NIH-funded research R21 grant

Finding and targeting tiny leftover colon cancer cells after surgery

Official title: Modeling Minimal Residual Disease in Colorectal Cancer

Funded at Duke University · NIH-11278760 · Data updated 2026-11-12

This project will collect hidden cancer cells from patients after colon cancer surgery, grow them in the lab, and test drugs to try to stop the cancer from coming back.

Quick facts

Grant typeR21 grant
Study typeNIH-funded research
Funding institutionDuke University
NIH-funded
Lab location1 site (Durham, United States)
Project startApril 24, 2026
Project endMarch 31, 2028
Funding year2026
Award (this year)$415,257
NIH project number1R21CA307993-01
Project IDNIH-11278760 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates are people having curative surgery for primary colorectal cancer who agree to an extra blood collection from the portal vein during the operation.

Less likely to help

Patients with widespread metastatic disease, those not undergoing surgical resection, or whose cancer cells cannot be grown in the lab are unlikely to benefit directly from this work.

What this research studies

If you take part, doctors will collect blood from the vein that drains the colon (the portal vein) during your surgery to look for hidden cancer cells. The team will use a new droplet-based method to grow those cells into tiny lab-grown spheres that mimic leftover disease. They will then see which standard treatments the cells resist and run large drug screens on resistant cells to find medications that might prevent recurrence. All work will be done in the lab at Duke using samples collected during surgery.

Why it matters

Potential benefit: If successful, this could identify treatments that kill leftover cancer cells and lower the chance that colorectal cancer returns after surgery.

How similar studies have gone: Related organoid and circulating tumor cell work has shown promise in labs, but using droplet-based MicroOrganoSpheres to model minimal residual disease is a relatively new and experimental approach.

Where this research is happening

  • Duke University
    Durham, United States
    Active

Researchers

  • Principal investigator: Hsu, Shiaowen David — Duke University
  • Study coordinator: Hsu, Shiaowen David

Related research

Other NIH-funded projects on the same topics.

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    This study is working to help more people get screened for colorectal cancer and receive the follow-up care they need, especially those who haven't been screened much before, so that everyone can have better access to important health checks and improve their overall health.

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  • Colorectal cancer prognosis through a broad, collaborative study

    A large, multi-center study follows people newly diagnosed with colorectal cancer to find biomarkers and patterns that predict outcomes and guide future care.

    NIH research Utah State Higher Education System--University of Utah · Salt Lake City, United States · NIH-11590756

  • Ceramides and how they affect metabolism and colorectal cancer in adults

    A study in adults with obesity-related health issues will explore how a fat-related molecule called ceramide influences metabolic problems and colorectal cancer risk.

    NIH research Utah State Higher Education System--University of Utah · Salt Lake City, United States · NIH-11535283

  • Automated point-of-care DNA methylation test for colorectal cancer in LMICs

    A fast, affordable blood test using DNA markers to help identify people at higher risk of colorectal cancer in low- and middle-income countries.

    NIH research Johns Hopkins University · Baltimore, United States · NIH-11531863

  • Rewiring Colorectal Cancer to Harness Therapeutic Hyperactivation

    A Yale team is exploring brain-storming new ways to treat colorectal cancer by safely boosting certain cancer signaling pathways to kill cancer cells and by reshaping cancer cell states to improve responses to existing therapies.

    NIH research Yale University · New Haven, United States · NIH-11505210

  • Comparative modeling to guide colorectal cancer screening and care

    A researcher team will use computer models to study how access to care, risk, and new screening options affect colorectal cancer outcomes and costs for adults in the US.

    NIH research Utah State Higher Education System--University of Utah · Salt Lake City, United States · NIH-11495363

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.