Evaluating blood tests for detecting residual colorectal cancer
Official title: GUIding Multi-moDal thErapies Against MRD by Liquid Biopsies in Colorectal Cancer - GUIDE.MRD-01-CRC
Run by University of Aarhus · NCT06111105 · Data updated 2026-11-12
This study is testing different blood tests to see which ones best help stage III colorectal cancer patients find out if they need more treatment after surgery.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 590 (estimated) |
| Sponsor | University of Aarhus Academic / other |
| Drugs / interventions | chemotherapy, radiation |
| Locations | 15 sites (Graz, Styria and 14 other locations) |
| Status | Recruiting |
| Started | August 1, 2023 |
| Main results expected | July 31, 2026 |
| Study ends | July 31, 2031 |
| Registry record updated | May 4, 2026 |
| Trial ID | NCT06111105 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are patients with colorectal cancer stage III who have undergone curative-intent surgery and are candidates for adjuvant chemotherapy.
✕Probably not a fit
Patients with hereditary colorectal cancer syndromes, inflammatory bowel disease, or those with verified distant metastases may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to validate and benchmark various circulating tumor DNA (ctDNA) diagnostics for colorectal cancer, particularly focusing on patients with stage III disease. By analyzing blood samples from patients who have undergone curative surgery, the study seeks to determine which ctDNA tests are most effective in predicting treatment needs and monitoring for residual disease. The GUIDE.MRD consortium, comprising experts from multiple institutions, will collect and analyze these samples to establish reliable standards for ctDNA diagnostics in clinical settings. The ultimate goal is to enhance personalized treatment strategies for colorectal cancer patients.
Why it matters
Potential benefit: If successful, this study could lead to more accurate treatment decisions for colorectal cancer patients, potentially improving outcomes and reducing unnecessary treatments.
How similar studies have gone: Other studies have shown promise in using ctDNA diagnostics for cancer monitoring, but this specific benchmarking approach is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Colorectal cancer stage III Inclusion Criteria: * Colorectal cancer, UICC stage III * Has received curative-intent resection and is a candidate for adjuvant chemotherapy * Patient able to understand and sign written informed consent Exclusion Criteria: * Hereditary colorectal cancer linked to familial colonic polyposis or Lynch syndrome * Inflammatory bowel disease (Crohn's disease or ulcerative colitis) * Verified distant metastases * Not treated with adjuvant chemotherapy despite indication (incomplete treatment not included) * Treated with neoadjuvant chemo-radiation therapy * No tissue sample available for the project, or tumor content in the tissue sample is \<20% * Synchronous colorectal and non-colorectal cancer diagnosed per operative (except skin cancer other than melanoma) * Other cancers (excluding colorectal cancer or skin cancer other than melanoma) within 3 years from eligibility screening * Patients who are unlikely to comply with the protocol (e.g. uncooperative attitude), inability to return for subsequent visits) and/or otherwise considered by the Investigator to be unlikely to complete the study Colorectal cancer liver metastasis Inclusion Criteria: * Colorectal cancer liver metastasis * Planned for curative-intent treatment * Performance status 0-1 Exclusion Criteria: * Liver cirrhosis * Extrahepatic metastases * Other cancer within the last 5 years * Intervention not performed with curative intent * No tissue available from CRLM or primary tumor
Where it's running
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Abteilung für Onkologie, Medizinische Universität Graz
Graz, Styria, Austria Recruiting -
Ordenskrankenhaus Graz Mitte
Graz, Styria, Austria Recruiting -
Bispebjerg Hospital
Copenhagen, Capital Region of Denmark, Denmark Recruiting -
Aarhus University Hospital
Aarhus, Central Jutland, Denmark Recruiting -
Gødstrup Hospital
Herning, Central Jutland, Denmark Recruiting -
Regional Hospital Horsens
Horsens, Central Jutland, Denmark Recruiting
Show 9 more locations
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Regional Hospital Randers
Randers, Central Jutland, Denmark Recruiting -
Regional Hospital Viborg
Viborg, Central Jutland, Denmark Recruiting -
Aalborg University Hospital
Aalborg, North Denmark, Denmark Recruiting -
Odense University Hospital
Odense, The Region of Southern Denmark, Denmark Recruiting -
LCCRH (Laboratoire Cellules Circulantes Rares Humaines) - CHU de Montpellier
Montpellier, France Recruiting -
Department of General-, Visceral- and Thoracic Surgery, University Medical Center Hamburg-Eppendorf
Hamburg, Free and Hanseatic City of Hamburg, Germany Recruiting -
Universitätsklinikum Hamburg-Eppendorf
Hamburg, Free and Hanseatic City of Hamburg, Germany Recruiting -
Karolinska University Hospital
Huddinge, Stockholm County, Sweden Recruiting -
Herlev Hospital
Herlev, Capital Region of Denmark, Denmark Not yet recruiting
Study contacts
- Study coordinator: Claus L Andersen, PhD
- Email: cla@clin.au.dk
- Phone: +45 7845 5319
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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.