Status:

RECRUITING

Radiotherapy & Total Neoadjuvant Therapy for Recurrent Rectal Cancer in Previously Irradiated Patients, an Italian Association for Radiotherapy and Clinical Oncology (AIRO)-GI Platform: a Multi-centre Prospective Observational Study

Lead Sponsor:

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Conditions:

Rectal Neoplasm

Eligibility:

All Genders

18+ years

Brief Summary

The introduction of neoadjuvant chemoradiation therapy (CRT) and the use of advanced surgical techniques have led to a reduction in mortality and recurrence rates for rectal cancer, the rate of which ...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years old;
  • Eastern Cooperative Oncology Group (ECOG) 0-1;
  • Adequate hematological function, i.e.:
  • Granulocyte count \> 1500/µL;
  • Hemoglobin level \>10 g/dL;
  • Platelet count \> 100000/µL;
  • Alanine aminotransferase (ALT)/aspartate aminotransferase (AST): 7-45 international units (UI)/L.
  • Potentially curable Oligo-metastatic disease;
  • Life expectancy of more than 24 months;
  • Histologically (if feasible) or radiologically MRI (magnetic resonance imaging), if no contraindications, and CT (computed tomography) and/or Positron Emission Tomography scan (PET) proven pelvic local recurrent rectal cancer (LRRC);
  • Previous pelvic irradiation \> 6 months;
  • Availability of the previous treatment plan in DICOM format only (Digital Imaging and COmmunications in Medicine).

Exclusion

  • Age \<18 y.o.;
  • Pregnancy or lactating female patients;
  • Psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule (those conditions should be discussed with the patient before registration in the trial);
  • Important comorbidities (such as: severe cardiac or coagulative disease, moderate or severe restrictive/obstructive lung deficit, severe cognitive impairment, moderate and severe renal and hepatic impairment.
  • Refusal to sign written informed consent.

Key Trial Info

Start Date :

June 21 2023

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

June 5 2031

Estimated Enrollment :

88 Patients enrolled

Trial Details

Trial ID

NCT05984576

Start Date

June 21 2023

End Date

June 5 2031

Last Update

August 9 2023

Active Locations (1)

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1

Fondazione Policlinico Gemelli

Rome, Italy, 00168