Sparing lymph nodes during radiation may boost immune attack on rectal cancer

NCT ID NCT07674732

First seen Jun 29, 2026 · Last updated Jun 30, 2026 · Updated 1 time

Summary

This phase 2 trial compares two treatment plans for people with locally advanced rectal cancer that is mismatch repair proficient (pMMR) or microsatellite stable (MSS). One group receives standard short-course radiation followed by chemotherapy. The other group receives a newer approach: radiation that spares the lymph nodes, followed by chemotherapy plus a PD-1 immune checkpoint inhibitor and bevacizumab, a drug that blocks blood vessel growth. The goal is to see if the newer combination leads to a higher rate of complete tumor disappearance before surgery or a watch-and-wait strategy.

What this could mean

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

Active substance

PD-1 monoclonal antibody and bevacizumab

What this could lead to

If successful, this approach could increase the chance of eliminating the tumor before surgery, potentially allowing some patients to avoid surgery altogether.

What could go wrong

This is a small, early-phase trial, so results may not apply to all patients. Adding immunotherapy and bevacizumab also raises the risk of side effects like immune reactions or bleeding.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

rectum adenocarcinoma

As listed by the trial registrant

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

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Sixth Affiliated Hospital, Sun Yat-sen University

    RECRUITING

    Guangzhou, Guangdong, 610655, China

    Contact Phone: •••-•••-•••• Email: •••••@•••••