Status:

COMPLETED

Radiation Therapy With or Without Chemotherapy Before Surgery in Treating Patients With Stage II or Stage III Rectal Cancer

Lead Sponsor:

Federation Francophone de Cancerologie Digestive

Conditions:

Colorectal Cancer

Eligibility:

All Genders

18-75 years

Phase:

PHASE3

Brief Summary

RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy, such as fluorouracil and leucovorin, work in different ways to stop the growth of tumor cells, eit...

Detailed Description

OBJECTIVES: * Compare the recurrence-free and overall survival of patients with resectable stage II or III adenocarcinoma of the rectum treated with neoadjuvant radiotherapy with or without concurren...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed adenocarcinoma of the rectum meeting 1 of the following stage criteria:
  • Stage T3, N0-2, M0 disease meeting 1 of the following criteria:
  • Invasive disease in entire circumference (circular tumor)
  • Tumor fixed laterally or posteriorly to pelvic structures
  • Tumor adherent to the prostate and/or seminal vesicles
  • Tumor infiltration into the vaginal-rectal septum
  • Tumor classified as uT3 by rectal endoscopy
  • Stage T4, N0-2, M0 disease meeting 1 of the following criteria:
  • Clinical or radiologic evidence of pelvic organ extension (vagina, prostate, seminal vesicles, or bladder)
  • Tumor extension to the anal canal or sphincter
  • Tumor classified as uT4 by rectal endoscopy
  • Tumor accessible by digital rectal exam
  • Resectable disease
  • No distant metastases
  • PATIENT CHARACTERISTICS:
  • WHO performance status 0-1
  • Creatinine \< 1.36 mg/dL
  • Granulocyte count \> 2,000/mm\^3
  • Platelet count \> 130,000/mm\^3
  • No progressive ischemic cardiomyopathy
  • No acute or chronic obstruction unless treated with diversion colostomy
  • No chronic inflammation of the ileum and/or colon
  • No other prior or concurrent malignancy except basal cell skin cancer or carcinoma in situ of the cervix
  • PRIOR CONCURRENT THERAPY:
  • No prior chemotherapy, radiotherapy, or surgery for this cancer

Exclusion

    Key Trial Info

    Start Date :

    April 1 1993

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    August 1 2008

    Estimated Enrollment :

    762 Patients enrolled

    Trial Details

    Trial ID

    NCT00296608

    Start Date

    April 1 1993

    End Date

    August 1 2008

    Last Update

    May 30 2016

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