New drug combo could boost rectal cancer remission before surgery
NCT ID NCT06850090
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial compares two different oral chemotherapy drugs given alongside radiation before surgery for locally advanced rectal cancer. The standard drug, capecitabine, is being tested against a newer drug called TAS-102. The goal is to see if TAS-102 leads to more tumors completely disappearing before surgery. About 210 adults aged 18-75 with stage II or III rectal cancer will take part.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 210 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2025
- Expected to finish
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Jun 2028
An estimate. End dates often move.
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patients aged between 18 and 75 years of either sex. 2. Histologically confirmed rectal adenocarcinoma with the following conditions: 1. Clinical stage II (T3-4, N-) or III (any T, N+) as determined by MRI. 2. The tumor is located within 12 cm from the anal margin, with at least one high-risk factors (ie, extramural vascular invasion \[EMVI+\], mesorectal fascia involved \[MRF+\], cT4, cN2, lateral lymph nodes, tumor deposit, or tumor located in the lower rectum \[≤5 cm from the anal verge\]). 3. No other types of rectal cancer (e.g., sarcoma, lymphoma, carcinoid, squamous cell carcinoma) or synchronous colon cancer. 4. Presence of measurable lesions that meet RECIST v1.1 criteria for evaluation. 5. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1. 6. Estimated life expectancy \> 6 months. Exclusion Criteria: 1. Patients of dMMR or MSI-H status. 2. Unexplained myelosuppression. 3. Evidence of distant metastasis and inguinal lymph node metastasis based on comprehensive chest and abdominal CT or whole-body PET-CT scans. Retroperitoneal lymph nodes above the iliac vessel bifurcation are considered distant metastasis. 4. Active autoimmune disease or history of autoimmune disease. 5. Uncontrolled cardiac symptoms or diseases. 6. History of other malignancies, except for cured basal cell carcinoma of the skin and cervical carcinoma in situ.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Shandong Cancer Hospital and Institute
RECRUITINGJinan, Shandong, China
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