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OncoMatch/Clinical Trials/NCT04495088

Preoperative FOLFOX Versus Postoperative Risk-adapted Chemotherapy in Patients With Locally Advanced Rectal Cancer

Is NCT04495088 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments for rectal cancer.

Phase 3RecruitingRalf HofheinzNCT04495088Data as of May 2026

Treatment: mFOLFOX (neoadjuvant) · XELOX (neoadjuvant) · mFOLFOX (adjuvant) · XELOX (adjuvant) · Capecitabine (adjuvant) · infusional 5-FU/FA "AIO" regimen (adjuvant) · infusional 5-FU/FA "de Gramont" (adjuvant)This is a multicenter, prospective, randomized, stratified, controlled, open-label study comparing preoperative FOLFOX versus postoperative risk-adapted chemotherapy in patients with locally advanced rectal cancer and low risk for local failure

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Extracted eligibility criteria

Cancer type

Colorectal Cancer

Disease stage

Required: Stage CT1/2 WITH CLEAR CN+, T3A-B, CT3-4 (MRI, EUS, clinical)

MRI-defined inclusion criteria for lower, middle, and upper third of the rectum

Performance status

WHO/ECOG 0–1

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: antineoplastic therapy

Prior antineoplastic therapy for rectal cancer

Cannot have received: radiotherapy

Prior radiotherapy of the pelvic region

Lab requirements

Blood counts

Leukocytes ≥ 3.000/mm³, ANC ≥ 2.000/mm³, platelets ≥ 100.000/mm³, Hb > 9 g/dl

Kidney function

Serum creatinine ≤ 1.5 x upper limit of normal; severe kidney dysfunction (creatinine clearance < 30 ml/min) excluded

Liver function

Bilirubin ≤ 2.0 mg/dl, SGOT-SGPT, and AP ≤ 3 x upper limit of normal

Cardiac function

QTc interval (Bazett) ≤ 440 ms; clinically significant cardiovascular disease (incl. myocardial infarction, unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac arrhythmia) ≤ 6 months before enrolment [excluded]

Adequate haematological, hepatic, renal and metabolic function parameters: Leukocytes ≥ 3.000/mm³, ANC ≥ 2.000/mm³, platelets ≥ 100.000/mm³, Hb > 9 g/dl; Serum creatinine ≤ 1.5 x upper limit of normal; Bilirubin ≤ 2.0 mg/dl, SGOT-SGPT, and AP ≤ 3 x upper limit of normal; QTc interval (Bazett) ≤ 440 ms

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

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