Status:

UNKNOWN

IMRT-SIB and Capecitabine in Preoperative Rectal Cancer Treatment

Lead Sponsor:

Institute of Oncology Ljubljana

Conditions:

Rectal Carcinoma

Eligibility:

All Genders

18-90 years

Phase:

PHASE2

Brief Summary

RATIONALE: Using small radiation beamlets of different intensity, IMRT (intensity modulated radiation therapy) allows shaping the dose around planning target volume with better sparing of normal tissu...

Eligibility Criteria

Inclusion

  • Biopsy-proven newly diagnosed primary rectal adenocarcinoma
  • Locally advanced tumor fulfilling at least one of the following criteria on pelvic MRI:
  • T ≥ 3 or
  • N ≥ 1
  • Positive mesorectal fascia (MRF), i.e. tumor or lymph node one mm or less from the mesorectal fascia
  • Tumor located od 0 - 15 cm above anocutaneous junction or below peritoneum
  • Age 18 years and more
  • Signed informed consent
  • WHO Performance Status 0-2
  • Patients is considered to be mentally and physically ft for chemotherapy as judged by oncologist
  • Adequate hematological, hepatic and renal function (WBC ≥ 3.0 x 109/L, neu ≥ 1.5 x 109/L, platelet count ≥ 100 x 109/L, renal clearance ≥ 50 ml/min, bilirubin ≤ 3x normal value, aspartate transaminase/alanine transaminase (AST/ALT) ≤ 2,5x normal value)

Exclusion

  • T4 inoperable tumor - extensive growth into cranial part of the sacrum (above S3) or the lumbosacral nerve roots
  • Metastatic or recurrent rectal cancer
  • Other co-existing malignancy or malignancy within the past 5 years, with the exception of adequately treated in situ carcinoma of the cervix or basal cell carcinoma of the skin
  • Chronic bowel inflammatory disease
  • Pregnant or lactating patient
  • Significant heart disease (uncontrolled hypertension despite of medication (\> 150/100 mmHg), New York Heart Association (NYHA) class III or IV heart disease,unstable angina or myocardial infarction within the past 1 year prior the study entry, history of significant ventricular arrhythmia requiring treatment)
  • Inability to consciously sign the consent form due to physical or psychological disabilities

Key Trial Info

Start Date :

January 1 2014

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2020

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT02268006

Start Date

January 1 2014

End Date

December 1 2020

Last Update

October 20 2014

Active Locations (1)

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1

Institute of Oncology

Ljubljana, Slovenia, 1000