NCT02704520Recruiting
Magnetic Resonance Tumour Regression Grade (mrTRG) as a Novel Biomarker - Phase III Non CTIMP Trial
Magnetic Resonance Tumour Regression Grade (mrTRG) as a Novel Biomarker to Stratify Management of Good and Poor Responders to Radiotherapy: A Rectal Cancer Multicentre Randomised Control Trial to Avoid Surgery With 'Watch and Wait' or Intensify Treatment According to mrTRG
Source: ClinicalTrials.gov · Last updated 17 Oct 2024 · Not updated for over 12 months - ask the site whether it is still open
Brief summary (registry, in English)
Open to patients undergoing any pre-operative treatment for locally advanced rectal cancer, TRIGGER is the only phase III clinical trial in the UK offering watch and wait. All patients will have post treatment MRI scans routinely performed, no change from the MERCURY trials high resolution MRI protocol is required. Patients will be randomised to either the control arm for management according to national guidelines - conventional MDT, clinical assessment post-treatment planning using the baseline MRI. Patients in the interventional arm will have their post treatment MRI scans read by a radiologist trained and supported to reliably report the mrTRG grade and have their management directed accordingly - 'Good response' (mrTRG 1\&2) - watch and wait (avoidance of surgery) offered. 'Poor response' (mrTRG 3-5) - local colorectal MDT is informed and uses information to discuss and agree next steps in treatment and surveillance. Patients are followed up for five years with QoL questionnaires completed at registration, 3 and 5 years.
- Status (registry)
- Recruiting
- Study type
- Interventional
- Enrollment
- 441 (estimated)
- First submitted
- 5 Feb 2016
- Start date
- Mar 2016
- Primary completion date
- Dec 2026
- Lead sponsor
- Imperial College London
- Diseases
- Colorectal cancer, Childhood cancers
- NCT number
- NCT02704520
What you commit to
- Study type: Interventional
- Planned participants: 441
- From Mar 2016 to the primary completion date, Dec 2026
- 10 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- MRI, radiotherapy and/or chemotherapy contraindications
- A post-treatment MRI performed more than 10 weeks after the completion of radiotherapy if given
Other illness
- Metastatic disease
- Previous malignancy within preceding 5 years if risk of recurrence \>5%
Who the study is looking for
- MRI defined locally advanced rectal carcinoma i.e. one or more: greater than or equal to mrT3c; mrEMVI positive; mr N1c; mr CRM positive
- Biopsy confirmed adenocarcinoma of radiologically defined rectum
- Be deemed to require preoperative chemoradiotherapy (CRT) or total neoadjuvant therapy (TNT)
Age in the registry: 16 years to - · Sex: All · Does not accept healthy volunteers
Sites (10)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Aberdeen Royal Infirmary - NHS Grampion Coordinator of this site? Confirm its status | Aberdeen | United Kingdom | Recruiting |
| Hampshire Hospitals Nhs Foundation Trust Coordinator of this site? Confirm its status | Basingstoke | United Kingdom | Recruiting |
| Bristol Royal Infirmary Coordinator of this site? Confirm its status | Bristol | United Kingdom | Recruiting |
| Colchester General Hospital Coordinator of this site? Confirm its status | Colchester | United Kingdom | Recruiting |
| NHS Lanarkshire - Hairmyres Hospital Coordinator of this site? Confirm its status | East Kilbride | United Kingdom | Recruiting |
| Diana Princess of Wales Hospital Coordinator of this site? Confirm its status | Grimsby | United Kingdom | Recruiting |
| Salisbury NHS Foundation Trust Coordinator of this site? Confirm its status | Salisbury | United Kingdom | Recruiting |
| University Hospital of North Tees Coordinator of this site? Confirm its status | Stockton-on-Tees | United Kingdom | Recruiting |
| University Hospital of North Midlands NHS Trust - Royal Stoke Coordinator of this site? Confirm its status | Stoke-on-Trent | United Kingdom | Recruiting |
| Royal Marsden NHS Foundation Trust Coordinator of this site? Confirm its status | Sutton | United Kingdom | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.