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Enrolling by invitationNCT07346248POCATUpdated Jan 16, 2026

Postoperative Complications After Neoadjuvant Chemoradiotherapy or Short-course Radiotherapy and Total Neoadjuvant Treatment: a Multicentric Retrospective Cohort Study

An observational study in Adult Patients With Locally Advanced Rectal Cancer Indicated to Neoadjuvant Therapy and Surgery, sponsored by Istituto Clinico Humanitas. Enrolling by invitation at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-16.

Sponsored by Istituto Clinico Humanitas · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
266
Ages
18 Years and older
Sex
All
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Study summary

The primary objective of the study is to compare the rate of postoperative complications between rectal cancer patients undergoing standard neoadjuvant chemoradiotherapy or short- course radiotherapy and patients receiving TNT. The secondary objectives of the study include the evaluation of treatment-related adverse reactions and postoperative complications in elderly patients receiving the treatments and the comparison of treatment-related adverse reactions and postoperative complications in patients receiving induction versus consolidation TNT.

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Conditions studied

  • Adult Patients With Locally Advanced Rectal Cancer Indicated to Neoadjuvant Therapy and Surgery
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In context

Lead sponsor

Istituto Clinico Humanitas is the lead sponsor of 275 studies on the registry; 71 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
Sampling method
Probability sample

Study population

The study population will include all consecutive adult patients with locally advanced rectal adenocarcinoma who started a classical neoadjuvant or short-course radiotherapy or TNT treatment between January 2016 and January 2025 at the investigational centers.

Inclusion criteria

  • Patients with locally advanced (T2N+, T3N+, T4N0, or T4N+) rectal adenocarcinoma who underwent neoadjuvant chemoradiotherapy or short-course radiotherapy or TNT and surgery between January 2016 and January 2025;
  • Patients who underwent restorative or non-restorative surgery;
  • Patients undergoing open, laparoscopic, or robotic intervention.

Exclusion criteria

Exclusion Criteria:

  • Patients who underwent non-operative management after neoadjuvant treatment.
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
266 participants (estimated)
Patient registry
No

Groups and cohorts

  • Chemoradiotherapy

    Patient received chemoradiotherapy or short course radiotherapy before surgery

    Procedure: Chemoradiotherapy

  • TNT

    TNT neoadjuvant treatment

    Procedure: Chemoradiotherapy

Interventions

  • ProcedureChemoradiotherapy

    Comparing

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What researchers measure

Primary outcomes

  1. 90 days postoperative complications

    The primary endpoint of the study is the rate of 90-day postoperative complications between the study cohorts.

    Time frame: 12 months

  2. The primary endpoint of the study is the rate of 90-day postoperative complications between the study cohorts.

    The primary endpoint of the study is the rate of 90-day postoperative complications between the study cohorts.

    Time frame: 3 months

Secondary outcomes

  1. 90 days severe postoperative complications between the cohorts

    The rate of 90-day severe postoperative complications between the study cohorts.

    Time frame: 12 months

  2. 90-day Comprehensive Complication Index

    The median of the 90-day Comprehensive Complication Index (CCI) between the study cohorts.

    Time frame: 12 months

  3. Treatment-related adverse reactions

    The rate of treatment-related adverse reactions between the study cohorts.

    Time frame: 12 months

  4. Severe treatment-related adverse reactions

    The rate of severe treatment-related adverse reactions between the study cohorts.

    Time frame: 12 months

  5. 90-day postoperative complications between patients receiving neoadjuvant chemoradiotherapy,short-course radiotherapy, induction TNT, and consolidation TNT.

    The rate of 90-day postoperative complications between patients receiving neoadjuvant chemoradiotherapy,short-course radiotherapy, induction TNT, and consolidation TNT.

    Time frame: 12 months

  6. Treatment-related adverse reactions between patients receiving neoadjuvant chemoradiotherapy,short-course radiotherapy, induction TNT, and consolidation TNT

    The rate of treatment-related adverse reactions between patients receiving neoadjuvant chemoradiotherapy,short-course radiotherapy, induction TNT, and consolidation TNT.

    Time frame: 12 months

  7. The rate of 90-day postoperative complications between the two cohorts in a sub-population of elderly patients

    The rate of 90-day postoperative complications between the two cohorts in a sub-population of elderly patients (≥ 70 years old at the time of diagnosis).

    Time frame: 12 months

  8. The rate of treatment-related adverse reactions between the study cohorts in a sub-population of elderly patients

    The rate of treatment-related adverse reactions between the study cohorts in a sub-population of elderly patients (≥ 70 years old at the time of diagnosis).

    Time frame: 12 months

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Study locations

1 site
  • IRCCS Humanitas Research Hospital
    Rozzano, Milan 20089, Italy
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References and documents

Individual participant data

Plan to share: No

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 Jan 16, 2026, 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
NCT07346248
Lead sponsor
Istituto Clinico Humanitas
Responsible party
Sponsor
First posted
Jan 16, 2026
Start date
Jul 21, 2025
Primary completion
Jul 31, 2026 (estimated)
Completion
Jul 31, 2026 (estimated)
Last update
Jan 16, 2026

Study contacts

Antonino Spinelli, Surgery, PhD
study director · Director Colon and Rectal Surgery -Director General Surgery Residency Program - Co-Director IBD Center Humanitas Research Hospital / Humanitas University

Oversight

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

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