Could skipping surgery be safe for some rectal cancer patients?
NCT ID NCT06328361
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study is testing whether people with rectal cancer who have a complete response to initial therapy can safely avoid surgery and instead be closely monitored. Researchers will track 200 participants to see how often the cancer stays away or comes back. The goal is to preserve the rectum and avoid the side effects of surgery.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- nonoperative surveillance (watch-and-wait monitoring with exams and scans)
- What this could lead to
- If successful, this approach could allow many rectal cancer patients to avoid major surgery and its side effects while still keeping the cancer under control.
- What could go wrong
- This is an early, single-arm study with no comparison group, so results may not apply broadly. There is a risk that the cancer may regrow, requiring delayed surgery.
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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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East Tallinn Central Hospital
RECRUITINGTallinn, Estonia
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Helsinki University Central Hospital
RECRUITINGHelsinki, 00290, Finland
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Jyväskylä Central Hospital
RECRUITINGJyväskylä, Finland
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Kuopio University Hospital
RECRUITINGKuopio, Finland
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North Estonia Medical Centre
RECRUITINGTallinn, Estonia
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Oulu University Hospital
RECRUITINGOulu, Finland
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Satakunta Central Hospital
RECRUITINGPori, Finland
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Seinajoki Central Hospital
RECRUITINGSeinäjoki, Finland
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Tampere University Hospital
RECRUITINGTampere, 33400, Finland
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Tartu University Hospital
RECRUITINGTartu, Estonia
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Turku University Hospital
RECRUITINGTurku, Finland
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Vaasa Central Hospital
NOT_YET_RECRUITINGVaasa, 65100, Finland
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West Tallinn Central Hospital
RECRUITINGTallinn, Estonia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Digital nurse companion: could an app ease the burden of chronic illness?
- Which rectal cancer surgery preserves quality of life better? a study investigates
- AI as a surgical Co-Pilot: predicting difficulty in rectal cancer
- Can AI learn to grade endoscopy quality from video?
- Can precision protons spare rectal cancer patients from harsh side effects?