124
Participants
Start Date
November 30, 2024
Primary Completion Date
November 30, 2027
Study Completion Date
November 30, 2028
Ultrafractionated RT and CGA Guided systemic treatment.
in cohort 1, all patients will receive Ultrafractionated RT (1Fx every 3 or 4weeks) and Sintilimab (q3w). Furthermore, CGA will assess all patients and classify them into Frail, Vulnerabe, or Fit. Frail patients will receive Best Supportive Care (BSC); Vulnerabe patients will receive Fluorouracil/Raltitrexed and BSC; Fit patients will receive Fluorouracil/Raltitrexed, Oxaliplatin/Irinotecan, and BSC.
data prospectively collected
in cohort 2, external control from real word, data of patients with the same baseline characteristics from the same period and the same institute will be prospectively collected.
Ultrafractionated Radiotherapy
1Fx every 3 or 4weeks
Sintilimab
200 mg q3w
Fluorouracil
5-Fluorouracil or capecitabine
Raltitrexed
Raltitrexed
Oxaliplatin
Oxaliplatin
Irinotecan (CPT-11)
irinotecan
Fudan University
OTHER