New surgery for rectal cancer could cut leak risk and stoma need
NCT ID NCT01876901
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This phase 2 trial tested a two-step surgical procedure called delayed coloanal anastomosis (2SCA) in 124 patients with medium or lower rectal cancer. The goal was to see if this technique lowers the rate of dangerous leaks at the surgical connection and reduces the need for a colostomy bag. Results showed that the procedure may be safer than the standard immediate anastomosis, with fewer leaks and fewer patients needing a stoma.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- 2-stage pull-through colo-anal anastomosis without prophylactic derivation (2SCA) - a surgical procedure
- What this could lead to
- If successful, this surgical technique could lower the risk of post-surgery leaks and reduce the need for temporary or permanent stomas in rectal cancer patients.
- What could go wrong
- This is a phase 2 trial with a relatively small sample size (124 patients). The results may not apply to all patients, and the procedure still carries surgical risks like infection or bleeding.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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124 people
The number who actually took part.
- Started
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Aug 2010
- Finished
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Feb 2019
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histologically proven rectal adenocarcinoma. * Medium or lower rectum tumour requiring removal of the entire rectum and its mesorectum. * T1 N+ or T2 N+ or T3 N+ or T3 N0 and M0 tumour. * Age between 18 and 75 years . * ASA ≤ 2. * Sphincter continence compatible with coloanal anastomosis. * Patients who received preoperative radiotherapy alone or chemotherapy and radiotherapy. * Patient affiliated to social security. * For patients of childbearing age, use of contraception. * Patient information and consent for study participation Exclusion Criteria: * Other histology of rectal cancer. * T1 N0 or T2 N0 or T4 tumour. * Metastatic disease M1. * History of cancer except cervix in situ carcinoma or skin basal cell carcinoma. * Patient with psychological, social, family or geographical reasons who couldn't be treated or monitored regularly by the criteria of the study * Patients deprived of liberty or under guardianship. * Pregnant or nursing women.
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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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CHU DE BORDEAUX - Hôpital Saint André
Bordeaux, Aquitaine, 33000, France
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CHU de GRENOBLE
Grenoble, Auvergne-Rhône-Alpes, 38000, France
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Centre Alexis Vautrin
Vandœuvre-lès-Nancy, Lorraine, 54000, France
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Centre Léon Bérard
Lyon, Auvergne-Rhône-Alpes, 69000, France
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Chu de Nancy
Nancy, Lorraine, 54000, France
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Clinique Du Tonkin
Villeurbanne, Auvergne-Rhône-Alpes, 69000, France
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HOSPICES CIVILS DE LYON - Hôpital de la Croix Rousse
Lyon, Auvergne-Rhône-Alpes, 69000, France
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Institut Bergonié
Bordeaux, Aquitaine, 33000, France
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Institut Paoli Calmettes
Marseille, Bouche Du Rhône, 13000, France
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