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Consolidation chemotherapy refers to the administration of systemic chemotherapy after neoadjuvant chemoradiotherapy but prior to surgery in patients with locally advanced rectal cancer. In the specific trial conducted by Larissa University Hospital (NCT02795819), this regimen consists of either CAPOX (capecitabine and oxaliplatin) or FOLFOX (fluorouracil, leucovorin, and oxaliplatin). This strategy is a component of Total Neoadjuvant Therapy (TNT), designed to improve the rate of pathological complete response and provide early treatment of systemic micrometastases. Oxaliplatin acts as a cytotoxic agent by forming DNA adducts, while fluoropyrimidines like capecitabine and 5-fluorouracil inhibit thymidylate synthase, thereby disrupting DNA synthesis.
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