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CompletedNCT02849158FibroRectUpdated Dec 4, 2023

Fibroblast Before and After Neoadjuvant Chemo-radiotherapy in Patient With Locally Advanced Rectal Adenocarcinoma

An interventional study of Biopsy in Rectum Adenocarcinoma, sponsored by Institut Curie. Completed at 3 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-04.

Sponsored by Institut Curie · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
14
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

Single center interventional study to explore activity of fibroblasts in the tumor and away in the healthy rectal tissue.

Read the detailed description

Patients included in the trial will have new biopsy performed before starting the Radiation Therapy and Chemotherapy (RT-CT). These biopsies will study the activity of fibroblasts in the tumor and away in the healthy rectal tissue. Within 8 to 10 weeks after the end of RT-CT, patients will have cancer surgery by proctectomy (with complete removal of the meso-rectum). On the resection specimen, new samples will be taken at the level of the tumor and away from the rectum.This study is single center interventional exploratory .

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Conditions studied

  • Rectum Adenocarcinoma

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Keywords

  • Rectoscopy
  • Proctectomy
  • Fibroblasts
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In context

Adenocarcinoma

2,004 studies on the registry are indexed under Adenocarcinoma; 374 are open to participants now.

This study's enrollment of 14 is below the median of 45 across 1,553 interventional studies indexed under Adenocarcinoma.

Browse Adenocarcinoma studies →

Lead sponsor

Institut Curie is the lead sponsor of 134 studies on the registry; 28 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

  1. Middle rectum adenocarcinoma Tumor(T)x Node (N)+ or T3 /T4 N0 or N+
  2. Classification done on pelvic Magnetic Resonance Imaging (MRI) and rectal ultrasonography
  3. Age ≥ 18
  4. No contraindication to treatment with capecitabine
  5. Able to receive radiotherapy 50 Grays in 5 weeks
  6. No contraindication for surgery after chemoradiotherapy which will be 8 to 10 weeks after completion of chemoradiotherapy
  7. Patient or legal representative provided with information and signature of informed consent

Exclusion criteria

Exclusion Criteria:

  1. High rectum adenocarcinoma
  2. Contraindication to rectal biopsy: including anti-coagulants or anti-platelet agents (vitamin K antagonists, clopidogrel, aspirin > 160 grams) that cannot be interrupted
  3. Pregnant woman or breastfeeding
  4. Persons deprived of their liberty, or under guardianship
  5. Impossibility of undergoing the trial's medical follow-up for geographical, social or psychological reasons.
  6. Patient already included in another therapeutic trial with an experimental medication during the realization of protocol biopsies and surgery
  7. Patient not covered by health insurance
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
14 participants (actual)

Study arms

  • Experimental
    Biopsy

    Patients will have new biopsy before starting RT-CT and samples will be taken on rectum surgery at the level of the tumor and away from the rectum.

    Other: Biopsy

Interventions

  • OtherBiopsy

    Rectoscopy with biopsy

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What researchers measure

Primary outcomes

  1. Proteomic level evaluation in intra-tumor fibroblast

    Proteomic level is assessed before and after radiochemotherapy using SILAC technic (Stable Isotope Labeling by Amino acids in Cell culture)

    Time frame: 3 years

Secondary outcomes

  1. Study of fibroblast impact on colorectal tumor cells (in vitro)

    In vitro analysis including tumor cells characteristics: proliferation, invasive potential, stem cells phenotype).

    Time frame: 3 years

Other outcomes

  1. Metastatic spread evaluation

    On a mouse model of orthotopic rectal cancer, assessment of the potential and metastatic tumor growth

    Time frame: 3 years

  2. Outcomes 1 to 3 correlation with histological response after RT-CT

    Histological response after RT-CT assessed according to the tumor regression grading - Dworak 1997

    Time frame: 3 years

  3. Disease-free survival

    Disease-free Survival assessment

    Time frame: 5 years

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Study locations

3 sites
  • Institut Curie
    Paris, Ile De France 75248, France
  • Institut Curie - Hôpital René Huguenin
    Saint-Cloud, Ile De France 92210, France
  • INSTITUT CURIE - Site Paris
    Paris, 75005, France
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References and documents

Individual participant data

Plan to share: Yes — Investigators will share de-identified data sets with interested researchers, educators or clinicians. Materials generated under the project will be disseminated in accordance with Institut Curie policies.

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 4, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02849158
Lead sponsor
Institut Curie
Responsible party
Sponsor
First posted
Jul 29, 2016
Start date
Jun 9, 2017
Primary completion
Jun 30, 2023
Completion
Jun 30, 2023
Last update
Dec 4, 2023

Study contacts

Pascale MARIANI, LDD
principal investigator · Institut Curie

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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