Actively Recruiting

Phase 2
Age: 18Years - 80Years
All Genders
NCT06718543

Neoadjuvant Short-Course Radiotherapy With or Without Chemotherapy and AK112 in Locally Advanced Rectal Cancer

Led by fan li · Updated on 2025-04-10

100

Participants Needed

1

Research Sites

141 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This phase II multicenter, randomized study evaluates the safety and efficacy of neoadjuvant short-course radiotherapy (SCRT) sequentially combined with AK112 (Envafolimab) with or without chemotherapy in patients with locally advanced rectal cancer (LARC). The study also aims to identify biomarkers predicting tumor response and develop efficacy prediction models.

CONDITIONS

Official Title

Neoadjuvant Short-Course Radiotherapy With or Without Chemotherapy and AK112 in Locally Advanced Rectal Cancer

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed written informed consent.
  • Age 18-80 years, male or female.
  • Histologically confirmed rectal adenocarcinoma.
  • Clinical baseline stage T3-4NxM0 or TxN1-2M0 by MRI assessment.
  • Able to swallow tablets.
  • ECOG Performance Status of 0-1.
  • No prior treatment for rectal cancer, including surgery, radiotherapy, chemotherapy, immunotherapy, or targeted therapy.
  • Fit for surgery with no contraindications.
  • Normal organ function.
  • Tumor �3 cm from the anal verge.
Not Eligible

You will not qualify if you...

  • Allergy to monoclonal antibodies, AK112 components, or CapeOX regimen.
  • Previous or current use of immune checkpoint inhibitors or immune-related treatments.
  • Active autoimmune diseases or history of significant autoimmune conditions.
  • Immunodeficiency disorders or history of organ/bone marrow transplantation.
  • Uncontrolled cardiovascular conditions (e.g., heart failure, unstable angina, recent MI).
  • Severe infection within 4 weeks or active pulmonary infections.
  • Active hepatitis B or C infection.
  • Diagnosis of other malignancies within 5 years (except low-risk cancers).
  • Pregnant or breastfeeding women.

AI-Screening

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Trial Site Locations

Total: 1 location

1

Daping Hospital

Chongqing, Chongqing Municipality, China, 400000

Actively Recruiting

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Research Team

F

Fan LI, PhD

CONTACT

H

Haode Shen, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Neoadjuvant Short-Course Radiotherapy With or Without Chemotherapy and AK112 in Locally Advanced Rectal Cancer | DecenTrialz