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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 (Jun 2026). This Phase 3 trial studies multiple treatments for rectal cancer.

Phase 3RecruitingRalf HofheinzNCT04495088Data as of Jun 2026Location: Germany

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

Treatments studied

Chemotherapy

Capecitabine (adjuvant)

Other

mFOLFOX (neoadjuvant)XELOX (neoadjuvant)mFOLFOX (adjuvant)XELOX (adjuvant)infusional 5-FU/FA "AIO" regimen (adjuvant)infusional 5-FU/FA "de Gramont" (adjuvant)

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.

Frequently asked questions

Is NCT04495088 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

What disease stage is eligible?

Stage CT1/2 WITH CLEAR CN+ or T3A-B or CT3-4 is required.

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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