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Brief Title: Resource-Sparing Curative Treatment for Rectal Cancer
Official Title: Resource-Sparing Curative Treatment for Rectal Cancer
Study ID: NCT01459328
Brief Summary: This is a prospective, multicentre, randomized clinical trial comparing two different neo-adjuvant radiation-based strategies prior to intended surgery for locally advanced adenocarcinoma of the rectum. This trial may establish the investigational therapy to be superior to, or at least not inferior to conventional treatment.
Detailed Description: This phase III randomised clinical trial compares the outcome of two different neo-adjuvant radiation based treatments for locally advanced rectal carcinoma. This encompasses patients at risk for a positive circumfrential resection margin (CRM+) on baseline assessment imaging and pateints identified as being with a T-descriptor T4 at baseline assessment. The arms compared are as follows: * The investigational arm: short chemo-radiation course(25Gy in 5 daily fractions over 1 week) +/- surgery. * The conventional arm: protracted chemo-radiation course (50Gy in 25 daily fractions over 5 weeks combined with chemotherapy)+/- surgery. The outcomes include four domains: overall survival, biological effect, quality of life and health-related economics.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Centre Anti-Cancer, Hopital Franz Fanon, Blida, , Algeria
Hospital A.C. Camargo, Fundacao Antonio Prudente, Sao Paulo, , Brazil
Credit Valley Hospital, Mississauga, Ontario, Canada
Instituto Nacional de Cancerologia, Minesterio de Salud, Bogota D.C., , Colombia
Department of Oncology and Nuclear Medicine, University Hospital Sestre Milosrdnice, Zagreb, , Croatia
Ministerio de Cienca, Tecnologia y Medio Ambiente (CITMA), La Habana, , Cuba
Department of Radiation Oncology, V.N. Cancer Center, GKNM Hospital, Coimbatore, , India
Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, , India
Department of Radiotherapy, Dr. Cipto Mangunkusuma National General Hospital, University of Indonesia, Jakarta, , Indonesia
Instituto di Radiologia, Universita Cattolica del Sacro Cuore, Roma, , Italy
National Cancer Institute, Bratislava, , Slovakia
University of Cape Town, Cape Town, , South Africa
Name: Eduardo Rosenblatt
Affiliation: International Atomic Energy Agency
Role: PRINCIPAL_INVESTIGATOR