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Pathology-guided treatment of rectal cancer
ISRCTN ISRCTN28785842
DOI 10.1186/ISRCTN28785842
ClinicalTrials.gov identifier NCT00003422
EudraCT number
Public title Pathology-guided treatment of rectal cancer
Scientific title Pathology-guided treatment of rectal cancer: a randomised controlled trial
Acronym N/A
Serial number at source CR07
Study hypothesis In inoperable rectal cancer: are local recurrence-free survival rates and quality of life optimised by giving all patients short course pre-operative radiotherapy, or is it a preferable option to give post-operative chemoradiotherapy only to those at high risk of recurrence (i.e. with involved margins following surgery)?
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment Canada, United Kingdom
Disease/condition/study domain Rectal cancer
Participants - inclusion criteria 1. Histologically confirmed adenocarcinoma of the rectum
2. Considered potentially operable
3. No evidence of metastases
4. Patient considered fit to receive either arm of the trial
5. No concurrent uncontrolled medical illness
6. No previous or current malignant disease likely to interfere with treatment or comparisons
7. Informed consent obtained
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 01/02/1998
Anticipated end date 05/08/2005
Status of trial Completed
Patient information material
Target number of participants 1350
Interventions 1. One group receives a short course pre-operative radiotherapy followed by surgery
2. The other group receives surgery followed by postoperative chemo-radiotherapy
Primary outcome measure(s) Local recurrence (as defined using an algorithm designed for the trial).
Secondary outcome measure(s) 1. Local recurrence-free survival
2. Overall survival
3. Time to appearance of distant metastases
4. Disease-free survival
5. Morbidity
6. Quality of life
7. Economic implications
Sources of funding Medical Research Council (MRC) (UK)
Trial website http://www.ctu.mrc.ac.uk/studies/CR07.asp
Publications 2009 results in:
1. Initial results: http://www.ncbi.nlm.nih.gov/pubmed/19269519
2. Prospective study results: http://www.ncbi.nlm.nih.gov/pubmed/19269520
Contact name Dr  David  Sebag-Montefiore
  Address Leeds Cancer Centre
Cookridge Hospital
Hospital Lane
  City/town Leeds
  Zip/Postcode LS16 6QB
  Country United Kingdom
Sponsor Medical Research Council (MRC) (UK)
  Address 20 Park Crescent
  City/town London
  Zip/Postcode W1B 1AL
  Country United Kingdom
  Tel +44 (0)20 7636 5422
  Fax +44 (0)20 7436 6179
  Email clinical.trial@headoffice.mrc.ac.uk
  Sponsor website: http://www.mrc.ac.uk
Date applied 06/04/2000
Last edited 18/03/2009
Date ISRCTN assigned 06/04/2000
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