Rectal cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. All patients should sign an institutional review board (IRB) approved consent form; 2. Irrespective of sex, patient should be between 18 and 75 years; 3. Pathologically confirmed resectable adenocarcinoma of clinical stage II or III by pelvic magnetic resonance imaging (MRI); 4. Primary tumor is less than 15 cm from the anal verge excluding the anal canal; 5. With a Karnofsky performance status of at least 70% and expected survival of longer than 6 months; 6. Requirements of the following biochemical tests: hemoglobin concentration>=11 g/dl, WBC count>=3.5*10^9/L, neutrophil count>=1.5*10^9/L, platelet count>=100*10^9/L, creatinine<=1.0*upper normal limit, total bilirubin<=1.0*upper normal limit, ALT and/or AST<=1.5*upper normal limit, AKP<=2.5*upper normal limit.
Exclusion criteria
Exclusion criteria: (1) Patients with systemic metastases; (2) Prior pelvic radiotherapy or prior chemotherapy; (3) Serious comorbidities such as hypertension, coronary heart disease, history of mental illness or severe allergies; (4) Refused or unable to sign an institutional review board(IRB)approved consent form; (5) With expected survival of less than 6 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pathological complete response rate (ypCR);tumor down-staging;Acute toxicity and postoperative complication; | — |
Secondary
| Measure | Time frame |
|---|---|
| local recurrence rate;progression-free survival (PFS);overall survival (OS);Sphincter preserving rate; | — |
Countries
China