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New hope for rectal cancer: extra chemo may save the rectum

NCT ID NCT02514278

First seen May 15, 2026 · Last updated Jun 20, 2026 · Updated 6 times

Summary

This phase 3 trial tested whether adding two months of Folfirinox chemotherapy before standard radiation and chemo could help more patients with early-stage rectal cancer avoid major surgery. 218 adults with small, low-lying tumors were enrolled. The goal was to see if more patients could keep their rectum and have no stoma one year after treatment.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Locations

  • Département de chirurgie digestive, Institut Gustave Roussy

    Villejuif, France

  • GH Paris Saint Joseph

    Paris, France

  • Service d'Oncologie et Radiothérapie, Centre Azuréen de Cancérologie

    Mougins, France

  • Service de Chirurgie Digestive et Oncologique, Hôpital Bicêtre - APHP

    Paris, France

  • Service de Chirurgie Digestive, CHU Amiens Picardie

    Amiens, France

  • Service de Chirurgie Digestive, CHU Carémeau - Nîmes

    Nîmes, France

  • Service de Chirurgie Digestive, CHU Estaing - CHRU Clermont Ferrand

    Clermont-Ferrand, France

  • Service de Chirurgie Digestive, CHU de Besançon

    Besançon, France

  • Service de Chirurgie Digestive, CHU de la Timone - Marseille

    Marseille, France

  • Service de Chirurgie Digestive, Centre Georges François Leclerc - Dijon

    Dijon, France

  • Service de Chirurgie Digestive, Centre Léon Bérard - Lyon

    Lyon, France

  • Service de Chirurgie Digestive, Centre Oscar Lambret - Lille

    Lille, France

  • Service de Chirurgie Digestive, Hôpital Albert Michallon - CHU de Grenoble

    La Tronche, France

  • Service de Chirurgie Digestive, Hôpital Beaujon - APHP

    Clichy, France

  • Service de Chirurgie Digestive, Hôpital Charles Nicolle - CHU de Rouen

    Rouen, France

  • Service de Chirurgie Digestive, Hôpital Haut-Lévêque - CHU de Bordeaux

    Bordeaux, France

  • Service de Chirurgie Digestive, Hôpital Lyon Sud - CHU Lyon

    Lyon, France

  • Service de Chirurgie Digestive, Hôpital Pontchaillou - CHU Rennes

    Rennes, France

  • Service de Chirurgie Digestive, Hôpital Purpan - CHU de Toulouse

    Toulouse, France

  • Service de Chirurgie Digestive, Hôpital Saint-Antoine - APHP

    Paris, France

  • Service de Chirurgie Digestive, Hôpital Saint-Louis - APHP Paris

    Paris, France

  • Service de Chirurgie Digestive, Hôpital les Diaconnesses

    Paris, France

  • Service de Chirurgie Digestive, Hôtel Dieu - CHU de Nantes

    Nantes, France

  • Service de Chirurgie Digestive, Institut Bergonié

    Bordeaux, France

  • Service de Chirurgie Digestive, Institut Paoli Calmette - Marseille

    Marseille, France

  • Service de Chirurgie Digestive, Institut du Cancer de Montpellier

    Montpellier, France

  • Service de Chirurgie Digestive,Institut de Cancérologie de Lorraine

    Nancy, France

  • Service de Chirurgie Digestives, Hôpital Européen de Marseille

    Marseille, France

  • Service de chirurgie digestive, CHRU de Nancy -Hôpital de Brabois

    Vandœuvre-lès-Nancy, France

What this could mean

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

Active substance

Folfirinox chemotherapy (oxaliplatin, irinotecan, folinic acid, 5FU) and capecitabine

What this could lead to

If it works, this could allow more people with rectal cancer to keep their rectum and avoid a permanent stoma, improving quality of life.

What could go wrong

This is a completed phase 3 trial, but results may not apply to all patients. Adding chemotherapy also increases side effects like nerve damage and digestive issues.

Conditions

The condition(s) this trial relates to.

rectal neoplasm

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.