NCT06577194

Brief Summary

A Single-Center, Single-Arm Study of Neoadjuvant Short-Course Radiotherapy Followed by Sequential Immunotherapy with CAPOX Combined with PD-1 antibody and IL-2 for Locally Advanced Rectal Cancer

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
35

participants targeted

Target at P25-P50 for phase_2

Timeline
30mo left

Started Oct 2024

Typical duration for phase_2

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress43%
Oct 2024Jan 2029

First Submitted

Initial submission to the registry

August 27, 2024

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 29, 2024

Completed
1 month until next milestone

Study Start

First participant enrolled

October 5, 2024

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 15, 2026

Completed
3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

January 15, 2029

Expected
Last Updated

July 24, 2026

Status Verified

April 1, 2026

Enrollment Period

1.3 years

First QC Date

August 27, 2024

Last Update Submit

July 22, 2026

Conditions

Keywords

ImmunotherapyShort-course radiotherapyIL-2

Outcome Measures

Primary Outcomes (1)

  • Complete response rate (pCR or cCR)

    The proportion of enrolled participants who achieved either a pathological complete response (pCR) or a clinical complete response (cCR).

    Up to approximately 6 months after treatment initiation.

Study Arms (1)

Experimental group

EXPERIMENTAL

Experimental arm

Drug: Sintilimab + IL-2 Combined with CAPOXRadiation: Short-course radiotherapy

Interventions

Sintilimab + IL-2 Combined with Capox

Experimental group

Short-course radiotherapy

Experimental group

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Males and females aged between 18 and 70 years;
  • ECOG (Eastern Cooperative Oncology Group) performance status score of 0 or 1;
  • Tumor tissue samples obtained and histologically confirmed as rectal adenocarcinoma;
  • Adequate hematological, liver, and kidney functions: neutrophil count ≥ 1.5×10\^9/L; platelet count ≥ 75×10\^9/L; serum total bilirubin ≤ 1.5× upper limit of normal (UNL); aspartate aminotransferase ≤ 2.5× UNL; alanine aminotransferase ≤ 2.5× UNL; serum creatinine ≤ 1.5× UNL.

You may not qualify if:

  • Metastatic disease (Stage IV);
  • Recurrent rectal cancer;
  • Concurrent active bleeding, perforation, or other complex situations that cannot be addressed with emergency colostomy surgery alone;
  • Previous systemic anti-cancer treatment for colorectal cancer;
  • Coexistence of other non-colorectal cancer malignancies;
  • Patients with any active autoimmune diseases, or a history of needing steroids or immunosuppressive drugs;
  • Patients with interstitial lung disease, non-infectious pneumonia, or uncontrolled systemic diseases (e.g., diabetes, hypertension, pulmonary fibrosis, and acute pneumonia);
  • Previous treatment-induced any grade 2 or above toxicity reaction (according to the Common Terminology Criteria for Adverse Events (CTCAE) version 5 classification) that has not subsided (excluding anemia, hair loss, and skin pigmentation);
  • Previous treatment with anti-programmed death receptor-1 (PD-1) or its ligand (PD-L1) antibodies, anti-cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) antibodies;
  • Pregnant or breastfeeding women;
  • Known or tested positive for human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS);
  • Known or suspected allergy history to any drugs used in the trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Jiangsu Province Hospital

Nanjing, Jiangsu, 210000, China

Location

MeSH Terms

Conditions

Rectal Neoplasms

Interventions

sintilimab

Condition Hierarchy (Ancestors)

Colorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesIntestinal DiseasesRectal Diseases

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 27, 2024

First Posted

August 29, 2024

Study Start

October 5, 2024

Primary Completion

January 15, 2026

Study Completion (Estimated)

January 15, 2029

Last Updated

July 24, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will not share

Locations