Clinical trial Recruiting at 1 site Interventional Ages 18 and up

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.

More Peritoneal Carcinomatosis trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment58 (estimated)
SponsorHospices Civils de Lyon
Academic / other
Locations1 site (Pierre-Bénite)
StatusRecruiting
StartedMay 6, 2025
Main results expectedJune 20, 2026
Study endsJune 20, 2026
Registry record updatedFebruary 13, 2026
Trial IDNCT06929013 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

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.