Watch and Wait as Treatment for Patients With Rectal Cancer
Recruiting now · Not applicable
Conditions studied: Rectal Neoplasms
In brief
A national cohort study with all patients scheduled for neoadjuvant treatment with (chemo)radiotherapy or short course radiotherapy with delayed surgery 6-8 weeks) for rectal cancer staged as cT4bNX/anycTanycN and cMRF+/anycTanycN and lateral lymph nodes on MRI (and patients that have been offered short course raditotherapy with delayed surgery due to various reasons). The tumours are positioned midrectal or low and are palpable with the finger. The patients offered this treatment after recommendations on their local multidisciplinary tumour board will be will be informed and offered to participate in the study. Patients scheduled for short course radiotherapy with immediate surgery cannot be included.
Key facts
- Study ID
- NCT03125343
- Run by
- Sahlgrenska University Hospital
- People needed
- 400
- Starts
- 2017-01-01
- Expected to finish
- 2028-12-01
- Last updated by the study team
- 2023-11-07
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- All patients in Sweden with a palpable rectal cancer staged as cT4bNX/anycTanycN and cMRF+/anycTanycN and lateral lymph nodes on MRI considered appropriate for 5x5 Gy and 6-8 weeks of wait prior to surgery according to Stockholm III (28) or a palpable rectal cancer staged as cT4bNX/anycTanycN and cMRF+/anycTanycN and lateral lymph nodes on MRI a planned schedule for CRT according to the Swedish National Program for rectal cancer scheduled for neoadjuvant therapy are possible to include.
- The study includes two parts, where part one is optional in including hospitals. The aim of the biopsy substudy to identify tumour and plasma markers for complete response, thus all patients that will receive (chemo)radiotherapy in the neoadjuvant setting are included to provide a control for the biopsies.
- For the WoW part of the study all patients that achieve complete response after neoadjuvant treatment according to the specified criteria above can be included in the Watch and Wait protocol. In detail this includes patients with:
- Midrectal or low rectal cancers that are palpable and considered with an indication of 5x5 Gy and long wait (6-8 weeks) (the indication for waiting may be logistics, co-morbidity, advanced age):
- cT4bNX
- anycTanycN and cMRF+ anycTanycN and lateral lymph nodes on MRI
You may not qualify if…
- No informed consent received for participation.
- Patients with rectal cancer that is scheduled for (chemo) radiotherapy but is not palpable during rectal examination (10-15 cm) as this cannot be examined by digital examination and followed as scheduled.
- Contraindication for MRI such as presence of non compatible metallic implants or claustrophobia.
Where it is running
- Dept. of Surgery, Sahlgrenska University Hospital/Ostra — Gothenburg, Sweden (enrolling)
- Karolinska Institutet — Stockholm, Sweden (enrolling)
Full record on ClinicalTrials.gov
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