-fluorouracil) and lateral lymph node dissection

What this could lead to

If successful, this approach could improve survival and reduce cancer recurrence for people with rectal cancer that has spread to nearby lymph nodes.

What could go wrong

This is a completed study with 180 participants, but results are not yet widely confirmed. The three-drug chemo regimen has higher side effects, and the surgery adds risks. Further research is needed to see if it truly beats standard care.

Conditions

The condition(s) this trial relates to.

digestive system neoplasm intestinal cancer intestinal neoplasm Lymphatic Metastasis metastatic malignant neoplasm in the lymph nodes rectal cancer rectal disorder rectal neoplasm

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.