Clinical trial Recruiting at 1 site Observational Ages 45 to 75

Blood-based delta-HLD methylation test for detecting colorectal cancer

Official title: Proof-of-concept Case-control Study for Colorectal Cancer Assessment Using Delta-HLD Technology (CASCADE)

Run by Epiliquid Holding, Inc · NCT07148297 · Data updated 2026-11-12

This will try a blood-based delta-HLD methylation test to see if it can detect colorectal cancer in people scheduled for colonoscopy or colorectal surgery.

Quick facts

Study typeObservational
Ages45 Years to 75 Years
SexAll
Enrollment600 (estimated)
SponsorEpiliquid Holding, Inc
Industry-sponsored
Drugs / interventionschemotherapy
Locations1 site (Mendoza)
StatusRecruiting
StartedJune 30, 2021
Main results expectedAugust 2025
Study endsDecember 2026
Registry record updatedAugust 29, 2025
Trial IDNCT07148297 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults at average colorectal cancer risk who are scheduled for colonoscopy or colorectal surgery and can provide blood and/or tissue samples before treatment.

Probably not a fit

Patients with prior colorectal cancer, inflammatory bowel disease, known hereditary cancer syndromes, other active malignancies, or recent chemotherapy or immunosuppression may not receive benefit from this test.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

CASCADE is a proof-of-concept case-control study comparing blood (plasma cfDNA) and tumor tissue from individuals with histologically confirmed colorectal cancer to controls with negative colonoscopy. Epiliquid's bioinformatic pipeline identifies and ranks colorectal-specific methylation biomarkers, which are detected using delta-HLD, a sequential enzymatic pre-treatment combined with PCR that enables sensitive, multiplexed detection. The study will measure diagnostic performance metrics including sensitivity, specificity, and concordance between blood and tissue in an average-risk population. Results will support validation of the integrated platform as a minimally invasive diagnostic approach for colorectal cancer.

Why it matters

Potential benefit: If successful, this could provide a minimally invasive, blood-based way to detect colorectal cancer earlier and make screening more accessible.

How similar studies have gone: Other methylation-based liquid biopsies for colorectal cancer and multi-cancer detection have shown promise, but delta-HLD is a novel proprietary method that has not yet been tested in large clinical cohorts.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Candidate for colonoscopy or colorectal surgery
* Willing and able to provide informed consent
* Able to provide blood and/or tissue sample before treatment or resection

Exclusion Criteria:

* Prior history of colorectal cancer
* Inflammatory bowel disease
* Known hereditary cancer syndromes (e.g., Lynch, FAP)
* Other active malignancies
* Recent chemotherapy or immunosuppressive treatment

Where it's running

  • Epiliquid
    Mendoza, Argentina
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.