CClinicalTrials.gg
Status unknownNCT00254683Updated Apr 14, 2009

Use of Positron Emission Tomography/Computed Tomography (PET/CT) to Assess Tumor Response to Neoadjuvant Treatment for Distal Rectal Cancer

A Phase 2 interventional study of PET/CT with FDG in Rectal Cancer, sponsored by University of Sao Paulo. Status unknown at 1 site in Brazil. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2009-04-14.

Sponsored by University of Sao Paulo · Phase 2, Interventional, and Diagnostic

The sponsor has not verified this record recently (last verified Apr 2009), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Preoperative chemoradiation therapy is the preferred initial treatment option for distal rectal cancers. However, assessing tumor response to preoperative chemoradiation therapy remains a challenge to the colorectal surgeon, especially when determining if there is a complete response, observed in more than 10% of cases. The purpose of this study is to evaluate the use of the PET/CT in assessing distal rectal tumor response to preoperative chemoradiation therapy.

Read the detailed description

Patients with distal rectal adenocarcinoma will be submitted to an initial whole body PET/CT prior to the preoperative chemoradiation therapy with 5-fluorouracil and 5040 cGy. Six weeks and 12 weeks after the preoperative treatment is finished the PET/CT will be repeated. At 1 and at 2 years after preoperative treatment is concluded another PET/CT will be performed. The colorectal surgeon evaluating the response to chemoradiation therapy will be blinded to the results of the PET/CT, as the radiologist will be blinded to the response assessment. PET/CT results will not be used to determine treatment strategy, unless metastatic disease or other disease is diagnosed. Patients with a complete clinical response at 8 weeks will be rigorously followed while patients with an incomplete clinical response at 8 weeks will be submitted to radical surgery. PET/CT results will be compared to current radiological studies and final pathological reports.

02

Conditions studied

  • Rectal Cancer

Browse trials for

Keywords

  • Rectal Cancer
  • Positron Emission Tomography
  • Fluorodeoxyglucose F18
  • Computed Tomography
  • Neoadjuvant Therapy
  • Chemotherapy
  • Radiotherapy
03

In context

Rectal Neoplasms

1,762 studies on the registry are indexed under Rectal Neoplasms; 518 are open to participants now.

This study's planned enrollment of 100 is above the median of 65 across 1,298 interventional studies indexed under Rectal Neoplasms.

Browse Rectal Neoplasms studies →

Lead sponsor

University of Sao Paulo is the lead sponsor of 1,005 studies on the registry; 90 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of Rectal Adenocarcinoma
  • Location of Tumor less than 7cm from Anal Verge

Exclusion criteria

Exclusion Criteria:

  • Pregnancy or Nursing
  • Metastatic Disease (Stage IV disease)
  • Previous treatment for any cancer
  • Patients clinically unable to receive neoadjuvant chemoradiotherapy
  • Hypersensitivity to 18FDG
05

Study design

Phase
Phase 2
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Single group
Masking
Double (Investigator, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    PET/CT

    Single arm study evaluating the use of PET/CT to assess rectal cancer response to neoadjuvant therapy

    Device: PET/CT with FDG

Interventions

  • DevicePET/CT with FDG

    PET/CT before start of neoadjuvant CRT, at 6 weeks, 12 weeks, following CRT completion and 12mo, 24mo following CRT for those considered complete responders

    Also known as: PET-CT

06

What researchers measure

Primary outcomes

  1. PET/CT specificity and sensitivity for tumor response

    Time frame: Response assesment at 6 and 8 weeks following neoadjuvant therapy

Secondary outcomes

  1. Correlation between PET/CT and complete clinical Response

    Time frame: 2 years following completion of neoadjuvant therapy

07

Study locations

1 of 1 sites recruiting
  • Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
    São Paulo, SP 05403-010, Brazil
    Recruiting
08

References and documents

Publications

  • Habr-Gama A, Perez RO, Sao Juliao GP, Proscurshim I, Fernandez LM, Figueiredo MN, Gama-Rodrigues J, Buchpiguel CA. Consolidation chemotherapy during neoadjuvant chemoradiation (CRT) for distal rectal cancer leads to sustained decrease in tumor metabolism when compared to standard CRT regimen. Radiat Oncol. 2016 Feb 24;11:24. doi: 10.1186/s13014-016-0598-6. PubMed 26911200 ↗
  • Perez RO, Habr-Gama A, Sao Juliao GP, Lynn PB, Sabbagh C, Proscurshim I, Campos FG, Gama-Rodrigues J, Nahas SC, Buchpiguel CA. Predicting complete response to neoadjuvant CRT for distal rectal cancer using sequential PET/CT imaging. Tech Coloproctol. 2014 Aug;18(8):699-708. doi: 10.1007/s10151-013-1113-9. Epub 2014 Feb 8. PubMed 24509716 ↗
  • Perez RO, Habr-Gama A, Sao Juliao GP, Gama-Rodrigues J, Sousa AH Jr, Campos FG, Imperiale AR, Lynn PB, Proscurshim I, Nahas SC, Ono CR, Buchpiguel CA. Optimal timing for assessment of tumor response to neoadjuvant chemoradiation in patients with rectal cancer: do all patients benefit from waiting longer than 6 weeks? Int J Radiat Oncol Biol Phys. 2012 Dec 1;84(5):1159-65. doi: 10.1016/j.ijrobp.2012.01.096. Epub 2012 May 12. PubMed 22580120 ↗
  • Perez RO, Habr-Gama A, Gama-Rodrigues J, Proscurshim I, Juliao GP, Lynn P, Ono CR, Campos FG, Silva e Sousa AH Jr, Imperiale AR, Nahas SC, Buchpiguel CA. Accuracy of positron emission tomography/computed tomography and clinical assessment in the detection of complete rectal tumor regression after neoadjuvant chemoradiation: long-term results of a prospective trial (National Clinical Trial 00254683). Cancer. 2012 Jul 15;118(14):3501-11. doi: 10.1002/cncr.26644. Epub 2011 Nov 15. PubMed 22086847 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 14, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00254683
Lead sponsor
University of Sao Paulo
First posted
Nov 16, 2005
Start date
Sep 2005
Primary completion
Aug 2010 (estimated)
Completion
Sep 2015 (estimated)
Last update
Apr 14, 2009

Study contacts

Rodrigo O Perez, MD
Contact
rodrigo.operez@gmail.com
55-11-3887-1757
Igor Proscurshim, MD
Contact
praksurkin@gmail.com
55-11 9993-4253
Angelita Habr-Gama, MD, PhD
study director · University of São Paulo School of Medicine - Department of Gastroenterology
Rodrigo O Perez, MD
principal investigator · University of São Paulo School of Medicine - Department of Gastroenterology
Joaquim J Gama-Rodrigues, MD, PhD
study chair · University of São Paulo School of Medicine - Department of Gastroenterology
Carlos A Buchpiguel, MD, PhD
principal investigator · University of São Paulo School of Medicine - Department of Radiology
Desedério R Kiss, MD, PhD
principal investigator · University of São Paulo School of Medicine - Department of Gastroenterology

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2009. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion