Clinical trial Recruiting at 1 site Interventional Ages 18 to 75

MIMICC: stool and saliva molecular profiling in colorectal cancer

Official title: Analysis of MicroRNA Expression and Microbiome Composition During the Diagnostic-Therapeutic Pathway of Patients With Colorectal Carcinoma

Run by Fondazione del Piemonte per l'Oncologia · NCT07494201 · Data updated 2026-11-12

This project will test whether stool and saliva microRNA and microbiome markers can help diagnose and monitor colon or rectal cancer in adults aged 18–75 who are having surgery or other treatment.

More Colorectal Cancer trials

Quick facts

Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment2500 (estimated)
SponsorFondazione del Piemonte per l'Oncologia
Academic / other
Locations1 site (Candiolo, Torino (TO))
StatusRecruiting
StartedSeptember 15, 2025
Main results expectedJune 30, 2027
Study endsJune 30, 2028
Registry record updatedMarch 27, 2026
Trial IDNCT07494201 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–75 with histologically confirmed colon or rectal cancer who are candidates for surgical intervention (any T/N stage, M0–M1) and can give informed consent and follow-up at the study site are ideal candidates.

Probably not a fit

Patients with very early lesions fully removed by polypectomy (Tis/T1), recent use of immunosuppressive/immunomodulatory drugs, active or prior other malignancies, or inability/refusal to consent or follow-up 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

MIMICC is a multicenter prospective interventional study enrolling about 2,500 adults with histologically confirmed colon or rectal cancer. Participants will provide stool and saliva samples at defined time points across diagnosis, before and after neoadjuvant treatment when applicable, at surgery, during follow-up, and if recurrence occurs; some patients at the sponsor center may also give blood/plasma and archived tumor tissue. The study will profile microbiome composition and microRNA expression and integrate clinical, dietary, and lifestyle data to identify molecular signatures linked to diagnosis, prognosis, treatment response, surgical complications, and recurrence risk. Initial sample collection begins at the sponsor site for approximately four months before expanding to collaborating centers.

Why it matters

Potential benefit: If successful, the project could yield noninvasive stool or saliva biomarkers to help detect colorectal cancer earlier, predict treatment response, and monitor for recurrence.

How similar studies have gone: Related work on colorectal cancer microbiome and circulating or salivary microRNAs has shown promising biomarker signals, but these approaches are not yet widely validated for routine clinical use.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Histologically confirmed colon or rectal cancer on endoscopic biopsy
* Any T stage, any N stage, M0-M1, candidate for surgical intervention
* Colon tumors with indication for surgical resection with curative intent, including right hemicolectomy, left hemicolectomy, transverse colon resection, colectomy, or total proctocolectomy
* Rectal tumors with indication for upfront surgery or neoadjuvant chemoradiotherapy
* Written informed consent signed before any study procedure
* Age between 18 and 75 years

Exclusion Criteria:

* Tis/T1 lesions or lesions almost completely resected by endoscopic polypectomy/EMR/ESD
* Use of immunosuppressive or immunomodulatory drugs within the previous 6 months
* Current or previous diagnosis of other solid or hematologic malignancies
* Inability or refusal to provide informed consent
* Inability or refusal to be followed at the study institution/network

Where it's running

  • Unit of Surgical Oncology - Fondazione del Piemonte per l'Oncologia- IRCCS Istituto di Candiolo, Candiolo, Turin 10060
    Candiolo, Torino (TO), Italy
    Recruiting

Study contacts

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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.