Locally advanced rectal cancer MedDRA version: 13.1 Level: PT Classification code 10038049 Term: Rectal cancer stage II System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) MedDRA version: 13.1 Level: PT Classification code 10038050 Term: Rectal cancer stage III System Organ Class: 10029104
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. MRI defined locally advanced rectal cancer: T3 disease on MRI scanning with disease = 2 mm from the edge of the mesorectum or T4 disease on MRI scanning or any T3/T4 disease on MRI scanning with the distal extent of tumour = 5 cm from the the anal margin 2. Histologically confirmed adenocarcinoma 3. No unequivocal evidence of metastatic disease 4. No pre-existing condition which would deter radiotherapy, e.g. fistulas, severe ulcerative colitis (particularly patients currently taking Sulphasalazine), Crohn’s disease, prior adhesions 5. Estimated GFR (using Cockroft-Gault formula) >50 ml/min. 6. Absolute neutrophil count = 1.5 x 109/l. Platelets = 100 x 109/l, serum bilirubin =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Previous chemotherapy. 2. Previous radiotherapy to the pelvis. 3. Patients who have very significant small bowel delineated within the radiation fields should be excluded from the study. 4. Current or impending rectal obstruction, metallic colonic rectal stent in situ 5. Pelvic sepsis 6. Uncontrolled cardiac, respiratory or other disease or any serious medical or psychiatric disorder that would preclude trial therapy, surgery or informed consent. 7. Known dihydropyrimidine dehydrogenase deficiency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: In a phase II setting in MRI-defined locally advanced rectal cancer to assess the downstaging effectiveness of preoperative chemoradiotherapy using capecitabine/ irinotecan/cetuximab plus radiotherapy using the primary endpoint of clear (R0) circumferential resection margin rate.;Secondary Objective: - Radiotherapy compliance. - Grade 3 or 4 toxicity. - Pathological complete response - Morbidity – post operative and long term. - Disease-free survival and local failure-free survival.;Primary end point(s): The histologically confirmed RO resection rate (proportion of patients with complete macroscopic resection with clear (>1mm) surgical circumferential resection margins) | — |
Countries
United Kingdom