Triple therapy aims to wipe out rectal cancer before surgery

NCT ID NCT07651007

Not yet recruiting Disease control Sponsor: Wang Xin Source: ClinicalTrials.gov ↗

First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This phase II trial tests a new approach for high-risk locally advanced rectal cancer. Participants first receive short-course radiotherapy, followed by a combination of chemotherapy (NALIRIFOX) and immunotherapy (Pucotenlimab) for about 6 months. The goal is to see if this regimen can achieve a higher complete response rate and improve the chance of saving the anal sphincter, compared to historical standard treatment. The study will enroll 29 adults aged 18-70 with MSS/pMMR rectal cancer.

What this could mean

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

Active substance
short-course radiotherapy, NALIRIFOX chemotherapy, and Pucotenlimab immunotherapy
What this could lead to
If successful, this combination could offer a more effective neoadjuvant treatment for high-risk rectal cancer, potentially increasing the chance of complete tumor disappearance and avoiding permanent colostomy.
What could go wrong
This is a small, early-phase trial (29 participants) with no control group, so results may not be definitive. The combination of radiotherapy, chemotherapy, and immunotherapy may cause significant side effects.

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Conditions

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As listed by the trial registrant

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