Monitoring blood markers to predict treatment response in rectal cancer

ctDNA Monitoring to Predict the Efficacy of Total Neoadjuvant Therapy for Rectal Cancer

Observational Gene Solutions · NCT06589388

This study is testing if measuring certain blood markers in patients with stage II and III rectal cancer can help predict how well they respond to treatment.

Quick facts

Study typeObservational
Enrollment100 (estimated)
Ages18 Years to 80 Years
SexAll
SponsorGene Solutions Industry-sponsored
Drugs / interventionschemotherapy
Locations1 site (Ho Chi Minh City)
Trial IDNCT06589388 on ClinicalTrials.gov

What this trial studies

This observational study aims to evaluate the levels of circulating tumor DNA (ctDNA) in patients with stage II and III rectal cancer undergoing total neoadjuvant therapy (TNT). Blood samples will be collected at three key time points: before treatment, during treatment, and after treatment to assess changes in ctDNA levels. The study will also investigate the correlation between ctDNA levels and imaging results to predict the pathological complete response to therapy. Participants will be monitored for disease-free survival over a two-year period.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 and older diagnosed with stage II or III rectal cancer who are eligible for total neoadjuvant therapy.

Not a fit: Patients with stage I rectal cancer, recurrent or metastatic cancer, or those not consenting to participate will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide a non-invasive method to predict treatment efficacy and guide therapy decisions for rectal cancer patients.

How similar studies have performed: While the use of ctDNA monitoring in cancer treatment is gaining traction, this specific approach in rectal cancer with TNT is relatively novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 18 years and older, both genders
* Patients are diagnosed with stage II-III rectal cancer and indicated for total neoadjuvant therapy
* Biopsy FFPE sample is available at the time of diagnosis
* Patients consented to participate in the study

Exclusion Criteria:

* Stage I rectal cancer, recurrent or metastatic cancer
* Other cancer metastasis to the rectum
* Patients are indicated for chemoradiation therapy only
* Have been or are being treated for cancer
* Patients do not agree to participate in the studies.

Where this trial is running

Ho Chi Minh City

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Rectal CancerRectal Cancer Stage IIRectal Cancer Stage IIIliquid biopsycirculating tumor DNAVietnamtotal neoadjuvant therapy
Last reviewed 2026-06-13 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.