Multi-points and Full-thickness Biopsy in the Diagnosis of cCR After Neoadjuvant Therapy for Rectal Cancer
NCT04743102 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 260
Last updated 2023-02-21
Summary
Background There is currently no reliable means to restage rectal cancers after neoadjuvant chemoradiation. There are still no reliable methods to identify patients with pCR before radical surgery. As a result, clinical complete response (cCR), defined as no clinical detectable tumor by physical examination, endoscopic evaluation, and imaging, is designed as a surrogate endpoint for pCR. However, the concordance between cCR and pCR varies from 22% to 96% in different reports, which questions the clinical value of such strategies. Therefore, based on rectal diginal examination, serum CEA, MRI, endoscopy examination, we suggested to add multi-points and full-thickness biopsy technique to further improve the accuracy of cCR.
Conditions
- Rectal Cancer
- Neoadjuvant Therapy
- Complete Remission
- Metastasis
Interventions
- PROCEDURE
-
multi-points and full-thickness Biopsy
Four points around the tumor site and center of the tumor site full-thickness Biopsy
- DIAGNOSTIC_TEST
-
traditional cCR
diginal examination, endoscopy test, rectal MRI, and serum CEA level
Sponsors & Collaborators
-
Beijing Chao Yang Hospital
lead OTHER
Principal Investigators
-
Zhenjun Wang · Beijing Chao Yang Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-01-01
- Primary Completion
- 2023-12-31
- Completion
- 2028-12-31
Countries
- China
Study Locations
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