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OncoMatch/Clinical Trials/NCT07221058

Adaptive Radiation Boost for Rectal Cancer

Is NCT07221058 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies non-drug interventions for rectum cancer, adenocarcinoma.

Phase 1RecruitingFox Chase Cancer CenterNCT07221058Data as of May 2026

The goal of this clinical trial is to find out if giving extra adaptive radiation therapy after standard chemoradiation treatment is safe and helpful for people with rectal cancer. The main questions the study aims to answer are: * Can this approach help target the most aggressive cancer cells more accurately, while protecting nearby healthy tissue? * Can it reduce the side effects that people may experience during treatment? Participants will: * First receive standard treatment: radiation (45 Gy in 25 sessions) along with a chemotherapy pill called capecitabine. * Then get extra radiation using MRI scans every two weeks to adjust the treatment based on how the tumor responds. * Use a small balloon during treatment to help aim the radiation and protect healthy areas. * Finally, receive additional chemotherapy (such as FOLFOX) for four months.

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Extracted eligibility criteria

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

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

Cannot have received: any therapy for rectal cancer

Subjects who have been previously treated for rectal cancer are excluded.

Cannot have received: pelvic radiation

Subjects may not have had prior pelvic radiation.

Lab requirements

Blood counts

absolute neutrophil count >=1,000/mcl; platelets >= 75,000/mcl

Liver function

total bilirubin < 3 mg/dl

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

US trial sites

  • Fox Chase Cancer Center · Philadelphia, Pennsylvania

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