Chemoradiotherapy (Not applicable (treatment regimen))

Other Medications

US FDA Approved IV, Oral 3 Clinical Trials
DNA synthesis pathways thymidylate synthase

Description

Chemoradiotherapy is a combined treatment modality that delivers chemotherapy agents concurrently with radiation therapy for colorectal cancer, particularly in locally advanced rectal cancer. This approach serves as neoadjuvant therapy to downsize tumors prior to surgical resection and may enable organ preservation strategies. The combination enhances the radiosensitizing effects of chemotherapy agents, typically fluoropyrimidines like 5-fluorouracil or capecitabine, to improve local tumor control and potentially avoid the need for radical surgery.

Mechanism of Action

The chemotherapy agents act as radiosensitizers, enhancing the cytotoxic effects of ionizing radiation on cancer cells by inhibiting DNA repair mechanisms and increasing cellular sensitivity to radiation-induced damage. Fluoropyrimidines interfere with thymidine synthesis and DNA replication, while radiation causes direct DNA strand breaks and generates reactive oxygen species that damage cellular components.

Molecular Targets

Side Effects

Radiation dermatitis Diarrhea Fatigue Nausea Proctitis Hand-foot syndrome Neutropenia Mucositis

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT06758830 Phase 2
Recruiting
Total Neoadjuvant Therapy and Organ Preservation Versus Surgery for Rectal Cancer.
Lithuania
NCT07448077 Phase 2
Not yet recruiting
Short-course Radiotherapy in TNT Combined With Enlonstobart for pMMR LARC
NCT02031939 Phase 3
Unknown
Randomized Controlled Study on Optimize Neoadjuvant Chemoradiotherapy for Locally Advanced Rectal Cancer
China