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Study identifier: NCT04749108 Synced from ClinicalTrials.gov · July 29, 2026
● Recruiting

Study Evaluating the Tailored Management of Locally-advanced Rectal Carcinoma

Condition: Locally Advanced Malignant Neoplasm · Rectal Carcinoma  ·  Sponsor: Institut du Cancer de Montpellier - Val d'Aurelle

PhasePhase 2/Phase 3
Planned participants1075
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersNo

About this study

Locally advanced rectal carcinoma raise the issue of both the oncological control, local and general, and the therapeutic morbidity. Surgery alone can cure only one out of two patients, radiochemotherapy improves the local control but the metastatic risk remains about 30% with enhanced postoperative morbidity and poor functional results. The tumor response to preoperative treatment is the major prognostic factor which revealed the aggressiveness of the tumor. To this day, there are no biologic predictive markers for tumor response. The purpose of this trial is to tailor the management according to the early tumoral response after short and intensive induction chemotherapy. MRI volumetric tumor response will be used to distinguish between good responders and bad responders. "Very good" responders will be randomized to either immediate surgery or radiochemotherapy followed by surgery (Standard arm: Cap 50).

This description comes directly from the study's public registry record.

Talk to the study team

Philippe Rouanet, MD  ·  4 67 61 30 71  ·  Philippe.Rouanet@icm.unicancer.fr

Always discuss trial participation with your own doctor first.

Locations (30)

Institut Paoli CalmettesMarseille, Bouches Du Rhône, FranceRecruiting
Hôpital Nord de MarseilleMarseille, Bouches Du Rhône, FranceNot Yet Recruiting
Hôpital Européen de MARSEILLEMarseille, Bouches-du-rhône, FranceRecruiting
CHU BesançonBesançon, Doubs, FranceRecruiting
CHU de BordeauxBordeaux, Gironde, FranceRecruiting
Insitut Régional du Cancer de MontpellierMontpellier, Hérault, FranceRecruiting
CHU de NancyVandœuvre-lès-Nancy, Lorraine, FranceRecruiting
Centre Alexis VautrinNancy, Meurthe Et Moselle, FranceRecruiting
Centre Oscart LambretLille, Nord, FranceRecruiting
CHU AmiensAmiens, Picardie, FranceRecruiting
CHU Clermont-FerrandClermont-Ferrand, Puy De Dôme, FranceRecruiting
CH PAUPau, Pyrénées-atlantiques, FranceRecruiting

+ 18 more locations — full list on the registry record.

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Source record: clinicaltrials.gov/study/NCT04749108