Boosting radiation may help more rectal cancer patients reach remission
NCT ID NCT07200141
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a higher dose of radiation (58.75 Gy) given before surgery can help more people with locally advanced rectal cancer achieve a complete response (no cancer left) compared to the standard dose (50 Gy). About 156 adults aged 18-79 will receive radiation plus chemotherapy, then either surgery or a watch-and-wait approach. The goal is to improve tumor control and possibly avoid surgery.
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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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About 156 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2025
An estimate. Start dates often move.
- Expected to finish
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Dec 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 80 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: 1. Age ≥18 and \<80 years 2. Histologically confirmed rectal adenocarcinoma 3. Tumor located within 10 cm from the anal verge 4. MRI staging: T3-T4 and/or N+, M0 (AJCC 8th edition) 5. ECOG performance status 0-2 6. Adequate bone marrow function: WBC ≥3×10⁹/L, ANC ≥1.5×10⁹/L, PLT ≥100×10⁹/L, Hb ≥90 g/L 7. Adequate liver function: TBIL ≤1.5 × ULN, ALT/AST ≤2.5 × ULN 8. Adequate renal function: Cr ≤1.5 × ULN or CCr ≥60 mL/min 9. Signed informed consent Exclusion Criteria: 1. Prior rectal cancer surgery 2. Prior induction chemotherapy, immunotherapy, or pelvic radiotherapy 3. History of other malignancies 4. History of chronic colitis, ulcerative colitis, or nonspecific proctitis 5. Pregnant or breastfeeding women 6. Active infection or fever 7. Severe uncontrolled comorbidities (e.g., unstable heart disease, renal disease, chronic hepatitis, uncontrolled diabetes, psychiatric disorders) 8. Inability to comply with study protocol
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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 official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can drug cocktail spare rectal cancer patients from surgery?
- Can two immunotherapy drugs help rectal cancer patients skip pelvic radiation?
- MRI and microbes: a new way to predict rectal cancer outcomes?
- Can a new drug shield rectal cancer patients from Radiation's worst side effects?
- Could a Tumor's genes reveal who can skip chemo?