Surgery Plus Chemo Versus Chemoradiotherapy Followed by Surgery Plus Chemo for Locally Recurrent Rectal Cancer

PHASE3RecruitingINTERVENTIONAL
Enrollment

110

Participants

Timeline

Start Date

October 1, 2019

Primary Completion Date

August 31, 2025

Study Completion Date

October 31, 2028

Conditions
Rectal Cancer Recurrent
Interventions
DRUG

Chemotherapy

"Adjuvant chemotherapy: CAPOX or mFOLFOX6 or capecitabine or 5-FU+l-LV~CAPOX: oxaliplatin (130 mg/m2/day, day 1) and oral capecitabine (2000 mg/m2/day, twice daily, days 1-14)~mFOLOX6: oxaliplatin 85 mg/m2 with l-LV 200 mg/m2 for over 2 hours followed by a fluorouracil 400 mg/m2 bolus and 2400 mg/m2 continuous infusion over 46 hours.~Capecitabine: 2000 mg/m2/day, twice daily, days 1-14~5-FU+l-LV: leucovorin 200 mg/m2 for over 2 hours followed by a fluorouracil 400 mg/m2 bolus and 2400 mg/m2 continuous infusion for over 46 hours"

RADIATION

Preoperative radiotherapy

"Preoperative chemoradiotherapy (CRT) followed by Surgery plus Adjuvant chemotherapy~Preoperative CRT: capecitabine (1650 mg/m2/day) and radiotherapy (50.4 Gy/28 Fr)"

OTHER

Procedure

"Surgery for Locally Recurrent Rectal Cancer (LRRC) will be performed within 42 days from registration for the patients in arm A, and between days 56 and 98 from the completion of the preCRT for the patients in arm B.~Appropriate surgical procedure will be performed to achieve R0 resection, such as low anterior resection, super low anterior resection, intersphincteric resection, Hartmann procedure, rectal amputation, pelvic exenteration, tumor resection, or lateral lymph node dissection"

Trial Locations (45)

Unknown

RECRUITING

Chiba Cancer Center, Chiba

RECRUITING

Gifu University School of Medicine, Gifu

NOT_YET_RECRUITING

Saitama Medical University International Medical Center, Hidaka

NOT_YET_RECRUITING

Kansai Medical University Hospital, Hirakata

RECRUITING

Hiroshima City Asa Citizens Hospital, Hiroshima

RECRUITING

Hiroshima City Hospital, Hiroshima

RECRUITING

Shimane University Faculty of Medicine, Izumo

RECRUITING

Ishikawa Prefectural Central Hospital, Kanazawa

RECRUITING

National Cancer Center Hospital East, Kashiwa

RECRUITING

Saitama Medical Center, Saitama Medical University, Kawagoe

RECRUITING

Kochi Health Sciences Center, Kochi

RECRUITING

Kumamoto University Hospital, Kumamoto

RECRUITING

Kurashiki Central Hospital, Kurashiki

RECRUITING

Kurume University School of Medicine, Kurume

RECRUITING

National Hospital Organization Shikoku Cancer Center, Matsuyama

RECRUITING

Kyorin University Faculty of Medicine, Mitaka

NOT_YET_RECRUITING

Iwate Medical University, Morioka

NOT_YET_RECRUITING

Nagoya University Graduate School of Medicine, Nagoya

RECRUITING

Niigata Cancer Center Hospital, Niigata

RECRUITING

Hyogo College of Medicine, Nishinomiya

RECRUITING

Okayama Saiseikai General Hospital, Okayama

RECRUITING

National Hospital Organization Osaka National Hospital, Osaka

RECRUITING

Osaka City General Hospital, Osaka

RECRUITING

Ogaki Municipal Hospital, Ōgaki

RECRUITING

Gunma Prefectural Cancer Center, Ōta-ku

RECRUITING

Saitama Cancer Center, Saitama

RECRUITING

Sapporo-Kosei General Hospital, Sapporo

RECRUITING

Miyagi Cancer Center, Sendai

RECRUITING

Shizuoka Cancer Center, Shizuoka

RECRUITING

Osaka University Graduate School of Medicine, Suita

RECRUITING

Suita Municipal Hospital, Suita

RECRUITING

Osaka Medical College, Takatsuki

RECRUITING

National Defense Medical College, Tokorozawa

RECRUITING

National Cancer Center Hospital, Tokyo

RECRUITING

Toho University Ohashi Medical Center, Tokyo

NOT_YET_RECRUITING

Toho University Omori Medical Center, Tokyo

RECRUITING

Tokyo Medical and Dental University Hospital, Tokyo

RECRUITING

Tokyo Medical University Hospital, Tokyo

RECRUITING

Tokyo Metropolitan Cancer and Infectious diseases Center Komagome Hospital, Tokyo

RECRUITING

Tochigi Cancer Center, Utsunomiya

RECRUITING

Yamagata Prefectural Central Hospital, Yamagata

RECRUITING

Kanagawa Cancer Center, Yokohama

RECRUITING

Saiseikai Yokohama-shi Nanbu Hospital, Yokohama

RECRUITING

Yokohama City University Medical Center, Yokohama

RECRUITING

Oita University Faculty of Medicine, Yufu

All Listed Sponsors
collaborator

Japan Clinical Oncology Group

OTHER

collaborator

Japan Agency for Medical Research and Development

OTHER_GOV

lead

National Cancer Center Hospital East

OTHER