Clinical trial Recruiting at 18 sites Observational Ages 18 and up

Observational study of colorectal cancer patient outcomes

Official title: A Master Protocol Empowering Precision Research in Colorectal Cancer

Run by IFOM ETS - The AIRC Institute of Molecular Oncology · NCT04120935 · Data updated 2026-11-12

This study is trying to understand how colorectal cancer and the body work together over time to find better treatment options for patients who haven't had therapy before.

More Colorectal Cancer trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment3000 (estimated)
SponsorIFOM ETS - The AIRC Institute of Molecular Oncology
Academic / other
Locations19 sites (Biella, Biella and 18 other locations)
StatusRecruiting
StartedOctober 15, 2019
Main results expectedJune 2026
Study endsDecember 2026
Registry record updatedAugust 24, 2025
Trial IDNCT04120935 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older with a diagnosis or strong suspicion of colorectal cancer and available diagnostic tissue samples.

Probably not a fit

Patients with other current malignancies or those unable to comply with the study protocol due to psychological, social, or geographical reasons 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

The AlfaOmega observational study aims to investigate the co-evolution of tumor and host cells in colorectal cancer (CRC) patients to improve treatment outcomes. It will follow a cohort of at least 500 patients over a minimum of five years, collecting longitudinal clinical data and biological samples. Patients will be enrolled at two therapeutic checkpoints: before surgery or before systemic treatment, with a focus on those with no prior therapy for metastatic disease. The study will also develop companion diagnostics to enhance treatment strategies based on the biological processes driving tumor evolution.

Why it matters

Potential benefit: If successful, this study could lead to improved survival rates and reduced recurrence in colorectal cancer patients.

How similar studies have gone: Other studies focusing on the evolutionary mechanisms of tumors have shown promise, suggesting that this approach could yield valuable insights.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. TIER1 written Informed consent.
2. Patients ≥18 years of age.
3. Previous diagnosis of colorectal cancer, or a strong suspicion of CRC based on clinical and radiological findings.
4. In patients with previous diagnosis of CRC availability of diagnostic Formalin-Fixed, Paraffin Embedded (FFPE) blocks (surgical resection and/or tumor biopsies), or at least 10 slides (preferably 20). FFPE tissue blocks are always preferred to slides.
5. ECOG Performance status \< 2.

Exclusion Criteria:

1. Any other current malignancy or malignancy diagnosed or relapsed within the past 5 years (other than non-melanomatous skin cancer, stage 0 melanoma in situ, and in situ cervical cancer)
2. Patient unable to comply with the study protocol owing to psychological, social or geographical reasons.
3. Known Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) or syphilis infection.

Where it's running

  • ASL di Biella - Ospedale degli Infermi
    Biella, Biella, Italy
    Recruiting
  • IRCCS Istituto Clinico Humanitas
    Milan, Mi, Italy
    Recruiting
  • Fondazione IRCCS, Istituto Nazionale dei Tumori
    Milan, Mi, Italy
    Recruiting
  • Istituto Europeo di Oncologia (IEO)
    Milan, Mi, Italy
    Recruiting
  • Niguarda Cancer Center - ASST Grande Ospedale Metropolitano Niguarda
    Milan, Mi, Italy
    Recruiting
  • Istituto Oncologico Veneto (IOV)
    Padova, Pd, Italy
    Recruiting
Show 13 more locations
  • Ospedale Santa Maria della Misericordia
    Perugia, Perugia, Italy
    Recruiting
  • Azienda Ospedaliero Universitaria Pisana
    Pisa, Pisa, Italy
    Recruiting
  • AUSL della Romagna - Ospedale Santa Maria delle Croci
    Ravenna, Ravenna, Italy
    Recruiting
  • Istituto di Candiolo - IRCCS
    Candiolo, Torino, Italy
    Recruiting
  • Azienda Ospedaliero Universitaria San Luigi Gonzaga
    Orbassano, Torino, Italy
    Recruiting
  • Ospedale Policlinico San Martino
    Genova, Italy
    Recruiting
  • Azienda Ospedaliera Universitaria Luigi Vanvitelli
    Naples, Italy
    Recruiting
  • Hospital de Sant Joan Despí Moises Broggi
    Barcelona, Barcelona, Spain
    Recruiting
  • Hospital del Mar - Parc de Salut Mar
    Barcelona, Spain, Spain
    Recruiting
  • Vall d'Hebron Institute of Oncology (VHIO)
    Barcelona, Spain, Spain
    Recruiting
  • INCLIVA - Instituto de Investigatión Sanitaria
    Valencia, Spain, Spain
    Recruiting
  • Hospital Moises Broggi
    Barcelona, Spain
    Recruiting
  • Azienda Ospedaliera Ordine Mauriziano
    Torino, Italy
    Active not recruiting

Study contacts

  • Principal investigator: Silvia Marsoni, MD — IFOM ETS - The AIRC Institute of Molecular Oncology
  • Study coordinator: Luca Lazzari, PhD
  • Email: clinical.trials@ifom.eu
  • Phone: +3902574303799

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.