NIH-funded research R01 grant

MRI and blood tests to predict response to pre-surgery therapy in rectal cancer

Official title: MRI and blood biomarkers of neoadjuvant therapy response and outcomes in rectal cancer

Funded at Stanford University · NIH-11262854 · Data updated 2026-11-12

This project combines MRI scans and blood tests to find which people with locally advanced rectal cancer will respond well to treatment given before surgery.

More Rectal Cancer research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionStanford University
NIH-funded
Lab location1 site (Stanford, United States)
Project startFebruary 1, 2024
Project endJanuary 31, 2029
Funding year2026
Award (this year)$544,093
NIH project number5R01CA285456-03
Project IDNIH-11262854 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates are people with stage II or III (locally advanced) rectal cancer who are scheduled for neoadjuvant chemoradiotherapy before planned surgery.

Less likely to help

People with very early-stage rectal cancer, widespread metastatic disease, or those not receiving preoperative chemoradiation or unable to travel for MRIs and blood draws are unlikely to benefit from this project.

What this research studies

You would get MRI scans and blood draws before, during, and after the standard chemoradiation given before surgery. The team will analyze imaging patterns and blood biomarkers using advanced analytics to look for signs linked to a complete tumor response or later spread. They will compare those signals to surgical pathology and long-term follow-up to identify which measures best predict outcomes. The goal is to help doctors personalize care so some people might safely avoid surgery while others get stronger systemic treatment.

Why it matters

Potential benefit: If successful, this could help people avoid unnecessary surgery and target stronger treatment to those at higher risk of cancer spread.

How similar studies have gone: Previous research has shown MRI features and some blood biomarkers can suggest treatment response, but accuracy has been limited and not ready for routine clinical decisions.

Where this research is happening

  • Stanford University
    Stanford, United States
    Active

Researchers

  • Principal investigator: Li, Ruijiang — Stanford University
  • Study coordinator: Li, Ruijiang

Related research

Other NIH-funded projects on the same topics.

  • Dose levels of aerobic exercise during cancer therapy for rectal cancer

    A personalized exercise plan is tested to see how different amounts of aerobic training affect how well people with locally advanced rectal cancer tolerate their treatment.

    NIH research Sloan-Kettering Inst Can Research · New York, United States · NIH-11325432

  • Effects of aerobic training on cancer treatment tolerability in rectal cancer patients

    This study is looking at how different amounts of aerobic exercise can help people with locally advanced rectal cancer feel better and handle their treatment more easily, and it’s designed for patients who are about to start their cancer therapy.

    NIH research Sloan-Kettering Inst Can Research · New York, United States · NIH-11056086

  • Using MRI and blood tests to understand treatment responses in rectal cancer

    This study is looking at how MRI scans and blood tests can help doctors figure out which patients with rectal cancer will respond well to treatment before surgery, so they can tailor the best plan for each person—possibly helping some avoid surgery altogether while making sure others get the care they really need.

    NIH research Stanford University · Stanford, United States · NIH-11031929

  • Antibody-drug conjugates for ovarian cancer with poor response to platinum therapy

    A Mayo Clinic team is testing targeted antibody-drug conjugates to help people with advanced high-grade ovarian cancer who did not respond well to standard platinum-based treatment.

    NIH research Mayo Clinic Rochester · Rochester, United States · NIH-11421328

  • Molecular Characterization of Radiation Effects in Rectal Cancer

    A patient-facing platform study aims to link tissue changes, imaging, and the immune system during radiotherapy for rectal cancer to improve future treatments.

    NIH research Weill Medical Coll of Cornell Univ · New York, United States · NIH-11419298

  • Immune System and Radiation in Rectal Cancer

    This grant supports a small international study to understand how radiation therapy interacts with the immune system in rectal cancer by collecting tumor, blood, stool, and lymph node samples from patients before and after treatment.

    NIH research Weill Medical Coll of Cornell Univ · New York, United States · NIH-11419223

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.