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Phase 2 N=38 Randomized Treatment

Preoperative CRT With or Without Induction Chemotherapy for Rectal Cancer With Liver Metastases

Rectal Cancer · Liver Metastases

Enrolled (actual)
38
Serious AEs
0.0%
Results posted
Feb 2025
Primary outcome: Primary: Quality of Surgery for Primary Tumor — 2; 1; 15; 19 Participants — p=0.719

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Capecitabine, Oxaliplatin (Drug); Radiotherapy (Radiation)
Age
Adult, Older Adult · 20+ yrs
Sex
All
Sponsor
Asan Medical Center
Primary completion
Sep 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Quality of Surgery for Primary Tumor
2; 1; 15; 19; 1; 0 0.719
PRIMARY
Quality of Surgery for Liver Metastases
2; 1; 11; 12; 3; 2
PRIMARY
R0 Resection Rate of Both the Primary Tumor and Livermetastases
77.8; 70.0
SECONDARY
Pathologic Complete Response Rate of Primary Tumor
11.1; 5.0
SECONDARY
Tumor Regression Grade (Primary Tumor)
2; 1; 2; 1; 2; 4

Summary

To investigate the feasibility of preoperative chemoradiation with oxaliplatin plus capecitabine, with or without prior induction chemotherapy in patients with locally advanced or marginally resectable rectal cancer with resectable synchronous liver metastases.

Eligibility Criteria

Inclusion Criteria

  • Histologically confirmed adenocarcinoma of the rectum Tumor located within 12 cm from anal verge Clinical stage of T3-4 or N+ by rectal MRI ± endorectal ultrasound Age over 18 years No prior systemic treatment or radiation Adequate major organ functions Borderline resectability of primary rectal cancer Complete resectability of liver metastases (measurable by RECIST 1.1)

Exclusion Criteria

  • Unresectable liver metastases (6 or more metastatic lesions, major vessel invasion)
  • Extrahepatic metastasis
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01643070). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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