OncoMatch

OncoMatch/Clinical Trials/NCT05646511

TNT of SCRT+CAPOX vs SCRT+CAPOXIRI for Locally Advanced Rectal Cancer

Is NCT05646511 recruiting? Yes, currently enrolling (Jun 2026). This Phase 3 trial studies multiple treatments including CAPOX and CAPOXIRI for locally advanced rectal cancer.

Phase 3RecruitingNational Cancer Center Hospital EastNCT05646511Data as of Jun 2026Location: Japan

Treatment: CAPOX · CAPOXIRIThis trial is a multicenter randomized Phase III study to verify the superiority of short-course preoperative radiation (SCRT) and CAPOXIRI over SCRT and CAPOX as preoperative treatments for locally advanced rectal cancer.

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Extracted eligibility criteria

Treatments studied

Other

CAPOXCAPOXIRI

Cancer type

Colorectal Cancer

Biomarker criteria

Required: UGT1A1 wild-type

UGT1A1 is wild-type or single heterozygous

Required: UGT1A1 single heterozygous

UGT1A1 is wild-type or single heterozygous

Excluded: MSI high

MSI-high (MSI-H) or defective mismatch repair (dMMR) is known

Excluded: Mismatch-repair deficient (MSI-H / dMMR)

MSI-high (MSI-H) or defective mismatch repair (dMMR) is known

Disease stage

Required: Stage CT3-4N0M0, T1-4N1-2M0

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

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

Cannot have received: radiation therapy to the pelvis

No history of radiation therapy to the pelvis, including treatment for other cancer types

Lab requirements

Blood counts

Neutrophil count: ≥1,500/mm3; Platelet count: ≥10.0×10^4/mm3; Hemoglobin concentration: ≥9.0 g/dL

Kidney function

Serum creatinine: Creatinine clearance ≥30 mL/min (by Cockcroft & Gault formula)

Liver function

Total bilirubin: ≤2.0 mg/dL; AST: ≤100 IU/L; ALT: ≤100 IU/L

Criteria for major organ function within 28 days prior to enrollment. ... Neutrophil count: ≥1,500/mm3; Platelet count: ≥10.0×10 4/mm3; Hemoglobin concentration: ≥9.0 g/dL; Total bilirubin: ≤2.0 mg/dL; AST: ≤100 IU/L; ALT: ≤100 IU/L; Serum creatinine: Creatinine clearance ≥30 mL/min (by Cockcroft & Gault formula)

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

Frequently asked questions

Is NCT05646511 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.

Does this trial require UGT1A1?

Yes, UGT1A1 wild-type is a required biomarker for enrollment.

Does this trial require UGT1A1?

Yes, UGT1A1 single heterozygous is a required biomarker for enrollment.

Are patients with MSH2 alterations eligible?

No. MSH2 defective mismatch repair is an exclusion criterion.

Are patients with MSH6 alterations eligible?

No. MSH6 defective mismatch repair is an exclusion criterion.

What disease stage is eligible?

Stage CT3-4N0M0 or T1-4N1-2M0 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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