Status:

COMPLETED

Short-course Radiotherapy Based TNT Combined With PD-1 Inhibitor for Locally Advanced Rectal Cancer

Lead Sponsor:

Fudan University

Conditions:

Locally Advanced Rectal Cancer

Eligibility:

All Genders

18-70 years

Phase:

PHASE2

Brief Summary

TORCH is a prospective, multicentre, randomized phase II trial. 130 LARC (T3-4/N+M0, distance from anal verge ≤12cm) patients will be treated with total neoadjuvant therapy (TNT) and assigned to Group...

Eligibility Criteria

Inclusion

  • Pathological confrmed adenocarcinoma
  • Clinical stage T3-4 and/or N+
  • The distance from anal verge ≤12 cm
  • Without distance metastases
  • Age 18-70 years old, female and male
  • KPS \> =70
  • Baseline blood and biochemical indicators meet the following criteria: neutrophils≥1.5×10\^9/L, Hb≥90 g/L, PLT≥100×10\^9/L, ALT/AST≤2.5 ULN, Cr≤1 ULN
  • With good compliance and signed the consent form

Exclusion

  • Pregnancy or breast-feeding women
  • Known history of other malignancies within 5 years
  • Known history of previous anti-tumor treatment, including radiotherapy, chemotherapy, immune checkpoint inhibitors, T cell-related therapy, etc
  • Known history of severe neurological or mental illness (such as schizophrenia, dementia or epilepsy)
  • Current severe cardiac disease (cardiac dysfunction and arrhythmia), renal dysfunction and liver dysfunction
  • Acute cardiac infarction or cerebral ischemic stroke occurred within 6 months before recruitment
  • Uncontrolled infection which needs systemic therapy
  • Active autoimmune disease or immunodefciencies, known history of organ transplantation or systematic use of immunosuppressive agents
  • Known history of human immunodefciency virus (HIV) infection (i.e., HIV 1 to 2 antibody positive), active syphilis infection, active pulmonary tuberculosis infection
  • Active Hepatitis B virus (HBV) or hepatitis C virus (HCV) infection at screening (i.e., HBsAg positive or HBV DNA positive, HCV RNA positive if anti-HCV antibody testing positive)
  • Allergic to any component of the therapy

Key Trial Info

Start Date :

May 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2025

Estimated Enrollment :

130 Patients enrolled

Trial Details

Trial ID

NCT04518280

Start Date

May 1 2021

End Date

January 1 2025

Last Update

January 17 2025

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Shanghai Changhai Hospital

Shanghai, Shanghai Municipality, China, 200032

2

Zhen Zhang

Shanghai, Shanghai Municipality, China, 200032

3

Shanghai East Hospital

Shanghai, China