Sphincter-preserving Surgery After Preoperative Treatment of Ultra-low Rectal Carcinoma
NCT00979680 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 207
Last updated 2023-06-29
Summary
This phase III trial included patients with low rectal adenocarcinoma which initially required APR, with a mean clinical distance between the tumor inferior pole and the levator ani of 0.5 cm. Patients were randomly assigned to receive high-dose radiation (45 + 18 Gy) or radiochemotherapy (45 Gy + 5FU continuous infusion). The surgical decision was based on the tumor status at surgery. All surgeons used a homogenous SSR technique such as intersphincteric resection. The primary endpoint was the SSR rate.
Conditions
Interventions
- RADIATION
-
High-Dose radiotherapy
Preoperative radiotherapy of 45 Gy/25 fractions of 1.8 Gy through three fields was delivered to the pelvis over 5 weeks, followed by a 18 Gy/10 fraction boost to the primary tumor over 2 weeks.
- RADIATION
-
Chemo-radiotherapy
Chemotherapy (5-fluorouracil, 200 mg per square meter of body-surface area per day) was delivered over 5 weeks concurrently with the pelvic radiotherapy.
Sponsors & Collaborators
-
Institut du Cancer de Montpellier - Val d'Aurelle
lead OTHER
Principal Investigators
-
Philippe Rouanet, Pr · CRLC Val d'Aurelle
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2001-04-30
- Completion
- 2007-09-30
Countries
- France
Study Locations
More Related Trials
-
Preoperative Hyperfractionated Radiotherapy or Radiochemotherapy in Locally Advanced Rectal Cancer.
NCT01814969 ·Status: UNKNOWN ·Phase: PHASE3
-
No Surgery Trial / Two Dose-escalation Strategies
NCT03051464 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Tumor Local Excision +Postoperative Adjuvant Chemoradiotherapy for T1-2N0M0 Low/Ultra-Low Rectal Cancer
NCT06949098 ·Status: RECRUITING ·Phase: PHASE2
-
Influence of Lengthening the Interval Between Radiochemotherapy and Surgery on Complete Pathological Response in Rectal Cancer
NCT01648894 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Preoperative and Postoperative Radiotherapy and Capecitabine in Locally Advanced Rectal Cancer
NCT01186081 ·Status: COMPLETED ·Phase: PHASE3
-
Organ-preserving Management in Patients With Complete or Near-complete Tumour Response After Preoperative Radio(Chemo)Therapy for Rectal Cancer
NCT04095468 ·Status: RECRUITING
-
Neoadjuvant Chemoradiotherapy and Consolidation Chemotherapy for Rectal Cancer: A Randomized Controlled Trial
NCT05496491 ·Status: RECRUITING ·Phase: NA
-
Prospective Pilot Study of Multimodal Radiological Evaluation Feasibility During Chemoradiotherapy of Rectal Adenocarcinomas
NCT01619696 ·Status: TERMINATED ·Phase: PHASE2
-
Comprehensive Management of Rectal Cancer
NCT06839508 ·Status: COMPLETED
-
Simultaneous Integrated Boost Preoperative Radiotherapy for Rectum Cancer
NCT01224392 ·Status: COMPLETED ·Phase: PHASE3
-
Dose-escalation Trial of Preoperative Radiotherapy and Concurrent Chemotherapy in Locally Advanced Rectal Cancer
NCT02964468 ·Status: UNKNOWN ·Phase: NA
-
Rectal Sparing Approach After Preoperative Radio and/or Chemotherapy in Patients With Rectal Cancer
NCT02710812 ·Status: UNKNOWN
-
A Trial of High Intensity Versus Low Intensity Neoadjuvant Chemoradiotherapy in Locally Advanced Rectal Cancer
NCT01064999 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Hypofractionated Palliative Radiotherapy in Patients With Advanced Non-operable Rectal Cancer
NCT03853733 ·Status: RECRUITING
-
Total Neoadjuvant Treatment vs. Chemoradiotherapy in Local Advanced Rectal Cancer With High Risk Factors
NCT03177382 ·Status: UNKNOWN ·Phase: PHASE3
-
Phase 2 Single-Arm Rectal Cancer Brachytherapy for Patients With Low-Lying Residual Adenocarcinoma After Total Neoadjuvant Therapy to Improve Organ Preservation Rates
NCT07292298 ·Status: RECRUITING ·Phase: PHASE2
-
Proximally Extended Resection for Rectal Cancer After Neoadjuvant Chemoradiotherapy
NCT02649647 ·Status: RECRUITING ·Phase: NA
-
Optimum Timing for Surgery After Pre-operative Radiotherapy 6 vs 12 Weeks
NCT01037049 ·Status: UNKNOWN ·Phase: PHASE2
-
Short Course Radiation Therapy Followed by Pre-operative Chemotherapy and Surgery in High-risk Rectal Cancer
NCT03729687 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Predictive Factors of Disease-free Survival After Complete Pathological Response to Neoadjuvant Radiotherapy in Rectal Adenocarcinoma
NCT03601689 ·Status: COMPLETED
-
Optimisation of Response for Organ Preservation in Rectal Cancer : Neoadjuvant Chemotherapy and Radiochemotherapy vs. Radiochemotherapy
NCT02514278 ·Status: COMPLETED ·Phase: PHASE3
-
Preoperative Combined Radiation and Chemotherapy - Rectal Cancer
NCT00232453 ·Status: COMPLETED ·Phase: PHASE2
-
Preoperative Chemoradiation Versus Short Term Radiation Alone With Delayed Surgery for Stage II and III Resectable Rectal Cancer
NCT00597311 ·Status: UNKNOWN ·Phase: PHASE3
-
A Prospective Single Arm Study of Intraoperative Radiotherapy for Locally Advanced or Recurrent Rectal Cancer
NCT01493206 ·Status: COMPLETED ·Phase: PHASE2
-
Chemotherapy and Tislelizumab With Split-course HFRT for Locally Advanced Rectal Cancer
NCT05176964 ·Status: RECRUITING