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OncoMatch/Clinical Trials/NCT04095299

Standard Dose Versus High Dose of Radiotherapy in Rectal Preservation With Chemo-radiotherapy in Rectal Cancer Patients

Is NCT04095299 recruiting? Yes, currently enrolling (Jun 2026). This Phase 3 trial studies Capecitabine 825 mg/m2 twice daily on weekdays for cancer of rectum.

Phase 3RecruitingVejle HospitalNCT04095299Data as of Jun 2026Location: Denmark

Treatment: Capecitabine 825 mg/m2 twice daily on weekdaysIn recent years, an increasing number of retrospective and prospective observational studies have indicated that a subset of rectal cancer patients may avoid surgery if they can achieve a complete response to chemoradiotherapy. Prospective trials, including the previous Danish Watchful Waiting trials (NCT00952926, NCT02438839) in early rectal cancer have demonstrated high levels of organ preservation with dose-escalation, but it is unclear whether this was primarily due to tumor stage or dose level. The aim of the present study is to investigate if a higher dose of radiotherapy is superior compared to a standard dose in patients with early rectal cancer undergoing chemoradiotherapy with curative intent.

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Extracted eligibility criteria

Treatments studied

Chemotherapy

Capecitabine 825 mg/m2 twice daily on weekdays

Disease stage

Excluded: Stage CM1

Clinical tumor category cT1-3; Distant metastases verified by imaging or biopsy, i.e. cM1 [excluded]

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Cannot have received: surgical treatment of the present cancer

Previous surgical treatment of the present cancer, including transanal excision of tumor

Cannot have received: radiation therapy

Exception: previous radiation treatment of the pelvis

Previous radiation treatment of the pelvis

Lab requirements

Blood counts

neutrophils ≥ 1.5 x 10^9/l and thrombocytes ≥ 100 x 10^9/l

Kidney function

serum creatinine < 1.5 x upper limit of normal or measured gfr > 30 ml/min

Liver function

alat < 2.5 x upper limit of normal, bilirubin < 2.5 x upper limit of normal

Structured fields extracted by AI. May contain errors — verify against the official protocol.

Frequently asked questions

Is NCT04095299 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior surgical treatment of the present cancer, radiation therapy disqualifies patients from enrollment.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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