Organ preservation approach for locally advanced rectal cancer
Official title: ORGAN PRESERVATION AFTER NEOADJUVANT TREATMENT FOR LOCALLY ADVANCED RECTAL CANCER
Run by Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · NCT03064646 · Data updated 2026-11-12
This study is testing if a new approach to treating locally advanced rectal cancer can safely help patients keep their organs while monitoring their recovery after treatment.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Elche, Alicante) |
| Status | Recruiting |
| Started | March 10, 2017 |
| Main results expected | February 2022 |
| Study ends | February 2027 |
| Registry record updated | September 27, 2018 |
| Trial ID | NCT03064646 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients with stage II and III rectal adenocarcinoma who have shown a complete or near complete response to neoadjuvant treatment.
✕Probably not a fit
Patients with evidence of distant metastases will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The PRONAR trial evaluates the feasibility and safety of an organ preservation strategy for patients with locally advanced rectal cancer who show a complete or nearly complete response to neoadjuvant treatment. Patients will undergo MRI and endoscopy to assess their response, with those meeting criteria offered a 'watch and wait' strategy or transanal endoscopic microsurgery. The study aims to analyze survival rates, local and distant relapse, and quality of life outcomes. A total of 30 patients will be recruited over a period of time to assess these outcomes.
Why it matters
Potential benefit: If successful, this approach could reduce the need for radical surgery in patients with locally advanced rectal cancer, potentially improving their quality of life.
How similar studies have gone: Previous studies have shown promising results with organ preservation strategies in rectal cancer, indicating potential for success in this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with confirmed histopathological diagnosis of rectal adenocarcinoma. * Patients treated with neoadjuvant chemoradiotherapy or neoadjuvant radiotherapy associated or not with induction chemotherapy. * Patients with evidence of complete or near complete response criteria after completion of neoadjuvant treatment (approximately 8 weeks later). Response criteria should be based on digital rectal examination, flexible rectoscopy and MRI. Exclusion Criteria: * Evidence of distant metastases.
Where it's running
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Hospital General Universitario de Elche
Elche, Alicante, Spain Recruiting
Study contacts
- Principal investigator: Javier Gallego, PhD — Hospital General Universitario de Elche
- Study coordinator: Javier Gallego, PhD
- Email: j.gallegoplazas@gmail.com
- Phone: +34966616250
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.