Clinical trial Recruiting at 29 sites Interventional Ages 18 and up

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.

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Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment1320 (estimated)
SponsorUMC Utrecht
Academic / other
Drugs / interventionschemotherapy
Locations29 sites ('s-Hertogenbosch and 28 other locations)
StatusRecruiting
StartedMarch 5, 2020
Main results expectedDecember 2026
Study endsDecember 2026
Registry record updatedMay 12, 2026
Trial IDNCT06434896 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

  • 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
  • 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

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.