rectal cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Biopsy-proven, newly diagnosed primary rectal adenocarcinoma. • Locally advanced tumour fulfilling at least one of the following criteria on pelvic MRI indicating high risk of failing locally and/or systemically: o Clinical stage (c) T4a o cT4b o EMVI+ o N2 o Positive MRF, i.e. tumour = 18 years. • ECOG Performance Status of 0 - 1.
Exclusion criteria
Exclusion criteria: • Extensive growth into cranial part of the sacrum (above S3) or the lumbosacral nerve roots. • Metastatic disease or recurrent rectal tumour. Familial Adenomatosis Polyposis coli (FAP), Hereditary Non-Polyposis Colorectal Cancer (HNPCC), active Crohn*s disease or active ulcerative Colitis. • Pregnancy or lactation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| disease related treatment failure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival, CRM negative (margin > 1 mm) rate, Pathological complete response (pCR) rate, Short and long-term toxicity, Surgical complications, Quality of life. Pharmacogenomics. | — |
Countries
Netherlands