Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT04109755

Neo-adjuvant Pembrolizumab and Radiotherapy in Localised MSS Rectal Cancer

Led by University Hospital, Geneva · Updated on 2021-09-30

25

Participants Needed

1

Research Sites

404 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This project investigates the clinical and biological impact of combining immunotherapy (pembrolizumab) with short course radiotherapy (5Gy, five times) in the neo-adjuvant treatment of localised microsatellite stable (MSS) rectal cancer.

CONDITIONS

Official Title

Neo-adjuvant Pembrolizumab and Radiotherapy in Localised MSS Rectal Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male or female participants aged 18 years or older with confirmed rectal adenocarcinoma
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
  • Patients with previously untreated localized T3-T4 N0 or T any or N1-2, M0 rectal adenocarcinoma
  • Tumor must be microsatellite stable (MSS)
  • Recommendation by a multi-disciplinary tumor board for neo-adjuvant short course radiotherapy and surgery
  • Provision of archival or newly obtained tumor tissue sample, preferably formalin-fixed paraffin embedded (FFPE) blocks
  • Adequate organ function as defined and specimens collected within 10 days before study treatment start
Not Eligible

You will not qualify if you...

  • Presence of microsatellite instable tumor (MSI-High)
  • Prior therapy with anti-PD-1, anti-PD-L1, anti-PD-L2 agents, or other stimulatory/co-inhibitory T-cell receptor agents
  • Prior systemic anti-cancer therapy or investigational agents for the same disease before pembrolizumab
  • Prior radiotherapy for the same disease; recovery required if prior radiotherapy for another disease
  • Receipt of live vaccines within 30 days before first study drug dose
  • Participation in another investigational study or use of investigational device within 4 weeks before first study drug dose
  • Diagnosis of immunodeficiency or use of systemic steroid therapy over 10 mg prednisone daily within 7 days before first drug dose
  • Known progressing additional malignancy requiring active treatment within past 3 years (except certain skin or in situ cancers)
  • Known active CNS metastases or carcinomatous meningitis without stable status
  • Severe hypersensitivity (Grade 3 or higher) to pembrolizumab or its excipients
  • Active autoimmune disease requiring systemic treatment in past 2 years
  • History of pneumonitis requiring steroids or current pneumonitis
  • Active infection requiring systemic therapy
  • Known history of HIV, active Hepatitis B or C infection
  • Known history of active tuberculosis
  • Conditions or therapies that may interfere with study results or participation
  • Psychiatric or substance abuse disorders interfering with trial cooperation

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Hôpitaux Universitaires de Genève

Geneva, Switzerland, 1205

Actively Recruiting

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Research Team

T

Thibaud Kössler, MD PhD

CONTACT

S

Sandra Bettinelli Riccardi, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Neo-adjuvant Pembrolizumab and Radiotherapy in Localised MSS Rectal Cancer | DecenTrialz