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cT3-4 rectal cancer

Primary endpoint: reduction in metabolic tumor activity

SUV

max

on sequential 18FDG-PET imaging

Non-inferiority: difference in metabolic response

10%

Sample size: 78 in both arms (

α

: 0.05, power: 80%)

IG-IMRT 23 x 2 Gy +

capecitabine (825mg/m

2

)

IG-IMRT 23 x 2 Gy +

SIB 0.4 Gy/day (

Σ

55.2 Gy)

TME surgery 6 weeks post RT

+ adjuvant capecitabine (x

6)

Arm 1: chemoRT

Arm 2: RT-boost

Study design

23