Stage II or III rectal cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically confirmed adenocarcinoma of the rectum 2.Patients with cT4 or cN2/3 3. Tumor with inferior edge located below peritoneal reflection 4. Without history of chemotherapy or radiotherapy for rectal cancer 5. Eastern Cooperative Oncology Group performance status of 0 or 1 6. Adequate organ function i) WBC >=3,000/mm3 ii) Neutrophil count >=1,500/mm3 iii) Platelet count >=100,000/mm3 iv) Serum bilirubin <=2.0mg/dl v) AST <=100IU/l vi) ALT <=100IU/l vii) Serum creatinine <=1.5mg/dl 7. Written study-specific informed consent
Exclusion criteria
Exclusion criteria: 1. With distant metastasis (M1) 2. Cancerous fluid 3. Active infectious disease 4. Concomitant malignancy (within 5 years) and double cancer 5. Uncontrolled diabetic 6. Peripheral neuropathy 7. Serious lung disease 8. Clinically significant cardiac disease 9. Pregnant women and nursing mothers, possibly pregnant women, and men attempting to conceive a child 10. Other conditions judged ineligible by physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| R0 resection rate | — |
Secondary
| Measure | Time frame |
|---|---|
| completion rate of the scheduled chemotherapy,Pathologic response rate,pathological complete response rate,downstage rate, OS, DFS, Local recurrence rate, Rate of sphincter-preservation, Completion rate of postoperative adjuvant chemotherapy, acute toxicity, postoperative complications,postoperative defecation | — |
Countries
Japan
Contacts
Graduate School of Medical Sciences, Kyushu University Surgery and Oncology