Malignant Rectal Neoplasm, Recurrent Tumor
Conditions
Keywords
intraoperative radiotherapy
Brief summary
The hypothesis is that intraoperative radiotherapy for locally advanced or recurrent rectal cancer improve outcomes without causing significant side effects.
Detailed description
Primary Outcome measures are 3-year locoregional control, progression-free and overall survival rates. Secondary outcome measures are toxicities scores up to 3 months after surgery (acute) and greater than 3 months after surgery (late). Data collected at 3-6 month intervals for 30 months
Interventions
intraoperative radiotherapy
Sponsors
Study design
Eligibility
Inclusion criteria
* locally advanced or recurrent rectal cancer * suitable for radical surgery but at high risk of positive resection margins, * no evidence of metastasis, * age greater than 18 years, * histologically confirmed adenocarcinoma, * ECOG performance status \<2. * Informed consent
Exclusion criteria
* unresectable pelvic disease * distant metastasis * significant co-morbidities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| clinical outcomes | 3-year | locoregional control, progression-free and overall survival rates. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| toxicities | 3-6 monthly up to 30 months | Toxicity score criteria defined by Intraoperative Radiation Therapy Working Group Criteria |
Countries
Australia