Neoadjuvant Radiotherapy vs Upfront Surgery in Locally Advanced Proximal Rectal Cancer

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorIstanbul University

About this trial

The PRELUDE Study: A Prospective Cohort Study Comparing Neoadjuvant Radiotherapy Followed by Total Mesorectal Excision Versus Upfront Surgery in Patients with Locally Advanced Proximal Rectal Cancer

The PRELUDE Study is a single-center, prospective cohort study designed to compare neoadjuvant radiotherapy followed by total mesorectal excision (TME) with upfront surgery alone in patients with locally advanced proximal rectal cancer.

The primary endpoint is the rate of local recurrence. Secondary endpoints include overall survival, disease-free survival, and functional outcomes related to bowel, urinary, and sexual function.

The aim of this study is to determine whether neoadjuvant radiotherapy reduces the risk of local recurrence and improves long-term oncological and functional outcomes in this anatomically distinct subgroup of patients with rectal cancer.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Locally Advanced Proximally Rectal Cancer

Disqualifiers

Distant metastasis

Trial design

Design model

Single group

Treatments tested in this trial

  • radiotherapy

    Radiation

    Neoadjuvant Radiotherapy

  • surgery

    Procedure/Surgery

    Upfront Surgery

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: Upfront SurgeryActive comparator 1 intervention
Group B: Neoadjuvant Radiotherapy Followed by SurgeryExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Locally Recurrance

Time frame
The first five years after enrollment.

Secondary outcomes

Other outcomes

Sponsors and contacts

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