Minimal Residual Disease Assessment in Patients With Colorectal Cancer, the MiRDA-C Study

NCT ID: NCT04739072

Last Updated: 2025-11-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-11-22

Study Completion Date

2025-12-31

Brief Summary

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This study investigates if circulating tumor DNA (ctDNA) and other tumor-related molecules/chemicals released in the blood can help doctors predict if colorectal cancer may come back or spread. Tumors shed DNA and other cancer related chemicals into the blood that can be identified and studied further to provide information about the cancer. Information gathered from this study may help researchers better understand if ctDNA found in the blood can predict whether colorectal cancer may come back or spread.

Detailed Description

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PRIMARY OBJECTIVES:

I. Demonstrate ability to monitor cancer-specific deoxyribonucleic acid (DNA), ribonucleic acid (RNA), and proteomic alterations from plasma.

II. Improve detection of recurrences post completion of curative therapies through monitoring of plasma cancer-specific DNA, RNA and proteomic alterations.

SECONDARY OBJECTIVES:

I. Qualitative and quantitative changes in cancer-specific plasma alterations during neoadjuvant, adjuvant therapies and surveillance.

II. Disease free survival (DFS) of patients with detectable cancer-specific plasma alterations.

III. Overall survival (OS) of patients with detectable cancer-specific plasma alterations.

EXPLORATORY OBJECTIVES:

I. Optimal combination of cancer-specific plasma DNA, RNA and / or proteomic alterations for early detection of recurrences.

II. Sensitivity, specificity, positive predictive and negative predictive values of cancer-specific plasma alterations in detecting recurrences.

III. Correlation between cancer-specific alterations in plasma and tissue and either with outcomes including DFS \& OS.

IV. Nature and frequency of detection of incidental non-colorectal cancer related DNA, RNA and / or proteomic alterations.

OUTLINE:

Patients undergo collection of blood samples at baseline, during each neoadjuvant therapy treatment, prior to surgical resection, and up to 4 times per year for up to 5 years. Patients also undergo collection of tissue sample at time of surgical resection. Patients' medical records may also be reviewed.

Conditions

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Colorectal Adenocarcinoma Stage I Colorectal Cancer AJCC v8 Stage II Colorectal Cancer AJCC v8 Stage IIA Colorectal Cancer AJCC v8 Stage IIB Colorectal Cancer AJCC v8 Stage IIC Colorectal Cancer AJCC v8 Stage III Colorectal Cancer AJCC v8 Stage IIIA Colorectal Cancer AJCC v8 Stage IIIB Colorectal Cancer AJCC v8 Stage IIIC Colorectal Cancer AJCC v8 Stage IV Colorectal Cancer AJCC v6 Stage IVA Colorectal Cancer AJCC v8 Stage IVB Colorectal Cancer AJCC v8 Stage IVC Colorectal Cancer AJCC v8

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Ancillary-correlative (biospecimen collection)

Patients undergo collection of blood samples at baseline, during each neoadjuvant therapy treatment, prior to surgical resection, and up to 4 times per year for up to 5 years. Patients also undergo collection of tissue sample at time of surgical resection. Patients medical records may also be reviewed.

Biospecimen Collection

Intervention Type PROCEDURE

Undergo collection of blood and tissue samples

Electronic Health Record Review

Intervention Type OTHER

Review of medical records

Interventions

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Biospecimen Collection

Undergo collection of blood and tissue samples

Intervention Type PROCEDURE

Electronic Health Record Review

Review of medical records

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 18 years.
2. Histological/cytological confirmation of colorectal adenocarcinoma.
3. Patients with any stage colorectal adenocarcinoma deemed potentially eligible for curative intent treatment. Patients with stages II-IV colorectal cancer post-R0 resection may also be enrolled onto the protocol any time before or up to 3 months post-surgery and prior to initiating adjuvant therapy.
4. Ability to understand and the willingness to sign a written informed consent document.
5. Willing to pursue standard of care surveillance post completion of curative therapies.
6. Willing to provide blood samples for correlative research.

Exclusion Criteria

1. Known active malignancies other than colorectal adenocarcinoma that may interfere with detection and / or interpretation of circulating plasma markers. Patients with known clonal hematopoiesis of indeterminate potential are eligible.
2. Co-morbid systemic illnesses or other severe concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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M.D. Anderson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Arvind Dasari

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Locations

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Banner - MD Anderson Cancer Center

Gilbert, Arizona, United States

Site Status TERMINATED

Baptist- MD Anderson Cancer Center

Jacksonville, Florida, United States

Site Status TERMINATED

The Queen's Medical Center

Honolulu, Hawaii, United States

Site Status TERMINATED

St. Luke's Cancer Institute

Boise, Idaho, United States

Site Status TERMINATED

Cooper Hospital UNIV MED CTR.

Camden, New Jersey, United States

Site Status TERMINATED

UT Southwestern/Simmons Cancer Center-Dallas

Dallas, Texas, United States

Site Status TERMINATED

Houston Methodist Cancer Center

Houston, Texas, United States

Site Status TERMINATED

M D Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

UT Health San Antonio MD Anderson Cancer Center

San Antonio, Texas, United States

Site Status TERMINATED

Baylor Scott & White Research Institute

Temple, Texas, United States

Site Status TERMINATED

Countries

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United States

Central Contacts

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Arvind Dasari

Role: CONTACT

Phone: (713) 792-2828

Email: [email protected]

Facility Contacts

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Arvind Dasari

Role: primary

Related Links

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http://www.mdanderson.org

M D Anderson Cancer Center

Other Identifiers

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NCI-2020-10034

Identifier Type: REGISTRY

Identifier Source: secondary_id

PA18-1171

Identifier Type: OTHER

Identifier Source: secondary_id

PA18-1171

Identifier Type: -

Identifier Source: org_study_id