the Role of ctDNA in Predicting the Recurrence Risk of Colorectal Cancer

NCT ID: NCT05131243

Last Updated: 2021-11-23

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-01

Study Completion Date

2023-05-01

Brief Summary

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The purpose of this study was to observe the relationship between ctDNA as a molecular marker of colorectal cancer and the risk of postoperative recurrence.

Detailed Description

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In this clinical study, ctDNA will be detected in postoperative patients with stage Ⅱ and Ⅲ colorectal cancer to evaluate the correlation between ctDNA and the risk of postoperative recurrence. According to the dynamic changes of ctDNA after adjuvant chemotherapy, the correlation between ctDNA and postoperative DFS will be compared, and the feasibility of ctDNA as a molecular marker to evaluate the risk of postoperative recurrence of colorectal cancer will be investigated.

Conditions

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Colorectal Cancer Stage II Colorectal Cancer Stage III

Keywords

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ctDNA Adjuvant chemotherapy Colorectal Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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ctDNA positive patients

Postoperative ctDNA-positive patients will receive chemotherapy for 6 months.The ctDNA dynamic detection and imaging examination will be completed every 3 months, and tumor markers will be detected in each chemotherapy cycle.

Group Type EXPERIMENTAL

Chemotherapy time

Intervention Type PROCEDURE

6 months of chemotherapy

ctDNA negative patients

Postoperative ctDNA-negative patients will receive chemotherapy for 3 months. The ctDNA dynamic detection and imaging examination will be completed every 3 months, and tumor markers will be detected in each chemotherapy cycle.

Group Type ACTIVE_COMPARATOR

Chemotherapy time

Intervention Type PROCEDURE

3 months of chemotherapy

Interventions

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Chemotherapy time

6 months of chemotherapy

Intervention Type PROCEDURE

Chemotherapy time

3 months of chemotherapy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 1\. Patients with colorectal cancer diagnosed pathologically as stage Ⅱ and stage Ⅲ.
* 2\. The patient underwent radical surgical treatment.
* 3\. The patient has the results of genetic genetic testing for gastrointestinal tumors, including the genetic mutation status of MMR genes and related genes (MLH1, MSH2, MSH6, PMS2, MLH3, EPCAM).
* 4\. The patient understands and is willing to sign a written informed consent document.
* 5\. During the treatment process, the patient can cooperate to provide samples of each node.
* 6\. The patient can provide corresponding clinical materials, including but not limited to case diagnosis, imaging evaluation, and serum protein marker test results.

Exclusion Criteria

* 1\. The patient cannot provide a complete and qualified specimen.
* 2\. The patient has other primary malignant tumors or serious medical illnesses.
* 3\. The patient cannot cooperate with the follow-up.
* 4\. Conditions that other researchers deemed inappropriate for continuing to participate in the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fujian Cancer Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Central Contacts

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Xiaojie Wang

Role: CONTACT

Phone: 13509399900

Email: [email protected]

References

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Francis G, Stein S. Circulating Cell-Free Tumour DNA in the Management of Cancer. Int J Mol Sci. 2015 Jun 19;16(6):14122-42. doi: 10.3390/ijms160614122.

Reference Type BACKGROUND
PMID: 26101870 (View on PubMed)

Diehl F, Schmidt K, Choti MA, Romans K, Goodman S, Li M, Thornton K, Agrawal N, Sokoll L, Szabo SA, Kinzler KW, Vogelstein B, Diaz LA Jr. Circulating mutant DNA to assess tumor dynamics. Nat Med. 2008 Sep;14(9):985-90. doi: 10.1038/nm.1789. Epub 2007 Jul 31.

Reference Type BACKGROUND
PMID: 18670422 (View on PubMed)

Dawson SJ, Tsui DW, Murtaza M, Biggs H, Rueda OM, Chin SF, Dunning MJ, Gale D, Forshew T, Mahler-Araujo B, Rajan S, Humphray S, Becq J, Halsall D, Wallis M, Bentley D, Caldas C, Rosenfeld N. Analysis of circulating tumor DNA to monitor metastatic breast cancer. N Engl J Med. 2013 Mar 28;368(13):1199-209. doi: 10.1056/NEJMoa1213261. Epub 2013 Mar 13.

Reference Type BACKGROUND
PMID: 23484797 (View on PubMed)

Garcia-Murillas I, Schiavon G, Weigelt B, Ng C, Hrebien S, Cutts RJ, Cheang M, Osin P, Nerurkar A, Kozarewa I, Garrido JA, Dowsett M, Reis-Filho JS, Smith IE, Turner NC. Mutation tracking in circulating tumor DNA predicts relapse in early breast cancer. Sci Transl Med. 2015 Aug 26;7(302):302ra133. doi: 10.1126/scitranslmed.aab0021.

Reference Type BACKGROUND
PMID: 26311728 (View on PubMed)

Tie J, Wang Y, Tomasetti C, Li L, Springer S, Kinde I, Silliman N, Tacey M, Wong HL, Christie M, Kosmider S, Skinner I, Wong R, Steel M, Tran B, Desai J, Jones I, Haydon A, Hayes T, Price TJ, Strausberg RL, Diaz LA Jr, Papadopoulos N, Kinzler KW, Vogelstein B, Gibbs P. Circulating tumor DNA analysis detects minimal residual disease and predicts recurrence in patients with stage II colon cancer. Sci Transl Med. 2016 Jul 6;8(346):346ra92. doi: 10.1126/scitranslmed.aaf6219.

Reference Type BACKGROUND
PMID: 27384348 (View on PubMed)

Other Identifiers

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FZ-CON-001

Identifier Type: -

Identifier Source: org_study_id