Clinical trial Recruiting at 1 site Observational Ages 18 to 90

ADAR1 levels in rectal adenocarcinoma

Official title: The Effect of ADAR1 Expression Level on Total Neoadjuvant Treatment Response in Locally Advanced Rectal Cancer

Run by Necmettin Erbakan University · NCT07108348 · Data updated 2026-11-12

For people with locally advanced rectal adenocarcinoma getting total neoadjuvant therapy, clinicians will measure ADAR1 levels to see if they relate to how the tumor responds.

Quick facts

Study typeObservational
Ages18 Years to 90 Years
SexAll
Enrollment50 (estimated)
SponsorNecmettin Erbakan University
Academic / other
Drugs / interventionschemotherapy, radiation
Locations1 site (Konya, Meram)
StatusRecruiting
StartedJune 1, 2025
Main results expectedJuly 1, 2026
Study endsSeptember 1, 2026
Registry record updatedAugust 7, 2025
Trial IDNCT07108348 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with histologically confirmed local or locally advanced rectal adenocarcinoma, ECOG 0–2, planned for TNT, and willing to provide informed consent and tissue samples are the ideal candidates.

Probably not a fit

Patients with metastatic disease, a second primary cancer, contraindications to chemo/radiation, or those who do not provide consent or tissue samples are unlikely to benefit from the study findings.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is an observational study measuring ADAR1 (adenosine deaminase acting on RNA1) expression in tumor tissue from patients with local or locally advanced rectal adenocarcinoma treated with total neoadjuvant therapy (TNT). Tumor staging and response will be documented using colonoscopy and pelvic MRI, and ADAR1 levels will be correlated with clinical and radiologic response and treatment decisions (surgery versus watch-and-wait). Eligible participants are ECOG 0–2, have no metastatic disease, and have no contraindications to chemotherapy or radiotherapy. The study is conducted at Necmettin Erbakan University with collaboration from the Turkish Society of Medical Oncology.

Why it matters

Potential benefit: If successful, ADAR1 measurement could help predict who will respond to TNT and support decisions about avoiding surgery or choosing sphincter-sparing approaches.

How similar studies have gone: ADAR1 has been linked to tumor behavior in other cancer types, but its value as a predictive biomarker for TNT response in rectal cancer has not been firmly established.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Histological and staging diagnosis of local/locally advanced rectal cancer
* ECOG performance score between 0 and 2
* No contraindications for chemotherapy (CT) and/or radiotherapy (RT)

Exclusion Criteria:

* Those diagnosed with metastatic rectal cancer
* Those suspected of having rectal cancer or patients with a diagnosis of a second primary cancer
* Those who have not signed the informed consent form
* Those with contraindications for chemotherapy (CT) and/or radiation therapy (RT)

Where it's running

  • Necmettin Erbakan University Faculty of Medicine, Departmen of Medical Oncology
    Konya, Meram, Turkey (Türkiye)
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.