SCRT + mFOLFOX6 + PD-1 Antibody + Targeted Therapy for HIgh-Risk pMMR/MSS Rectal Cancer
NCT06908031 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 49
Last updated 2025-05-14
Summary
To explore the efficacy and safety of short-course radiotherapy combined with mFOLFOX6, PD-1 monoclonal antibody and cetuximab (for RAS/BRAF Wild-Type)/bevacizumab (for RAS/BRAF Mutant) in High-Risk pMMR/MSS Rectal Adenocarcinoma through a prospective study, providing high-level evidence-based medical evidence for the use in the treatment of high-risk rectal cancer.
Conditions
- Rectal Adenocarcinoma
- High-Risk Cancer
- MSS
Interventions
- RADIATION
-
Short-Course Radiotherapy
Patients undergo SCRT at a dose of 5Gy × 5 fractions
- DRUG
-
PD-1 monoclonal antibody
Patients complete immune therapy with PD-1 monoclonal antibody for 4 cycles.
- DRUG
-
mFOLFOX6 regimen
Patients complete chemotherapy with mFOLFOX6 regimen for 4 cycles.
- DRUG
-
Patients with RAS/BRAF wild-type receive targeting therapy with Cetuximab for 4 cycles.
- DRUG
-
Patients with RAS/BRAF mutations receive targeting therapy with Bevacizumab for 3 cycles. (Bevacizumab is not used in the last cycle of the bevacizumab group)
- PROCEDURE
-
Surgical resection
Surgery either local excition or total mesorectal excision is performed 8-10 weeks after the completion of short-course radiotherapy.
Sponsors & Collaborators
-
Sixth Affiliated Hospital, Sun Yat-sen University
lead OTHER
Principal Investigators
-
Juan Huang, PhD. · Sun Yat-sen University
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-04-02
- Primary Completion
- 2027-04-01
- Completion
- 2027-04-01
Countries
- China
Study Locations
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