| Titre |
A Pilot Study of Dose-escalation Strategy of Radiotherapy Followed by Endorectal Brachytherapy With the Use of a New Rectal Applicator in Inoperable, Ederly Rectal Cancer Patients |
| Protocole ID |
Whistle |
| ClinicalTrials.gov ID |
NCT04336202 |
| Type(s) de cancer |
Colorectal |
| Phase |
|
| Type étude |
Autre |
| Institution |
CIUSSS DU CENTRE-OUEST-DE-L'ILE-DE-MONTREAL
 HOPITAL GENERAL JUIF SIR MORTIMER B.DAVIS
3755 rue de la Côte Ste. Catherine, Montréal, QC, H3T 1E2
|
| Ville |
Montréal |
| Investigateur(trice) principal(e) |
Dre Té Vuong
|
| Coordonnateur(trice) |
Luciana Poggi
514-340-8222 poste 28443
|
| Statut |
 Actif en recrutement |
| Critètes d'éligibilité |
- Patients with histologic diagnosis by proctoscopic biopsy of invasive rectal adenocarcinoma will be considered for entry in this study.
- Patient in whom the diagnosis of invasive rectal cancer has been obtained by incisional biopsy (surgical or endoscopic biopsy) that the majority of the tumor has not been removed .
- The tumor should be either palpable by clinical rectal exam or accessible via a rigid proctoscope, and its proximal border should be located no more than 15 cm from the anal verge.
- Rectal cancer clinically stage as T2-T3 N1+ by MRI or endoscopic ultrasound.
- Tumor of 5 cm or less length, non obstructive
- Patient is not suitable for surgery nor chemotherapy due to medical conditions
- Patient must consent to be in the study and consent form must be signed, witnessed and dated prior to registration .
- Patients must be accessible geographically for follow up.
- Adults older than 18 years of age
|
| Critètes d'exclusion |
- Patient with malignant rectal tumors other than adenocarcinoma, i.e, sarcoma, lymphoma, carcinoid, squamous cell, cloacogenic, etc.
- Patient who demonstrate prior to randomization, evidence of free perforation, as manifested by free fluid in the abdomen.
- Patient who are curable by standard of care with either surgery or eligible for the Morpheus study.
- Patient who have received any previous therapy (radiation , chemotherapy) for rectal cancer.
- Patient whose tumor is fixed by clinical examination to surrounding structures, precluding the possibility of adequate surgical resection even with pelvic exenteration.
- Patient with a performance status of 3 or 4.
- Patient with tumor involving the anal canal.
- Patient who are pregnant at the time of randomization.
- Patient with psychiatric or addictive disorders that would preclude obtaining informed consent.
- Patient who have multiple primary tumors involving both the colon and rectum that would preclude them from being classified as having only rectal cancer.
|
Groupe d'étude en oncologie du Québec