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Status unknownNCT01157806Updated Feb 16, 2011

Palliative Radiochemotherapy Against Palliative Surgery in Stage IV Rectal Cancer With Unresectable Metastases

A Phase 2 interventional study of short course of palliative radiotherapy in Rectal Cancer, sponsored by Maria Sklodowska-Curie National Research Institute of Oncology. Status unknown at 1 site in Poland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2011-02-16.

Sponsored by Maria Sklodowska-Curie National Research Institute of Oncology · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2011), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

Short course palliative radiotherapy (5x5Gy)to the pelvis in patients with symptomatic rectal tumours and with unresectable metastases may prevent palliative surgery with a good palliative outcome.The consolidating chemotherapy of XELOX may increase the efficacy of irradiation.

Read the detailed description

Patients with symptomatic rectal cancer and unresectable metastases receive 25 Gy in 5 fractions of 5 Gy over 5 days to the pelvis and XELOX consolidating chemotherapy after one week. Investigators arbitrarily assumed that palliative radiotherapy to the pelvis can replace the immediate surgery if at least 30% of patients would avoid delayed surgery until the end of their lives, or for at least 18 months in the case of long-term survival.

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Conditions studied

  • Rectal Cancer

Keywords

  • rectal cancer
  • unresectable synchronous metastases
  • pelvic radiochemotherapy
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In context

Neoplasm Metastasis

3,517 studies on the registry are indexed under Neoplasm Metastasis; 885 are open to participants now.

This study's planned enrollment of 20 is below the median of 54 across 2,767 interventional studies indexed under Neoplasm Metastasis.

Browse Neoplasm Metastasis studies →

Lead sponsor

Maria Sklodowska-Curie National Research Institute of Oncology is the lead sponsor of 63 studies on the registry; 16 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • Histologically confirmed primary carcinoma of the rectum (Lower border of tumour ≤ 10 cm from anal verge)
  • Occurrence of subjective clinical symptoms of the primary tumor
  • Non-resectable synchronous distant metastases. The decision of non-resectable metastases will be made at multidisciplinary clinical meetings.

Exclusion criteria

Exclusion Criteria:

  • Obstruction of the gastrointestinal tract
  • Previously constructed stoma
  • prior radiotherapy of the pelvis
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    radiochemotherapy instead of surgery

    Radiation: short course of palliative radiotherapy

Interventions

  • Radiationshort course of palliative radiotherapy

    5x5 Gy + XELOX 7 days after radiotherapy

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What researchers measure

Primary outcomes

  1. percentage of patients not requiring palliative surgery during the follow-up

    Time frame: every three months

Secondary outcomes

  1. The rate of early toxicity of radiotherapy according to the NCI CTCAE (version 3.0)

    Assess prospectively by filling forms.

    Time frame: 3 months

  2. Palliative effect of radiotherapy

    Assessment of radiochemotherpy effectivenes by patients using questionaire.

    Time frame: every three months

  3. Time from palliative radiotherapy to delayed palliative surgery

    Time frame: 18 months

  4. Determination of prognostic factors indicating the need for immediate palliative surgery.

    Time frame: 18 months

07

Study locations

1 of 1 sites recruiting
  • M. Sklodowska-Curie Memorial Cancer Centre
    Warsaw, 02-781, Poland
    • Krzysztof Bujko, Prof. · Contact · bujko@coi.waw.pl · +48226439287
    • Krzysztof Bujko, Prof. · Principal investigator
    Recruiting
08

References and documents

Publications

  • Tyc-Szczepaniak D, Wyrwicz L, Kepka L, Michalski W, Olszyna-Serementa M, Palucki J, Pietrzak L, Rutkowski A, Bujko K. Palliative radiotherapy and chemotherapy instead of surgery in symptomatic rectal cancer with synchronous unresectable metastases: a phase II study. Ann Oncol. 2013 Nov;24(11):2829-34. doi: 10.1093/annonc/mdt363. Epub 2013 Sep 6. PubMed 24013512 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 16, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01157806
Lead sponsor
Maria Sklodowska-Curie National Research Institute of Oncology
First posted
Jul 7, 2010
Start date
Jan 2010
Primary completion
Dec 2010 (estimated)
Completion
Jun 2012 (estimated)
Last update
Feb 16, 2011

Study contacts

Wojciech Michalski, M. S.
Contact
W.Michalski@coi.waw.pl
+48226433909
: Krzysztof Bujko, Prof.
Contact
bujko@coi.waw.pl
+48226439287
Krzysztof Bujko, Prof.
principal investigator · M. Sklodowska-Curie Memorial Cancer Centre Warsaw, Poland

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2011. You cannot join it, but the record below documents what was studied.

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