RecruitingPhase IIEN originalColorectal cancer

Phase 2 Single-Arm Rectal Cancer Brachytherapy for Patients With Low-Lying Residual Adenocarcinoma After Total Neoadjuvant Therapy to Improve Organ Preservation Rates

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This is not medical advice. AI-assisted translation — inaccuracies may occur. Always verify the original and consult your oncologist before taking any steps.

About the trial

Rectal cancer patients who do not achieve a complete response to standard of care chemotherapy and radiation often require surgical resection as part of curative intent therapy. This study will evaluate whether additional "focal" radiation delivered internally (rectal brachytherapy) can provide complete responses and thus spare the requirement for surgery. The main questions are whether: 1) rectal brachytherapy is safe in this clinical treatment paradigm and if 2) rectal brachytherapy improves organ preservation (no need for surgery). The trial involves an additional MRI pelvis and sigmoidoscopy with marker placement to define high-risk residual disease for radiation planning. Subsequently, 3 outpatient brachytherapy treatments are given on a weekly basis. If a patient achieves a complete response to brachytherapy, standard of care non-operative surveillance visits are conducted with study visits aligned during the first two years following brachytherapy.

Original English text from ClinicalTrials.gov

Who can (and can't) join

✓ Qualifies

  • •Wiek 18-100 lat
  • •Rak odbytnicy w dolnych partiach, który nie całkowicie znikł po chemioterapii i radioterapii
  • •Pozostały nowotwór mały (poniżej 4 cm długości, poniżej 1,2 cm grubości)
  • •Nowotwór zajmuje mniej niż połowę obwodu ścianki odbytnicy
  • •Ukończona terapia neoadiuwantna 4-16 tygodni wcześniej
  • •Zdolność do uczestnictwa we wszystkich wizytach badania
  • •Brak poważnych zaburzeń kontroli zwieraczy
  • •Kobiery w wieku rozrodczym muszą mieć ujemny test ciąży

Simplified criteria — AI translation

Trial details

Minimum age
18 Years
Maximum age
100 Years
Last updated (source)
September 2, 2026
Sex
No restrictions

Therapies / drugs in trial

Locations (3)

University of Colorado Cancer Center

Aurora, United States

University of Rochester Medical Center

Rochester, United States

Oregon Health and Sciences University

Portland, United States

Trial contact

Contact information from ClinicalTrials.gov. Contact in English.

Share this trial

Data from ClinicalTrials.gov. AI-assisted translation, last sync: 9/3/2026.

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