Clinical trial Recruiting at 1 site Observational Ages 18 and up

French testing of blood-based ctDNA to find leftover cancer after surgery in Stage III colorectal cancer

Official title: French Assessment of Minimal Residual Disease by Liquid Biopsies in Stage III Colorectal Patients

Run by University Hospital, Montpellier · NCT06287814 · Data updated 2026-11-12

We will test whether blood-based ctDNA can find leftover cancer after surgery in people with Stage III colorectal cancer to help guide additional treatment.

More Colorectal Cancer trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment70 (estimated)
SponsorUniversity Hospital, Montpellier
Academic / other
Drugs / interventionschemotherapy, radiation
Locations1 site (Montpellier, Hérault)
StatusRecruiting
StartedApril 11, 2024
Main results expectedApril 11, 2027
Study endsOctober 31, 2033
Registry record updatedAugust 18, 2026
Trial IDNCT06287814 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with colorectal cancer who underwent curative-intent resection and specifically patients with UICC stage III disease who can give informed consent and attend follow-up visits are the intended participants.

Probably not a fit

Patients with verified distant metastases, hereditary colorectal cancer syndromes, malignant polyps post-polypectomy, those unable to comply with follow-up, pregnant or uninsured individuals are excluded and unlikely to benefit from this observational sample-banking effort.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

FRENCH.MRD.CRC is an observational arm of the GUIDE.MRD consortium that prospectively collects blood (liquid biopsy) samples from patients around the time of surgery, during chemotherapy, and in follow-up to look for circulating tumor DNA (ctDNA). Multiple commercial and academic ctDNA assays will be run on the same clinical samples to benchmark their technical performance and compare results to clinical outcomes. The protocol enrolls adults undergoing curative-intent resection for colorectal cancer at CHU de Montpellier, with longitudinal sample collection but no experimental therapy assigned by the study. Results will be used to identify the most reliable ctDNA tests and relevant time points for detecting minimal residual disease and early relapse.

Why it matters

Potential benefit: If successful, this work could help identify who truly needs more treatment after surgery and detect recurrence earlier, potentially sparing some patients unnecessary chemotherapy and allowing earlier intervention for others.

How similar studies have gone: Previous studies have shown that ctDNA can predict relapse after colorectal cancer surgery and guide adjuvant decisions in some settings, but head-to-head benchmarking of many ctDNA tests across standard time points remains limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
FRENCH.MRD.CRC PART I Inclusion criteria

* Colon or rectal cancer, clinical tumor stage I-III.
* Patient 18 years or older.
* Scheduled for curative intent resection surgery (including "compromised" curative resections).

Exclusion criteria

* Hereditary colorectal cancer linked to familial colonic polyposis or Lynch syndrome.
* Verified distant metastases.
* Malignant colorectal polyps diagnosed after polypectomy.
* 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.
* Pregnant or nursing woman, or in childbearing age and not willing to use contraception
* Protected and vulnerable adult
* Not covered by Health insurance
* Patient unable to understand and sign written informed consent.

FRENCH.MRD.CRC PART II Inclusion criteria

* Participation in FRENCH.MRD.CRC part 1 - SURGERY
* Colorectal cancer, UICC stage III
* Has received curative-intent resection and is a candidate for adjuvant chemotherapy (3- or 6-months regime) Exclusion criteria
* Inflammatory bowel disease (Crohn's disease or ulcerative colitis) related colon cancer
* Not treated with adjuvant chemotherapy despite indication (incomplete treatment not included)
* Treated with neoadjuvant chemo-radiation therapy
* 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

Where it's running

  • CHU de Montpellier
    Montpellier, Hérault, 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.