Precision radiation may spare rectal cancer patients from surgery
NCT ID NCT07616297
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether giving a higher radiation dose to the tumor can help people with early-stage rectal cancer keep their rectum instead of needing surgery. About 25 adults will receive targeted radiation using a special adaptive technique. The goal is to see if this approach can increase the chance of organ preservation and avoid a permanent stoma.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 25 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2026
- Expected to finish
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Aug 2030
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 years and older
- 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: * Age ≥18 years * Eastern cooperative oncology group (ECOG) performance status ≤2 * Histologically confirmed rectal adenocarcinoma * Non-locally advanced rectal cancer, defined as (magnetic resonance imaging (MRI)-based) T1-3, N0/N1 (≤3 positive mesorectal lymph nodes), MX/M0 * Indication for curative treatment with organ preservation * Discussed in the multidisciplinary tumor board (MTB) * Written informed consent Exclusion Criteria: * Previous radiotherapy in the pelvic area * Other malignancies, except for adequately treated basal cell carcinoma (BCC), at time of inclusion or within 3 years prior to inclusion * Contra-indications for (chemo)radiotherapy or surgery * Presence of lateral lymph nodes, cN2 status, extramural vascular invasion (EMVI) or mesorectal fascia involvement as seen on MRI * Mucinous defined tumor on MRI * Prior local excision of the primary tumor * DPD (dihydropyrimidine dehydrogenase) deficiency * Unable to understand the requirements of the study and to give written informed consent, as determined by the treating physician
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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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Erasmus MC
RECRUITINGRotterdam, South Holland, 3015 GD, Netherlands
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