Standard Dose Versus High Dose of Radiotherapy in Rectal Preservation With Chemo-radiotherapy in Rectal Cancer Patients
NCT04095299 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 162
Last updated 2026-01-08
Summary
In recent years, an increasing number of retrospective and prospective observational studies have indicated that a subset of rectal cancer patients may avoid surgery if they can achieve a complete response to chemoradiotherapy. Prospective trials, including the previous Danish Watchful Waiting trials (NCT00952926, NCT02438839) in early rectal cancer have demonstrated high levels of organ preservation with dose-escalation, but it is unclear whether this was primarily due to tumor stage or dose level.
The aim of the present study is to investigate if a higher dose of radiotherapy is superior compared to a standard dose in patients with early rectal cancer undergoing chemoradiotherapy with curative intent.
Conditions
- Cancer of Rectum
Interventions
- RADIATION
-
50.4 Gy to the tumor and elective volume
Standard radiotherapy
- RADIATION
-
62 Gy to the clinical tumor volume and 50.4 Gy to the elective volume
Experimental radiotherapy
- DRUG
-
Capecitabine 825 mg/m2 twice daily on weekdays
Standard chemotherapy
Sponsors & Collaborators
-
Vejle Hospital
lead OTHER
Principal Investigators
-
Lars H Jensen, MD, PhD · Department of Oncology, Vejle Hospital - University Hospital of Southern Denmark
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-01-20
- Primary Completion
- 2026-12-31
- Completion
- 2033-12-31
Countries
- Denmark
Study Locations
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