Rectal Cancer Recurrent
Conditions
Brief summary
Study design: A prospective phase II, non-randomized observational study of dose-escalated pencil beam proton therapy re-irradiation for pelvic recurrences from rectal cancer. Re-irradiation is either a part of neo-adjuvant treatment or as a definitive treatment strategy for un-resectable recurrences.
Interventions
Doseescalated pencil beam proton Therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* • Locally recurrent rectal cancer. * Bioptically verified (adenocarcinoma ) * Available dose plan from primary radiotherapy * Previous pelvic RT (\>30Gy EQD2) * Evaluated in MDT-conferences (Herlev, Aarhus) * Age\>18 years * PS 0-2 * Adequate organ function * Informed consent
Exclusion criteria
* Non-resectable distant metastases (PET-CT) * Unable to undergo MRI, PET-CT * Inability to attend full course radiotherapy and follow up in the out patient clinic.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| R0-resection | 5-6 years | Neo-adjuvant treatment: Rate of pathological complete resection (R0) |
| 1-year local control | 6-7 years | Definitive treatment: Rate of 1-year local control rates evaluated by CT or MRI. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | 10 years | Overall survival defined as time from first day of treatment to death from any cause |
| Local recurrence | 6-8 years | Local re-recurrence determined by imaging 6, 12 and 24 month post treatment |
| Patient reported outcomes | 5-7 year | Quality of life assessment by EORTC QLQ-c30, QLQ-CR29, supplementary EORTC items, and LARS score. Acute and chronic |
| Toxicity | 5-7 years | Toxicity evaluated by NCI-CTCAE v. 5.0 acute and chronic |
| Disease free survival | 10 years | Disease free survival, defined as time from first day of treatment until first documented sign of disease or death from any course |
Countries
Denmark