ClinicalTrials.gg
Not yet recruitingNCT07905950Updated Oct 30, 2026

Exploratory Study of Short-Course Radiotherapy Followed by Adebrelimab Combined With Chemotherapy for Organ Preservation in Locally Advanced Rectal Cancer

A Phase 2 interventional study of Adebrelimab in Locally Advanced Resectable Rectal Cancer, sponsored by Henan Cancer Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Henan Cancer Hospital · Phase 2, Interventional, and Treatment

Updated Oct 30, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
155
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This prospective, single-arm, exploratory clinical study aims to evaluate the efficacy and safety of short-course radiotherapy (SCRT) sequentially followed by adebrelimab combined with chemotherapy as an organ-preservation strategy in patients with locally advanced resectable rectal cancer. Approximately 155 eligible patients will be enrolled after providing full written informed consent and passing screening, and will receive SCRT followed by adebrelimab plus chemotherapy. The primary efficacy endpoint is the complete response (CR) rate assessed at the end of Cycle 4 or Cycle 8 of treatment. Efficacy evaluation will be conducted after 4 cycles of treatment, and subsequent treatment regimens will be determined according to each patient's condition.

02

Conditions studied

  • Locally Advanced Resectable Rectal Cancer

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03

In context

Rectal Neoplasms

2,400 studies on the registry are indexed under Rectal Neoplasms; 587 are open to participants now.

This study's planned enrollment of 155 is above the median of 65 across 1,751 interventional studies indexed under Rectal Neoplasms.

Browse Rectal Neoplasms studies →

Lead sponsor

Henan Cancer Hospital is the lead sponsor of 235 studies on the registry; 131 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 1. Age 18-75 years, of either sex;
  • 2. Stage II/III disease (cT3-T4N0 or cT2-4N+, without distant , per the 8th edition of the AJCC Cancer Staging Manual, 2018) as assessed by magnetic resonance imaging (MRI) or endoscopic ultrasound (EUS);
  • 3. The lower border of the lesion located ≤10 cm from the anal verge, as assessed by fiberoptic colonoscopy or digital rectal examination;
  • 4. confirmed or centrally reviewed rectal adenocarcinoma;
  • 5. (ECOG) performance status of 0-1;
  • 6. Hematologic and biochemical parameters meeting the following criteria within 7 days prior to enrollment:

    1. ≥90 g/L; (ANC) ≥1.5×10⁹/L; white blood cell count (WBC) ≥3.5×10⁹/L; count ≥100×10⁹/L (patients must not have received blood transfusion or growth factor support within 14 days prior to blood sample collection);
    2. (ALT) and aspartate aminotransferase (AST) ≤2.5× the (ULN); alkaline phosphatase (ALP) ≤2.5× ULN;
    3. Serum total \<1.5× ULN (patients with Gilbert's syndrome may be enrolled if total bilirubin \<3× ULN);
    4. Serum creatinine \<1.5× ULN or estimated (eGFR) ≥60 mL/min/1.73 m²;
    5. Serum albumin ≥30 g/L;
    6. (INR) or prothrombin time (PT) ≤1.5× ULN, unless the patient is receiving anticoagulant therapy and the PT value is within the expected therapeutic range of the anticoagulant;
    7. Activated partial thromboplastin time (APTT) ≤1.5× ULN.
  • 7. (LVEF) ≥ the lower limit of normal (50%), as assessed by Doppler echocardiography;
  • 8. No history of allergy to 5-fluorouracil (5-FU)-based agents or platinum-based agents;
  • 9. Patients with primary rectal cancer must not have received surgery (except palliative ostomy), chemotherapy, or other anti-tumor therapy from the time of diagnosis to enrollment;
  • 10. No prior radiotherapy to the planned radiation field;
  • 11. Written provided.

