CClinicalTrials.gg
RecruitingNCT06812728Updated Feb 19, 2025

Neoadjuvant FOLFIRINOX and Preoperative Chemoradiotherapy for Locally Advanced Rectal Cancer Patients

A Phase 2 interventional study of mFOLFIRINOX and mFolfox6 in Rectum Cancer, sponsored by Menoufia University. Recruiting at 1 site in Egypt. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-02-19.

Sponsored by Menoufia University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2025; still recruiting 1 year 8 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

A phase II clinical trial compared standard TNT (mFolfox6 and CRT) with preoperative chemoradiotherapy (CRT) with neoadjuvant chemotherapy (CT) containing mFolfirinox in patients with locally advanced rectal cancer.

Read the detailed description

This open-label randomized, two-arm phase II trial compared the standard total neoadjuvant approach (TNT) with neoadjuvant CT with mFolfirinox and preoperative CRT in patients with locally advanced rectal cancer.

02

Conditions studied

  • Rectum Cancer

Browse trials for

Keywords

  • Neoadjuvant
  • mFOLFIRINOX
  • TNT
  • Watch and wait approach
  • Complete clinical response
  • Sphincter sparing
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

Menoufia University is the lead sponsor of 192 studies on the registry; 53 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Histologically proven rectal adenocarcinoma.
  2. Stages cT3 with risk of local recurrence, cT4, or N positive, M0 and for which a multidisciplinary meeting recommend TNT.
  3. Resectable tumor, or considered as potentially resectable after CRT.
  4. No distant metastases.
  5. Patient eligible for surgery
  6. World Health Organization (WHO)/Eastern Cooperative Oncology Group (ECOG) performance status 0/1.
  7. No heart failure or coronary heart disease symptoms (even controlled).
  8. No peripheral neuropathy > grade 1.
  9. No prior radiotherapy of the pelvis for any reason and no previous CT
  10. No major comorbidity that may preclude the delivery of treatment
  11. Adequate contraception in fertile patients.
  12. Adequate hematologic function.

13 Adequate hepatic function.

  1. Signed written informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Metastatic disease
  2. Unresectable rectal cancer, including prostatic involvement or extension to pelvic floor muscles Contraindication to 5-FU, or to oxaliplatin or to irinotecan, including Gilbert disease or genotype UGT1A1
  3. Medical history of chronic diarrhea or inflammatory disease of the colon or rectum
  4. Medical history of angina pectoris or myocardial infarction
  5. Other concomitant cancer.
  6. Pregnant or breast-feeding woman.
  7. Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol or follow-up schedule.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Active comparator
    Arm A (mFolfox6)

    Chemotherapy (mFolfox6) then radiochemotherapy

    Drug: mFolfox6

  • Experimental
    Arm B (mFOLFIRINOX)

    Chemotherapy (mFOLFIRINOX) then radiochemotherapy

    Drug: mFOLFIRINOX

Interventions

  • DrugmFOLFIRINOX

    Neoadjuvant chemotherapy

  • DrugmFolfox6

    Neoadjuvant chemotherapy

06

What researchers measure

Primary outcomes

  1. Complete clinical response rate

    an absence of clinical, endoscopic or imaging evidence of a rectal tumor during the restaging of a patient with locally advanced rectal cancer after neoadjuvant therapy.

    Time frame: 6 months

Secondary outcomes

  1. Toxicity of chemotherapy

    Common Terminology Criteria for Adverse Events (CTCAE) v 5

    Time frame: 6 months

  2. complete pathological response rectal cancer

    the absence of malignant cells on the specimen of rectal resection in patients who were previously treated with neoadjuvant CRT.

    Time frame: 6 months

  3. disease-free survival

    Disease-free survival (DFS) will be defined as the time from randomization to recurrence of tumor or death

    Time frame: 3 years

  4. Overall survival

    Overall survival will be defined as the time from randomisation to the time of occurrence of the first death regardless to its cause. Patients alive at the time of analysis will be censored at the date of the last follow up.

    Time frame: 5 years

07

Study locations

1 of 1 sites recruiting
  • Medicine
    Shibīn Al Kawm, Menoufia 32511, Egypt
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06812728
Lead sponsor
Menoufia University
Responsible party
yostena nagy kamel mekhail (Primary Investigator, Menoufia University) — Principal investigator
First posted
Feb 6, 2025
Start date
Jan 25, 2025
Primary completion
Jan 25, 2027 (estimated)
Completion
Feb 25, 2027 (estimated)
Last update
Feb 19, 2025

Study contacts

E Morkos
Contact
yoyonagy7@gmail.com
00201061323285
Yostena Mekhail, MD,PhD
principal investigator · Menoufia University

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

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