A Clinical Trial Comparing Long-Course Versus Short-Course Radiotherapy Followed by Immunotherapy Combined With Total Neoadjuvant Therapy (TNT) to Long-Course Radiotherapy Followed by TNT in Locally Advanced Rectal Cancer
NCT07113275 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 444
Last updated 2026-05-13
Summary
This study is a national multicenter, prospective randomized, placebo- controlled Phase III clinical trial designed to investigate the potential therapeutic benefit of immunotherapy combined with total neoadjuvant therapy (TNT) and to compare the efficacy of different radiotherapy modalities followed by immunotherapy.
Conditions
- Rectal Cancer
- Total Neoadjuvant Therapy
- Radiotherapy
- Immunotherapy
Interventions
- RADIATION
-
Short-course radiotherapy
Eligible subjects will receive short-course radiotherapy (SCRT). One week after the end of treatment, subjects continued to receive neoadjuvant chemotherapy.
- RADIATION
-
Long-course radiotherapy
Long-course radiotherapy (LCRT, 50.4 Gy administered in 28 fractions) will be delivered concurrently with oral capecitabine.
- DRUG
-
1000mg/m2, bid, po, d1-14,q3w
- DRUG
-
130mg/m2, ivgtt, d1,q3w
- DRUG
-
HLX10
300mg, ivgtt, q3w
- PROCEDURE
-
TME surgery
The surgery was performed 1 week after the end of neoadjuvant therapy.
- DRUG
-
HLX10 placebo
300mg, ivgtt, q3w
Sponsors & Collaborators
-
Tao Zhang
lead OTHER
Principal Investigators
-
Zhenyu Lin, MD · Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-05-15
- Primary Completion
- 2028-01-01
- Completion
- 2028-12-31
Countries
- China
Study Locations
More Related Trials
-
Neoadjuvant Chemoradiotherapy Combined With Tislelizumab in the Treatment of Locally Advanced Rectal Cancer
NCT05479240 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
TIME in Immunotherapy Combined With nCRT for Rectal Cancer
NCT05507112 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Effect of Concurrent Capecitabine-based Long-term Radiotherapy Followed by XELOX Plus TME in Patients With High Risk Rectal Cancer: a Multi-centers, Randomized Controlled, Open-Label Trial
NCT03038256 ·Status: UNKNOWN ·Phase: PHASE2
-
SCRT VS LCRT Followed by PD-L1 Inhibitor Plus CAPEOX as TNT in Patients With LARC
NCT07284992 ·Status: RECRUITING ·Phase: PHASE2
-
SMART TNT for the Conservative Management of Locally Advanced Rectal Cancer
NCT05412082 ·Status: RECRUITING ·Phase: PHASE1
-
SCRT Followed by CAPOX + Bev ± PD-1 Inhibitor for TNT in LARC
NCT07198165 ·Status: RECRUITING ·Phase: PHASE2
-
Preoperative Short Course Radiotherapy With Chemotherapy and Camerelizumab in Locally Advanced Rectal Cancer
NCT04231552 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
A Series of Neoadjuvant Chemoradiotherapy Combined With Immunotherapy for Locally Advanced Rectal Cancer
NCT06312982 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
CAPOX and PD-1 Antibody Combined With or Without Radiotherapy for MSS Locally Advanced Rectal Cancer
NCT06281405 ·Status: RECRUITING ·Phase: PHASE2
-
Short-course Radiotherapy Followed by CAPOX and Ivonescimab for Locally Advanced Rectal Cancer
NCT06760520 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Neoadjuvant Chemotherapy With PD-1 Inhibitors Combined With SIB-IMRT in the Treatment of Locally Advanced Rectal Cancer
NCT06017583 ·Status: RECRUITING ·Phase: PHASE3
-
Involved-field Radiotherapy-TNT Combined With PD-1 Inhibitor for pMMR Locally Advanced Rectal Cancer (Neo-Field I)
NCT07057089 ·Status: RECRUITING ·Phase: PHASE2
-
Treatment of Low Locally Advanced Rectal Cancer With Radiotherapy Removal TNT Plus Neoadjuvant Therapy
NCT06035133 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Short-course Radiotherapy Followed by AK112 and CAPOX as Neoadjuvant Therapy for Locally Advanced Rectal Cancer
NCT06802666 ·Status: RECRUITING ·Phase: PHASE2
-
Modified SCRT Followed by Tislelizumab Plus CAPOX for Locally Advanced Rectal Cancer
NCT06333769 ·Status: COMPLETED ·Phase: PHASE2
-
Phase II RCT of LCRT vs SCRT + CAPOX/PD-1i/COX-2i in MSS Locally Advanced Rectal Cancer
NCT07154316 ·Status: RECRUITING ·Phase: PHASE2
-
A Study of Total Neoadjuvant Therapy for High-risk Locally Advanced Rectal Cancer
NCT04543695 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
A Trial of High Intensity Versus Low Intensity Neoadjuvant Chemoradiotherapy in Locally Advanced Rectal Cancer
NCT01064999 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
A Prospective Phase II Randomized Clinical Trial of Preoperative Chemotherapy Combined With Short-course Radiotherapy Versus Conventional Neo-adjuvant Therapy for Locally Advanced Rectal Cancer Implemented by MDT
NCT02941562 ·Status: UNKNOWN ·Phase: PHASE2
-
SCRT Combined With Chemotherapy and Iparomlimab and Tuvonralimab in MSS or pMMR Patients With Locally Advanced Rectal Cancer
NCT06864013 ·Status: RECRUITING ·Phase: PHASE2
-
Neoadjuvant Moderately Hypofractionated Radiotherapy Combined with Chemotherapy and Immunotherapy for High-risk LARC
NCT06599827 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Neoadjuvant Short-course Radiotherapy Followed by the Combination of Immunotherapy and Chemotherapy in Locally Advanced Rectal Cancer
NCT04663763 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
A Phase ll Study of Neoadjuvant Short-course Radiotherapy Followed by Ivonescimab and Chemotherapy in pMMR/MSS Locally Advanced Rectal Cancer
NCT06919510 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Treatment of Rectal Cancer With Long-term Concurrent Chemoradiotherapy Combined With Camrelizumab
NCT06304545 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Neoadjuvant Long-course Chemoradiotherapy Followed by Immunotherapy for Locally Advanced Mid-low Rectal Cancer
NCT06493240 ·Status: COMPLETED ·Phase: PHASE2