Using blood tests to guide chemotherapy in stage II colon cancer patients
Official title: Circulating Tumor DNA Based Adjuvant Chemotherapy in Stage II Colon Cancer Patients: the MEDOCC-CrEATE Trial
Run by UMC Utrecht · NCT06434896 · Data updated 2026-11-12
This study tests if using blood tests to check for tumor DNA can help doctors decide if stage II colon cancer patients need extra chemotherapy after surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1320 (estimated) |
| Sponsor | UMC Utrecht Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 29 sites ('s-Hertogenbosch and 28 other locations) |
| Status | Recruiting |
| Started | March 5, 2020 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | May 12, 2026 |
| Trial ID | NCT06434896 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older with histologically confirmed stage II colon cancer who have provided informed consent for additional blood withdrawals and biobanking.
✕Probably not a fit
Patients who are already indicated for adjuvant chemotherapy or have contraindications for the treatment will 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 study involves patients with stage II colon cancer who are part of the Dutch ColoRectal Cancer cohort. Participants will be randomly assigned to either a ctDNA-based treatment group or a standard care group. Blood samples will be collected before and after surgery to analyze circulating tumor DNA (ctDNA) levels, which will help determine the need for adjuvant chemotherapy. The goal is to assess whether ctDNA analysis can improve treatment decisions and outcomes for these patients.
Why it matters
Potential benefit: If successful, this approach could lead to more personalized treatment plans and potentially better outcomes for patients with stage II colon cancer.
How similar studies have gone: Other studies have shown promise in using ctDNA for treatment decision-making, suggesting that this approach may be effective.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥ 18 years * Informed consent for PLCRC with specific consent for: * additional blood withdrawals * collection and use of tissue for scientific research * invitation for future (experimental) research within the cohort, including TwiCs studies * Inclusion in observational PLCRC -MEDOCC substudy * Histological confirmed stage II colon cancer * Fit enough to receive treatment with combination chemotherapy (fluoropyrimidine and oxaliplatin) according to the treating physician Exclusion Criteria: * Indication for adjuvant chemotherapy according to treating physician * Another malignancy in previous 5 years, with the exception of treated carcinoma in situ or skin cancer other than melanoma * Incomplete primary tumor resection (R1 or R2 resection) * Contra-indication for fluoropyrimidines or oxaliplatin * Pregnancy
Where it's running
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Jeroen Bosch Ziekenhuis
's-Hertogenbosch, Netherlands Recruiting -
Noordwest Ziekenhuisgroep
Alkmaar, Netherlands Recruiting -
Ziekenhuisgroep Twente
Almelo, Netherlands Recruiting -
Flevoziekenhuis
Almere Stad, Netherlands Recruiting -
Meander Medisch Centrum
Amersfoort, Netherlands Recruiting -
Nki-Avl
Amsterdam, Netherlands Recruiting
Show 23 more locations
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Rijnstate
Arnhem, Netherlands Recruiting -
Amphia Ziekenhuis
Breda, Netherlands Recruiting -
Reinier de Graaf Gasthuis
Delft, Netherlands Recruiting -
Deventer Ziekenhuis
Deventer, Netherlands Recruiting -
Albert Schweizer Ziekenhuis
Dordrecht, Netherlands Recruiting -
Ziekenhuis Gelderse Vallei
Ede, Netherlands Recruiting -
Admiraal de Ruyter Ziekenhuis
Goes, Netherlands Recruiting -
Rivas
Gorinchem, Netherlands Recruiting -
Spaarne Gasthuis
Haarlem, Netherlands Recruiting -
Ziekenhuis St. Jansdal
Harderwijk, Netherlands Recruiting -
Maastricht UMC
Maastricht, Netherlands Recruiting -
Van Weel-Bethesda Ziekenhuis
Middelharnis, Netherlands Recruiting -
St. Antonius Ziekenhuis
Nieuwegein, Netherlands Recruiting -
Canisius Wilhelmina Ziekenhuis
Nijmegen, Netherlands Recruiting -
Bravis Ziekenhuis
Roosendaal, Netherlands Recruiting -
Ikazia Ziekenhuis
Rotterdam, Netherlands Recruiting -
Haaglanden MC
The Hague, Netherlands Recruiting -
Bernhoven
Uden, Netherlands Recruiting -
Diakonessenhuis
Utrecht, Netherlands Recruiting -
UMC Utrecht
Utrecht, Netherlands Recruiting -
Maxima Medisch Centrum
Veldhoven, Netherlands Recruiting -
VieCuri Medisch Centrum
Venlo, Netherlands Recruiting -
St. Jans Gasthuis
Weert, Netherlands Recruiting
Study contacts
- Study coordinator: Miriam Koopman, Prof. dr.
- Email: plcrcmedocc@umcutrecht.nl
- Phone: +316 46 91 95 66
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.