Clinical trial Recruiting at 14 sites Observational Ages 18 and up

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 typeObservational
Ages18 Years and up
SexAll
Enrollment590 (estimated)
SponsorUniversity of Aarhus
Academic / other
Drugs / interventionschemotherapy, radiation
Locations15 sites (Graz, Styria and 14 other locations)
StatusRecruiting
StartedAugust 1, 2023
Main results expectedJuly 31, 2026
Study endsJuly 31, 2031
Registry record updatedMay 4, 2026
Trial IDNCT06111105 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

  • 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
  • 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

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.