How colon polyps progress: tissue environment, cell clones, and gut bacteria

Understanding adenoma progression: Interplay among tissue microenvironment, clonal architecture, and gut microbiome

['FUNDING_OTHER'] · FRED HUTCHINSON CANCER CENTER · NIH-11210756

This project looks at why some colon polyps (adenomas) turn into cancer by examining the surrounding tissue, the polyp's cell makeup, and gut bacteria in people with or at risk for colorectal cancer.

Quick facts

Phase['FUNDING_OTHER']
Study typeNih_funding
SexAll
SponsorFRED HUTCHINSON CANCER CENTER (nih funded)
Locations1 site (SEATTLE, UNITED STATES)
Trial IDNIH-11210756 on ClinicalTrials.gov

What this research studies

You would be asked to contribute tissue and stool samples so researchers can compare early polyps, nearby normal colon tissue, and microbial communities. Scientists will map which cell clones and molecular changes are present in polyps and in the surrounding colon, and measure DNA methylation and other markers that may signal a colon that is "primed" for progression. They will also profile the gut microbiome to see whether certain bacterial patterns associate with polyps that later become advanced. The team combines molecular profiling and clinical information to identify features that predict which adenomas are more likely to progress.

Who could benefit from this research

Good fit: Ideal candidates would be people who have colon adenomas found on colonoscopy, especially those with prior advanced adenomas or higher colorectal cancer risk.

Not a fit: People without colon polyps or those with cancers unrelated to the colon are unlikely to be eligible or receive direct benefit from this project.

Why it matters

Potential benefit: If successful, this work could help doctors identify which polyps are most likely to become cancer and guide more personalized surveillance or prevention.

How similar studies have performed: Previous research has found links between mutations, DNA methylation changes, tissue aging, and microbiome shifts and colorectal cancer risk, but using these combined measures to predict polyp progression is still emerging.

Where this research is happening

SEATTLE, UNITED STATES

Researchers

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 below.

View on NIH RePORTER →

Conditions: Basic Cancer Research, Cancer Cause, Cancer Etiology, Cancer Research Programs, Cancer Research Project

Last reviewed 2026-05-15 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.