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NotablePrimary completion pushed from Aug 2026 to Sep 2029
Study completion pushed from Aug 2026 to Sep 2031
v21
MinorPublications: 12 to 13v20
MinorStudy sites: 29 to 30
Primary and study completion dates: Aug 2027 to Aug 2026
v19
MinorStudy sites: 27 to 29v18
MinorRe-verified, no change to tracked fieldsv17
Show 15 earlier versionsHide 15 earlier versions
MinorStudy sites revised (27)v16
MinorSite details revised at 7 of 27 sitesv15
MinorStudy sites: 26 to 27
Eligibility criteria shortened, about 6 words
v14
NotableEnrollment target: 430 to 1075v13
MinorStudy sites: 19 to 26
Eligibility criteria expanded, about 28 words
Secondary endpoints revised (25)
v12
NotableTrial status: Not Yet Recruiting to Recruiting
Study sites: 20 to 19
Start date changed from estimate of Nov 2021 to Nov 26, 2021
v11
NotableStart date: Sep 2021 to Nov 2021v10
MinorStudy sites: 19 to 20
Secondary endpoints: 22 to 25
v9
MinorEligibility criteria revised
Secondary endpoints: 21 to 22
v8
MinorStudy sites: 23 to 19v7
MinorEligibility criteria shortened, about 7 wordsv6
MinorEligibility criteria expanded, about 47 words
Secondary endpoints: 18 to 21
v5
NotablePrimary endpoints revised (2)v4Show 4 more changesShow less
Study sites: 28 to 23
Interventions: Early tumor response evaluation by MRI volumetry (Other), Induction chemotherapy - FOLFIRINOX regimen (Drug), Radical proctectomy with… to Early tumor response evaluation by MRI volumetry (Other), Induction chemotherapy - modified FOLFIRINOX regimen (Drug), Radical proctectomy…
Eligibility criteria expanded, about 10 words
Secondary endpoints: 22 to 18
MinorStudy sites: 0 to 28
Secondary endpoints: details revised at 1 of 22 entries
v3
MinorSecondary endpoints: 12 to 22v2
MinorStudy First Submitted
Stopped: an ongoing trial was terminated, suspended or withdrawn.
Notable: the trial’s plan changed such as a big move in its timeline or size, a new primary endpoint, sponsor or phase, or recruiting opened or resumed.
Minor: routine progress and housekeeping, such as sites added or enrollment closed.
Locally advanced rectal carcinoma raise the issue of both the oncological control, local and general, and the therapeutic morbidity. Surgery alone can cure only one out of two patients, radiochemotherapy improves the local control but the metastatic risk remains about 30% with enhanced postoperative morbidity and poor functional results. The tumor response to preoperative treatment is the major prognostic factor which revealed the aggressiveness of the tumor. To this day, there are no biologic predictive markers for tumor response.
The purpose of this trial is to tailor the management according to the early tumoral response after short and intensive induction chemotherapy. MRI volumetric tumor response will be used to distinguish between good responders and bad responders.
"Very good" responders will be randomized to either immediate surgery or radiochemotherapy followed by surgery (Standard arm: Cap 50).