Trial Information
Multicenter Randomized Controlled Trial, Extralevator Versus Standard Abdominoperineal Resection For Rectal Adenocarcinoma
Inclusion Criteria:
- Resectable, histologically proven primary adenocarcinoma of the low rectum with
internal and/or external sphincter muscle involvement. Staged as follows prior to
neoadjuvant chemoradiation:
- Stage T3 or T4 at MRI
- N0-2 at MRI
- M0 at CT scan
- Patient must undergo long term neoadjuvant chemoradiation: 20 fractions of radiation
over ≥5 weeks: total of 50-60 Gy, and chemotherapeutic agents
Exclusion Criteria:
- Squamous cell carcinoma
- Adenocarcinoma Stage T1-2, any N
- T4 with one of the following:
with pelvic side wall involvement requiring sacrectomy requiring prostatectomy (partial or
total) Distant metastasis (M1) Unresectable primary rectal cancer or Inability to complete
R0 resection. Recurrent rectal cancer Previous pelvic malignancy Inability to sign
informed consent Pregnancy
Type of Study:
Interventional
Study Design:
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
Outcome Measure:
measurement of circumferential resection margin
Outcome Description:
Measurement in millimeters (mm) of the circumferential resection margin.
Outcome Time Frame:
0-10 minutes post surgery
Safety Issue:
No
Principal Investigator
Roberto Bergamaschi, MD, PhD
Investigator Role:
Principal Investigator
Investigator Affiliation:
Stony Brook University Medical Center
Authority:
United States: Institutional Review Board
Study ID:
APR2011
NCT ID:
NCT01702116
Start Date:
July 2011
Completion Date:
July 2013
Related Keywords:
- Rectal Adenocarcinoma
- rectal adenocarcinoma
- Standard APR
- Extralevator APR
- Adenocarcinoma
- Adenocarcinoma, Mucinous
- Rectal Neoplasms
Name | Location |
Stony Brook University Medical Center |
Stony Brook, New York 11794 |
State University Hospital Medical Center |
Stony Brook, New York 11794-8191 |
Stony Broook University Medical Center |
Stony Brook, New York 11794-8191 |