Mednet Logo

How will the PROSPECT trial presented at ASCO 2023 change your current management of early rectal cancer?

Especially as the study was done before the adoption of total neoadjuvant therapy
3 Answers
Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Brigham and Women's Hospital
Answered on

I can’t overstate how much credit the Principal Investigator, Dr. @Dr. First Last, deserves for successfully completing the PROSPECT trial. The oncology community, particularly the radiation oncology community, was concerned that omitting radiation would put patients at risk. It was difficult and ch...

Join for free or sign in to see the full answer

Mednet Member
Mednet MemberInvited Expert
Medical Oncology · University of Wisconsin
Answered on

PROSPECT is an important study with some equally important caveats. There are some patients for whom radiation can be omitted in the treatment of rectal cancer. However, for lower rectal cancers that need an APR, or T4 or N2 tumors, or those that don’t achieve at least 20% shrinkage with FOLFOX, you...

Join for free or sign in to see the full answer

Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Mary Lanning Healthcare Morrison Cancer Center/University of Nebraska Medical Center Adjunct Faculty
Answered on

Total Neoadjuvant Treatment (TNT) is the preferred approach for locally advanced rectal cancer based on the benefits including early prevention or eradication of micrometastases, higher rates of pathologic complete response, longer progression free survival, decreased length of time for ileostomy, i...

Join for free or sign in to see the full answer