Recruiting PHASE2 Rectal Cancer Patients

Clinical trial for Rectal Cancer Patients

Official title Clinical Trial of Neoadjuvant mFOLFOX Plus Alvenor for LARC Patients With High YWHAB Expression

ClinicalTrials.gov ID: NCT07176182

What this study is testing

What is mFOLFOX regimen combined with Citrus Flavone Tablets (Alvenor) neoadjuvant treatment group?

mFOLFOX regimen combined with Citrus Flavone Tablets (Alvenor) neoadjuvant treatment group is an investigational medicine, given as an once-daily infusion into a vein, being studied as a potential treatment for rectal cancer patients.

Also referred to as 5-Fluorouracil, Oxaliplatin, Citrus Flavone Tablets (Alvenor).

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
This study is a prospective, multicenter, open-label, randomized controlled Phase II clinical trial enrolling patients with locally advanced rectal cancer who tested positive for YWHAB (tyrosine 3-monooxygenase/tryptophan 5-monooxygenase-activating protein β) prior to surgery. The trial aims to evaluate the efficacy of combining the mFOLFOX chemotherapy regimen with citrus flavonoid tablets (Aimilang) for neoadjuvant (preoperative) treatment.
  • Phase 2: a mid-size study of how well it works
  • Which group you join is decided by chance.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 to 75

You may be able to join if

  • Histopathologically confirmed rectal adenocarcinoma; all other histologic subtypes are excluded. Presence of hemorrhoids confirmed by colonoscopy or...
  • Radiographically measurable or clinically evaluable rectal tumor lesion; clinical pathologic stage T2N+ or T3-4aAnyN, M0. Clinical staging is...
  • Pelvic MRI confirms the tumor is not adherent to the mesorectal fascia (MRF-negative), defined as a tumor-MRF distance ≥ 2 mm (tumor distance \< 2 mm...
  • ectal cancer tumor specimens demonstrate high YWHAB expression by immunohistochemistry.
  • Age 18-75 years at the time of informed consent.
See the full eligibility criteria
Who can join
  • Histopathologically confirmed rectal adenocarcinoma; all other histologic subtypes are excluded. Presence of hemorrhoids confirmed by colonoscopy or clinical physical examination.
  • Radiographically measurable or clinically evaluable rectal tumor lesion; clinical pathologic stage T2N+ or T3-4aAnyN, M0. Clinical staging is determined by physical examination, contrast-enhanced chest and...
  • Pelvic MRI confirms the tumor is not adherent to the mesorectal fascia (MRF-negative), defined as a tumor-MRF distance ≥ 2 mm (tumor distance \< 2 mm is defined as MRF involvement).
  • ectal cancer tumor specimens demonstrate high YWHAB expression by immunohistochemistry.
  • Age 18-75 years at the time of informed consent.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 (Appendix 3).
  • No prior systemic anticancer therapy for rectal cancer, including cytotoxic chemotherapy, immune checkpoint inhibitors, molecular targeted agents, or endocrine therapy.
  • Adequate organ function with screening laboratory parameters meeting the following criteria:
  • White blood cell count ≥ 3 × 10⁹/L
  • Absolute neutrophil count ≥ 1.5 × 10⁹/L
  • Platelet count ≥ 75 × 10⁹/L
  • Total bilirubin ≤ 1.5 × upper limit of normal (ULN)
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 × ULN
  • Serum creatinine ≤ 1.5 × ULN
  • Females of childbearing potential must have a negative serum pregnancy test within 3 days prior to initiation of study treatment and agree to use a highly effective, medically acceptable contraceptive method (e.g...
  • Male patients with partners of childbearing potential must practice effective contraception during the study and for 3 months following the last study drug administration.
  • The patient voluntarily provides written informed consent and is willing and able to comply with all scheduled study visits, treatment administration, laboratory assessments, and protocol-specified procedures.

The study team makes the final eligibility decision.

Where it's taking place

  • Guangzhou, Guangdong, China

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years to 75 years. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Guangzhou, Guangdong, China. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.