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Status unknownNCT03601156PCARUpdated Aug 10, 2018

Preoperative Intraarterial Chemoembolization Combined With Radiotherpy in Locally Advanced Rectal Cancer

An interventional study of intraarterial chemoembolization and intravenous chemotherapy in Rectal Cancer, sponsored by Third Military Medical University. Status unknown at 3 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-08-10.

Sponsored by Third Military Medical University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2018), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
204
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Compared to postoperative chemotherapy combined with radiotherapy, preoperative chemotherapy combined with radiotherapy shows higher sphincter preservation rate and lower local recurrence rate in locally advanced rectal cancer. The purpose of this study is to evaluate the response and prognosis of intraarterial chemoembolization and intravenous infusion chemotherapy in patients with rectal T3-T4 and/or N+ rectal cancer before operation.

02

Conditions studied

  • Rectal Cancer

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Keywords

  • rectal cancer
  • intraarterial chemoembolization
  • radiotherpy
  • Oxaliplatin
  • Tegafur Gimeracil and Oteracil Porassium Capsule
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 204 is above the median of 65 across 1,298 interventional studies indexed under Rectal Neoplasms.

Browse Rectal Neoplasms studies →

Lead sponsor

Third Military Medical University is the lead sponsor of 81 studies on the registry; 16 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histologic or cytologic diagnosis of rectal cancer, Stage IV.
  • Males or females between 18 Years to 75 Years.
  • No prior cisplatin-based chemotherapy or radiotherapy.
  • Performance status of 0~2 on the ECOG criteria.
  • Adequate hematologic (Leukocyte count >= 4,000/uL, neutrophil count >= 1,500/uL, hemoglobin >= 10 g/dL, platelets >= 100,000/uL), hepatic (AST \& ALT =\< upper normal limit(UNL)x1.5, bilirubin level =\< UNLx1.5), and renal (creatinine =\< UNL x1.5 or creatinine clearance rate ≥60 ml/min) function.
  • Patient can take oral medicine
  • Patient compliance that allow adequate follow-up. Informed consent from patient or patient's relative.

Exclusion criteria

Exclusion Criteria:

  • Patient with allergic to S-1 or ingredient of Oxaliplatin
  • Patient with Peripheral neuropathy
  • Diagnosed fibrosis of lung;pulmonary fibrosis or interstitial pneumonia within 28 days.
  • Medically uncontrolled serious heart, renal failure, liver failure, hemorrhagic peptic ulcer, paralysis of intestine , ileus, poor controlled diabetes.
  • Enrollment in other study.
  • Pregnant or breast-feeding.
  • Seriously psyche or intelligence problem.
  • Inability to comply with protocol or study procedures.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
204 participants (estimated)

Study arms

  • Experimental
    NATACE-RT

    Patients receive Oxaliplatin 130mg/m2 intraarterial chemoembolization on day1, and then radiation ( 44 Gy/20 fractions/4 weeks, from day 7 to day 11, day14 to day 18, day 21 to day 25, day 28 to day 32) plus oral S-1 (BSA \< 1.25 mm2 receive 80 mg/day; 1.25 mm2 \< BSA \< 1.5mm2 recive 100 mg/day, BSA\>1.5mm2 receive120 mg/day, twice daily, from day 1 to day 28, every 4 weeks)

    Device: intraarterial chemoembolization

  • Active comparator
    NACT-RT

    Patients receive Oxaliplatin 130mg/m2 intravenous chemotherapy on day1, and then radiation ( 44 Gy/20 fractions/4 weeks, from day 7 to day 11, day14 to day 18, day 21 to day 25, day 28 to day 32) plus oral S-1 (BSA \< 1.25 mm2 receive 80 mg/day; 1.25 mm2 \< BSA \< 1.5mm2 recive 100 mg/day, BSA\>1.5mm2 receive120 mg/day, twice daily, from day 1 to day 28, every 4 weeks)

    Device: intravenous chemotherapy

Interventions

  • Deviceintraarterial chemoembolization
  • Deviceintravenous chemotherapy
06

What researchers measure

Primary outcomes

  1. Pathological Complete Response (pCR)

    Pathological complete response (pCR) was determined on tumor resection specimens after completion of neoadjuvant therapy, and was defined as no evidence of residual invasive and ductal disease in the rectum and lymph nodes

    Time frame: pathologic examination following surgery, at aproximately 9-10 weeks or after preoperative intraarterial chemoembolization plus radiotherpy

Secondary outcomes

  1. the Sphincter Preservation Rate

    Time frame: 3 month

  2. Disease-free survival

    Time frame: Following surgery, 5 years

  3. Overall Survival

    Time frame: the first day of treatment to death or last survival confirm date; assesed up to 5 years

  4. Down Staging Rate

    Time frame: Until surgery at 8-9 weeks post chemoradiation plus radiation (which is 4-5 weeks)

  5. Number of Participants with Adverse Events

    Time frame: Until surgery at 8-9 weeks post chemoradiation plus radiation (which is 4-5 weeks)

  6. Number of Postoperative Complication

    Time frame: Until surgery at 8-9 weeks post chemoradiation plus radiation (which is 4-5 weeks)

07

Study locations

3 of 3 sites recruiting
  • Daping Hospital, Third Military Medical University
    Chongqing, Chongqing 400042, China
    • Dong Wang, PH.D. · Contact · dongwang64@hotmail.com · 86-23-68757151
    • Dong Wang, PH.D. · Principal investigator
    Recruiting
  • Chongqing Zhongshan Hospital
    Chongqing, Chongqing, China
    • Zhixiang Yang, M.D. · Contact · 86-13032372491
    • Zhixiang Yang, M.D. · Principal investigator
    Recruiting
  • Jiangjin Central Hospital
    Chongqing, Chongqing, China
    • Debing Xiang, M.D. · Contact · 86-13320336639
    • Debing Xiang, M.D. · Principal investigator
    Recruiting
08

References and documents

Publications

  • Yang B, Shan J, Feng Y, Dai N, Li M, Chen C, He S, Wang G, Xiao H, Li C, Wang D. Transcatheter rectal arterial chemoembolization with oxaliplatin plus S-1 concurrent chemoradiotherapy can improve the pathological remission rate in locally advanced rectal cancer: a comparative study. Radiat Oncol. 2020 May 6;15(1):94. doi: 10.1186/s13014-020-01540-4. PubMed 32375814 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 10, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03601156
Lead sponsor
Third Military Medical University
Responsible party
Dong Wang (chief physician, Third Military Medical University) — Principal investigator
First posted
Jul 26, 2018
Start date
Jun 2014
Primary completion
Dec 2018 (estimated)
Completion
Nov 2020 (estimated)
Last update
Aug 10, 2018

Study contacts

Dong Wang, PH.D.
Contact
dongwang64@hotmail.com
86-23-68757151

Oversight

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

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This study is status unknown, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

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