Induction Chemotherapy Before or After Preoperative Chemoradiotherapy and Surgery for Locally Advanced Rectal Cancer

PHASE2CompletedINTERVENTIONAL
Enrollment

311

Participants

Timeline

Start Date

March 25, 2015

Primary Completion Date

September 30, 2018

Study Completion Date

June 16, 2023

Conditions
Rectal NeoplasmsRectal Cancer Stage IIRectal Cancer Stage III
Interventions
DRUG

Induction Chemotherapy arm A

"Patients receive three induction chemotherapy cycles, starting on day 1, 15 and 29, consisting of:~Folinic acid: 400 mg/sqm, 2h-iv; Oxaliplatin: 100 mg/sqm, 2h-iv; 5-FU: 2400 mg/sqm, 46h-iv~After a break of two weeks, radiotherapy starts combined with:~5-FU: 250 mg/sqm per day, iv, on day 43-57, day 64-77 Oxaliplatin: 50 mg/sqm, day 43, 50, 64, and 71"

RADIATION

Radiation arm A

Radiotherapy: 28 x 1.8 Gy (total: 50.4 Gy), 5 fractions per week on day 43 -80

RADIATION

Radiation arm B

Radiotherapy: 28 x 1.8 Gy (total: 50.4 Gy), 5 fractions per week on day 1- 38

DRUG

Chemotherapy arm B

"chemoradiotherapy is started according to the following schedule: 5-FU: 250 mg/sqm per day, iv, on day 1-14, day 22-35; Oxaliplatin: 50 mg/sqm, day 1, 8, 22, and 29.~After a break of two and a half weeks, patients receive three chemotherapy cycles, starting on day 57, 71 and 85, consisting of:~Folinic acid: 400 mg/sqm, 2h-iv; Oxaliplatin: 100 mg/sqm, 2h-iv; 5-FU: 2400 mg/sqm, 46h-iv"

PROCEDURE

Surgery

Surgery should be performed about 5 (arm B) or 6 (arm A) weeks after the last radiation or chemotherapy, i.e. around day 123

Trial Locations (20)

60590

University Hospital Frankfurt Goethe University, Frankfurt

Unknown

University Clinic, Erlangen

RWTH Aachen, Aachen

University Clinic, Bochum

Clinic for Radiotherapy, Chemnitz

Diacura Clinic for Radiotherapy, Coburg

Internist Practice, Dresden

University Clinic, Dresden

University Clinic, Esslingen am Neckar

University Clinic, Freiburg im Breisgau

HELIOS Park-Klinikum Leipzig, Leipzig

University Clinic, Leipzig

University Clinic, Mannheim

Hospital Miria Hilf, Mönchengladbach

Pius Hospital Oldenburg, Oldenburg

University Clinic, Oldenburg

Hospital Barmherziger Brueder, Regensburg

University Clinic, Regensburg

University Clinic, Rostock

University Clinic, Würzburg

All Listed Sponsors
collaborator

Johann Wolfgang Goethe University Hospital

OTHER

collaborator

Deutsche Krebshilfe e.V., Bonn (Germany)

OTHER

lead

Prof. Dr. med. Claus Rödel

OTHER

NCT02363374 - Induction Chemotherapy Before or After Preoperative Chemoradiotherapy and Surgery for Locally Advanced Rectal Cancer | Biotech Hunter | Biotech Hunter