Clinical trial Recruiting at 3 sites Observational Ages 16 and up

Examining blood samples in colorectal cancer patients to understand tumor spread

Official title: Circulating Tumour DNA (ctDNA) in Patients With Colorectal Cancer and the Relationship to Imaging Features of Extramural Venous Invasion

Run by Imperial College London · NCT02579278 · Data updated 2026-11-12

This study is testing if blood samples can help doctors understand how tumor spread relates to certain imaging features in patients with colorectal cancer who are about to have surgery.

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Quick facts

Study typeObservational
Ages16 Years and up
SexAll
Enrollment100 (estimated)
SponsorImperial College London
Academic / other
Locations3 sites (Margate, Kent and 2 other locations)
StatusRecruiting
StartedNovember 2015
Main results expectedDecember 2026
Study endsDecember 2029
Registry record updatedOctober 17, 2024
Trial IDNCT02579278 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are patients aged 16 years or older with biopsy-confirmed colorectal adenocarcinoma who are eligible for curative surgery and have no metastatic disease.

Probably not a fit

Patients with metastatic disease, synchronous second malignancies, or contraindications for imaging to determine EMVI status 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 investigates the relationship between circulating tumor DNA (ctDNA) and imaging features of extramural venous invasion (EMVI) in patients with colorectal adenocarcinoma eligible for curative surgery. Eligible participants will provide two blood samples, one before surgery and another within 24 hours after, to assess the potential link between EMVI status and ctDNA. The study aims to follow patients for up to three years to gather data on disease progression and metastasis. No randomization or treatment is involved, focusing solely on observational data collection.

Why it matters

Potential benefit: If successful, this study could enhance understanding of how colorectal cancer spreads, potentially leading to improved diagnostic and treatment strategies.

How similar studies have gone: While the specific approach of linking ctDNA to EMVI status is novel, similar studies have shown promise in understanding cancer metastasis through blood biomarkers.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Have a biopsy-confirmed colorectal adenocarcinoma
2. Is eligible for curative surgery
3. Has no metastatic disease on CT scan
4. Has completed pre-operative staging scan within six weeks prior to surgery
5. Have provided written informed consent to participate in the study
6. Be aged 16 years or over

Exclusion Criteria:

1. Have metastatic disease (including resectable liver metastases)
2. Have a synchronous second malignancy
3. Are contraindicated for any imaging able to determine EMVI status

Where it's running

  • Queen Elizabeth the Queen Mother Hospital
    Margate, Kent, United Kingdom
    Recruiting
  • St Mary's Hospital (Imperial)
    Hammersmith, London, United Kingdom
    Recruiting
  • Royal Marsden Hospital NHS Foundation Trust
    Sutton, Surrey, United Kingdom
    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.