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Local Excision of Clinical T3 Rectal Adenocarcinoma Showing Major Response(ycT0-1) After Neoadjuvant Chemoradiotherapy

Primary Purpose

Rectal Cancer

Status
Unknown status
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Local excision
Sponsored by
National Cancer Center, Korea
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rectal Cancer focused on measuring Rectal neoplasms, Colorectal neoplasms, Local excision

Eligibility Criteria

20 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • age: more than 20 years
  • biopsy-proven adenocarcinoma of the rectum
  • clinical staging, cT3NxM0
  • Rectal cancer located 8 cm from the anal verge
  • Restaging in 6-10 weeks after completion of neoadjuvant chemoradiotherapy, ycT0-1N0M0
  • ECOG performance status 2 or less

Exclusion Criteria:

  • Synchronous colon cancer or other malignancy
  • Obstructing rectal cancer
  • Pregnant or breast-feeding
  • Receiving any other study agents
  • History of prior colorectal cancer or inflammatory bowel disease
  • Hereditary colorectal cancer (FAP, HNPCC)

Sites / Locations

  • National Cancer CenterRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Local excision

Arm Description

Local excision for rectal cancer with good response

Outcomes

Primary Outcome Measures

3-year disease free survival
Death or recurrence as an event

Secondary Outcome Measures

Complete response rate
The rate of complete response of the tumor after neoadjuvant chemoradiotherapy
Overall survival rate
Death as an event

Full Information

First Posted
July 2, 2015
Last Updated
July 2, 2015
Sponsor
National Cancer Center, Korea
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1. Study Identification

Unique Protocol Identification Number
NCT02490709
Brief Title
Local Excision of Clinical T3 Rectal Adenocarcinoma Showing Major Response(ycT0-1) After Neoadjuvant Chemoradiotherapy
Official Title
Local Excision of Clinical T3 Mid- or Low-Rectal Adenocarcinoma Showing Major Response(ycT0-1) After Neoadjuvant Chemoradiotherapy: Prospective Multicenter Single-arm Phase II Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
July 2015
Overall Recruitment Status
Unknown status
Study Start Date
April 2015 (undefined)
Primary Completion Date
April 2020 (Anticipated)
Study Completion Date
April 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
National Cancer Center, Korea

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is evaluation of the safety and the efficacy of transanal local excision in patients with cT3 rectal cancer which was downstaged into ycT0-1 after neoadjuvant chemoradiotherapy.
Detailed Description
This study is a prospective multicenter single-arm phase II clinical trial. Rectal cancer patients with cT3 stage will receive neoadjuvant chemoradiotherapy, and be evaluated the response of the tumor in 6 to 10 weeks after completion of neoadjuvant chemoradiotherapy. For those who have good response (ycT0-1) will underwent transanal local excision under the patients' agree.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rectal Cancer
Keywords
Rectal neoplasms, Colorectal neoplasms, Local excision

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
86 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Local excision
Arm Type
Experimental
Arm Description
Local excision for rectal cancer with good response
Intervention Type
Procedure
Intervention Name(s)
Local excision
Intervention Description
Local excision for rectal cancer with good response
Primary Outcome Measure Information:
Title
3-year disease free survival
Description
Death or recurrence as an event
Time Frame
1-5 years
Secondary Outcome Measure Information:
Title
Complete response rate
Description
The rate of complete response of the tumor after neoadjuvant chemoradiotherapy
Time Frame
1-5 years
Title
Overall survival rate
Description
Death as an event
Time Frame
1-5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: age: more than 20 years biopsy-proven adenocarcinoma of the rectum clinical staging, cT3NxM0 Rectal cancer located 8 cm from the anal verge Restaging in 6-10 weeks after completion of neoadjuvant chemoradiotherapy, ycT0-1N0M0 ECOG performance status 2 or less Exclusion Criteria: Synchronous colon cancer or other malignancy Obstructing rectal cancer Pregnant or breast-feeding Receiving any other study agents History of prior colorectal cancer or inflammatory bowel disease Hereditary colorectal cancer (FAP, HNPCC)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Oh Jae Hwan, MD, PhD
Phone
+821071047102
Email
jayoh@ncc.re.kr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Oh Jae Hwan, MD, PhD
Organizational Affiliation
National Cancer Center, Republic of Korea
Official's Role
Principal Investigator
Facility Information:
Facility Name
National Cancer Center
City
Goyang-si
State/Province
Gyeonggi-do
ZIP/Postal Code
410-769
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Oh Jae Hwan, MD, PhD
Phone
+8271047102
Email
jayoh@ncc.re.kr

12. IPD Sharing Statement

Learn more about this trial

Local Excision of Clinical T3 Rectal Adenocarcinoma Showing Major Response(ycT0-1) After Neoadjuvant Chemoradiotherapy

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