Exclusion criteria

Exclusion Criteria:

  • 1. Prior treatment with /PD-L1 or anti-CTLA-4 immunotherapeutic agents, or other immunotherapy drugs;
  • 2. Patients with severe diseases: active inflammatory bowel disease (including Crohn's disease and ulcerative colitis), rheumatoid arthritis, scleroderma, systemic lupus erythematosus, autoimmune vasculitis (e.g., granulomatosis with polyangiitis), etc.;
  • 3. Symptomatic interstitial lung disease or active infectious/non-infectious pneumonitis;
  • 4. Patients with risk factors for bowel perforation: active diverticulitis, intra-abdominal abscess, gastrointestinal (GI) obstruction, abdominal cancer, or other known risk factors for bowel perforation;
  • 5. History of other , excluding curable non-melanoma skin cancer and carcinoma in situ of the cervix;
  • 6. Patients with active infection, heart failure, myocardial infarction within the past 6 months, unstable angina, or unstable arrhythmia;
  • 7. Physical examination or clinical laboratory findings, or other uncontrolled diseases that, in the investigator's judgment, may interfere with the study results or increase the risk of treatment complications for the patient;
  • 8. Women who are pregnant or breastfeeding;
  • 9. Congenital or acquired immunodeficiency disorders, including (HIV) infection, or a history of organ transplantation or stem cell transplantation;
  • 10. Known active virus (HBV) infection (HBV-DNA ≥2000 U/mL), virus (HCV) infection, or active pulmonary tuberculosis;
  • 11. Patients who have previously received a tumor vaccine, or who have received other vaccines within 4 weeks prior to initiation of study treatment (Note: injectable seasonal influenza vaccines, which are mostly inactivated vaccines, are permitted; intranasal formulations, which are usually , are not permitted);
  • 12. Patients concurrently receiving other immunomodulatory agents, chemotherapeutic agents, investigational drugs from other clinical studies, or requiring long-term therapy are not eligible for enrollment;
  • 13. Patients with psychiatric disorders, substance abuse, or social issues that may affect compliance are excluded at the discretion of the investigator;
  • 14. Patients with allergy to or for the study treatment drugs.
Terms in these criteria, in plain language(24)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
155 participants (estimated)

Study arms

  • Experimental
    treatment arm

    Drug: Adebrelimab

Interventions

  • SCRT followed by adebrelimab plus chemotherapy

06

What researchers measure

Primary outcomes

  1. the complete response (CR) rate assessed at the end of Cycle 4 or Cycle 8

    Time frame: at the end of Cycle 4 or Cycle 8(each cycle is 21 days).

Secondary outcomes

  1. The 3-year event-free survival (EFS) rate

    Time frame: At 36 months after treatment initiation.

  2. 3-year overall survival (OS) rate

    Time frame: At 36 months after treatment initiation.

  3. The median event-free survival (mEFS)

    Time frame: From date of treatment initiation until the first documented disease progression, recurrence, or death from any cause, whichever occurs first, up to 60 months.

  4. The median overall survival (mOS)

    Time frame: From date of treatment initiation until death from any cause, , up to 60 months.

  5. The local recurrence rate (LRR)

    Time frame: Within 3 years after treatment initiation.

  6. R0 resection rate

    Time frame: At the time of surgery.

  7. distant metastasis rate (DM)

    Time frame: Within 3 years after treatment initiation.

  8. The organ preservation rate

    Time frame: Within 3 years after treatment initiation.

  9. incidence of adverse events (AEs)

    Time frame: From date of treatment initiation until 30 days after the last dose of study treatment.

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 30, 2026
Show all 1 update
  1. Oct 30, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07905950
Responsible party
Wang (Chief Physician, Henan Cancer Hospital) — Principal investigator
First posted
Oct 30, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Oct 31, 2028 (estimated)
Completion
Oct 31, 2031 (estimated)
Last update
Oct 30, 2026

Study contacts

Xiushen Wang
Contact
wangxiushen1218@163.com
13526649066

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Adebrelimab

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