SCRT Followed by CAPOX + Bev ± PD-1 Inhibitor for TNT in LARC
NCT07198165 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 104
Last updated 2025-09-30
Summary
This study aims to evaluate the efficacy and safety of short-course radiotherapy combined with CAPOX plus bevacizumab with or without a PD-1 inhibitor in patients with locally advanced rectal cancer (LARC). The hypothesis is that the addition of immunotherapy (PD-1 inhibitor) can significantly improve the complete response (CR) rate and enhance local control while reducing the incidence of distant metastasis. This study will compare the effects of sequential chemoradiotherapy and targeted therapy with or without immunotherapy following short-course radiotherapy, aiming to explore the optimal regimen for total neoadjuvant therapy.
Conditions
- Rectal Cancer
- Rectal Adenocarcinoma
- Rectal Cancer, Radiotherapy
- Rectal Cancer Patients
- Immunotherapy
- Total Neoadjuvant Therapy
- Total Neoadjuvant Treatment
- Targeted Therapy
- Chemoradiotherapy
Interventions
- DRUG
-
PD-1 inhibitor based immunotherapy
Short-course radiotherapy (25Gy/5Fx) followed by 4 cycles of CAPOX regimen (Oxaliplatin 130mg/m² IV infusion, Capecitabine 1000mg/m² orally for 14 days, Q3w) combined with Bevacizumab (7.5mg/kg IV infusion, D1, Q3w) + PD-1 inhibitor (Toripalimab 240mg IV infusion, D1, Q3w).
Sponsors & Collaborators
-
Ruijin Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-09-05
- Primary Completion
- 2030-12-31
- Completion
- 2030-12-31
Countries
- China
Study Locations
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