Rectal cancer patients may avoid surgery with new Chemo-Radiation combo
NCT ID NCT04864067
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a treatment plan for locally advanced rectal cancer that uses a short course of radiation followed by chemotherapy, aiming to avoid surgery. 39 patients were enrolled. The goal was to see if the cancer could be completely controlled without an operation, using a 'watch and wait' approach for those who responded well. The study measured how many patients had a complete response lasting more than a year.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Oxaliplatin, 5-Fluoracil, Leucovorin, Capecitabine (chemotherapy drugs) and radiation therapy
- What this could lead to
- If successful, this approach could allow some patients with locally advanced rectal cancer to avoid major surgery and its side effects, while still controlling the disease.
- What could go wrong
- This is a small, single-arm Phase 2 trial with only 39 participants, so results may not apply to everyone. The long-term safety and effectiveness compared to standard treatment are not yet proven.
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
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
39 people
The number who actually took part.
- Started
-
Jun 2021
- Finished
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May 2026
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Histologically confirmed diagnosis of adenocarcinoma of the rectum * Clinical Stage II (T3-4, N-) or Stage III (any T, N+) based on Magnetic Resonance Imaging (MRI) * Tumors \< 7cm from anal verge (palpable) * No prior history of rectal cancer Exclusion Criteria * Patients with tumors \>7cm from anal verge * ECOG \>1, * Contraindication for chemotherapy: Hemoglobin \<8, White Blood Count \<4000, Platelets \<100,000, Creatinine Clearance \<50ml/min, Total Bilirubin \<5mg/dl, * Stage IV at diagnosis * Coronary artery disease, either no treated or recent acute coronary syndrome in the last 12 months. * Congestive heart failure * Peripheral neuropathy * Previous pelvic radiotherapy * Prior rectal cancer treatment * Pregnancy or nursery * Any contraindications to MRI (e.g. patients with pacemakers) * Indication of pelvic exenteration * Impossibility to consent.
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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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Complejo Asistencial Doctor Sótero del Rio
Santiago, RM, Chile
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Hospital La Florida
Santiago, RM, Chile
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Hospital Padre Hurtado
Santiago, RM, Chile
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