About this trial
Many patients with rectal cancer were not candidates for surgical resection because advanced age, comorbidities, or multiple synchronous metastases. In this scenario only comfort measures or different palliative radiotherapy regimens are applied, from single doses to treatments lasting several weeks. The aim of this prospective study is to describe the preliminary results of our protocol of hypofractionated palliative radiotherapy in patients with non-operable rectal cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with rectal or sigmoidal cancer who were not candidates for surgical resection because advanced age, comorbidities, or multiple synchronous metastases at the time of diagnosis
Patients with = or > 18 years old
Patients treated with a radiotherapy dose of 39Gy in 13 fractions of 3 Gy
Disqualifiers
Patients with a non rectum or sigma colo-rectal cancer.
Patients with <18 years old.
Patients treated with concurrent chemotherapy
Patients candidates for surgical resection after radiotherapy
Trial population
Patients with rectal cancer who were not candidates for surgical resection because advanced age, comorbidities, or multiple synchronous metastases at the time of diagnosis.
Trial design
Cohort
Retrospective
Treatments tested in this trial
rectal cancer radiotherapy
RadiationConformal three-dimensional radiotherapy to deliver to the primary tumor and the enlarged pelvic nodes a total dose of 39Gy in 13 sessions of 3Gy in 17 days.
Treatment groups
Trial outcomes
Primary outcomes
Symptomatic response after palliative radiotherapy (bleeding)
number of patients with bleeding ( worst, no change, better or without)
Symptomatic response after palliative radiotherapy (pain)
number of patients with pain ( worst, no change, better or without)
Gastrointestinal toxicity after the end of radiotherapy
Gastrointestinal toxicity after the end of radiotherapy were reported according to CTCAE v4.0 scale
Genitourinary toxicity after the end of radiotherapy
Genitourinary toxicity after the end of radiotherapy were reported according to CTCAE v4.0 scale.
Secondary outcomes
palliative colostomy after the end of palliative radiotherapy
number of patients with colostomy
Sponsors and contacts
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