Can early rectal cancer be treated without removing the rectum?

NCT ID NCT02945566

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

Summary

This trial investigates whether less invasive treatments can save the rectum in people with early-stage rectal cancer. Participants receive either standard surgery (removing part of the rectum) or one of two organ-sparing approaches: short-course radiotherapy or chemoradiation (chemotherapy plus radiation), followed by close monitoring or a small local surgery. The goal is to see if these gentler options can control the cancer while avoiding a permanent stoma and reducing side effects.

What this could mean

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

Active substance
capecitabine (chemotherapy) and radiotherapy
What this could lead to
If successful, this could offer a way to treat early rectal cancer without removing the rectum, avoiding a permanent or temporary stoma and improving quality of life.
What could go wrong
This is an early-to-mid-stage trial, so the organ-sparing approach may not control the cancer as well as standard surgery, and some patients may still need a stoma or further treatment.

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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

  • Odense University Hospital

    Odense, Denmark

  • Radboud University medical center

    Nijmegen, Netherlands

  • Region Stockholm, Onkologkliniken Södersjukhuset AB

    Stockholm, Sweden

  • University Hospital UZ Leuven

    Leuven, Belgium

  • University of Birmingham

    Birmingham, B15 2TT, United Kingdom

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