Blood clearance of nucleosomes and CTCF after surgery for colorectal cancer with peritoneal spread
Official title: Monitoring of Blood Clearance Kinetics of the Nucleosome and CTCF in Peri-operative Management of Peritoneal Metastasis Colorectal Cancer.
Run by Hospices Civils de Lyon · NCT06929013 · Data updated 2026-11-12
This test will see if blood levels of nucleosomes and CTCF can indicate whether adults with colorectal cancer that has spread to the peritoneum have had all visible tumor removed by cytoreductive surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 58 (estimated) |
| Sponsor | Hospices Civils de Lyon Academic / other |
| Locations | 1 site (Pierre-Bénite) |
| Status | Recruiting |
| Started | May 6, 2025 |
| Main results expected | June 20, 2026 |
| Study ends | June 20, 2026 |
| Registry record updated | February 13, 2026 |
| Trial ID | NCT06929013 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) weighing at least 55 kg with histologically proven colorectal peritoneal metastases, non-mucinous tumors (<30% mucinous) and who are eligible for initial cytoreductive surgery are the ideal candidates.
✕Probably not a fit
Patients with active non-colorectal cancers, progressive autoimmune disease, or those not undergoing cytoreductive surgery are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Researchers will collect blood samples around the time of cytoreductive surgery to measure circulating nucleosomes and CTCF and compare their clearance kinetics to the surgeon's CC-Score. Multiple comparison groups include patients with colorectal peritoneal metastases eligible for surgery and several non-oncological inflammatory and septic abdominal conditions. The aim is to correlate biomarker kinetics with residual tumor burden and surgical completeness using objective biological measures. The study is conducted at Hôpital Lyon Sud within the Hospices Civils de Lyon.
Why it matters
Potential benefit: If successful, this could provide an objective blood-based marker to detect residual disease after cytoreductive surgery and help guide additional treatment and follow-up.
How similar studies have gone: Previous work has shown promise for circulating nucleosomes and other cell-free biomarkers in detecting residual cancer, but applying clearance kinetics of nucleosomes and CTCF specifically to peritoneal metastases is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Common criteria: * Male/female over 18 years of age. * Weight ≥ 55 kg at inclusion. * Signature of a free and informed consent form. * Specific criteria: Group 1: * Peritoneal metastases colorectal cancer histologically proven * Synchronous or metachronous peritoneal metastases. * Patients eligible for initial cytoreduction surgery. * Non mucinous tumor (mucinous cells contingent \<30%). Group 2: Colorectal cancer Group 3: Non-oncological chronic inflammatory diseases Group 4: Non-oncological chronic inflammatory diseases : parietal repairs, elective sigmoidectomy for diverticulosis Group 5: Abdominal sepsis conditions: peritonitis due to digestive perforation in non-oncological pathology, non-perforated appendicitis, cholecystitis. Non inclusion Criteria: * Patient with an active cancer (excluding colorectal cancer). * Person with a progressive autoimmune disease.
Where it's running
-
Hôpital Lyon Sud
Pierre-Bénite, France Recruiting
Study contacts
- Study coordinator: Vahan KEPENEKIAN, MD, PhD
- Email: vahan.kepenekian@chu-lyon.fr
- Phone: +33 478 862 371
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Repeated PIPAC plus standard platinum–taxane chemotherapy for advanced ovarian cancer with peritoneal spread
This test sees if adding repeated cisplatin-based PIPAC to standard platinum–taxane chemotherapy helps women aged 18–75 with newly diagnosed FIGO IIIB–IIIC epithelial ovarian cancer and visible peritoneal carcinomatosis.
-
Enhanced Recovery After Surgery for adults with peritoneal carcinomatosis undergoing cytoreductive surgery with or without HIPEC
This project will try an Enhanced Recovery After Surgery (ERAS) program to see if it shortens hospital stays after cytoreductive surgery with or without HIPEC for adults with peritoneal carcinomatosis.
-
PIPAC with Mitomycin C for unresectable peritoneal cancer
This phase 1 study tests a breathy, pressurized chemotherapy method (PIPAC-MMC) to see if it is safe and tolerable for adults with unresectable peritoneal carcinomatosis from colorectal, appendiceal, or small bowel cancers.
-
Heated versus aerosolized chemotherapy delivered into the abdomen for cancer that has spread to the peritoneum
This study will test whether heated (HIPEC) or aerosolized (PIPAC) mitomycin-based chemotherapy given into the abdomen works better and is safer for adults whose cancer has spread to the peritoneum.
-
CEA-targeted CAR-T therapy after cytoreductive surgery for peritoneal colorectal cancer
This trial will test whether CEA-targeted CAR-T cells delivered into the abdomen after cytoreductive surgery can help people with colorectal cancer that has spread to the peritoneum.
-
Adding paclitaxel into the abdominal cavity for gastric cancer that has spread to the peritoneum
This trial will try adding paclitaxel delivered directly into the abdomen to standard IV chemotherapy for people with gastric or gastroesophageal junction cancer that has spread to the lining of the abdominal cavity to see if it slows disease growth and helps them live longer.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.