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OncoMatch/Clinical Trials/NCT06507371

Node-sparing Short-Course Radiation Combined With CAPOX and Tislelizumab for MSS Rectal Cancer

Is NCT06507371 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including PD-1 antibody and Capecitabine for rectal cancer.

Phase 3RecruitingSir Run Run Shaw HospitalNCT06507371Data as of May 2026

Treatment: PD-1 antibody · Capecitabine · OxaliplatinThis is a randomized, prospective, multicenter, open-label, Phase III clinical trial to evaluate node-sparing modified short-course radiation (Radiation targeting the tumor bed without irradiating surrounding tumor-draining lymph nodes) combined with CAPOX and PD-1 Inhibitor (Tislelizumab) compared with standard short-course radiation combined with CAPOX for patients with MSS middle and low rectal cancer. A total of 170 patients will be enrolled in this trial. The primary endpoint is the rate of pathological complete response (pCR). The EFS rate, ORR, organ preservation rate, long-term prognosis, and adverse effects will also be analyzed.

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Extracted eligibility criteria

Cancer type

Colorectal Cancer

Biomarker criteria

Required: MSH2 proficient mismatch repair (pMMR) (positive)

tumor biopsy immunohistochemistry reveals pMMR, that is, MSH1, MSH2, MSH6, and PMS2 are all positive

Required: MSH6 proficient mismatch repair (pMMR) (positive)

tumor biopsy immunohistochemistry reveals pMMR, that is, MSH1, MSH2, MSH6, and PMS2 are all positive

Required: PMS2 proficient mismatch repair (pMMR) (positive)

tumor biopsy immunohistochemistry reveals pMMR, that is, MSH1, MSH2, MSH6, and PMS2 are all positive

Required: MSH1 proficient mismatch repair (pMMR) (positive)

tumor biopsy immunohistochemistry reveals pMMR, that is, MSH1, MSH2, MSH6, and PMS2 are all positive

Disease stage

Required: Stage CT3-4BN0/+M0 (clinical TNM)

the clinical stage is cT3-4bN0/+M0, and the lymph nodes are limited to the mesorectum

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

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

Cannot have received: anti-tumor therapy

No previous treatment (including anti-tumor therapy, immunotherapy or pelvic radiation)

Cannot have received: immunotherapy

No previous treatment (including anti-tumor therapy, immunotherapy or pelvic radiation)

Cannot have received: radiation therapy

No previous treatment (including anti-tumor therapy, immunotherapy or pelvic radiation)

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

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