Using blood tests to monitor colorectal cancer relapse and chemotherapy effectiveness
Official title: ctDNA Methylation Used to Monitor Postoperative Relapse and Evaluate Adjuvant Chemotherapy Efficacy in Resected Stage I and Stage II (Without High Risk) Colorectal Cancer After Radical Resection
Run by Singlera Genomics Inc. · NCT05536089 · Data updated 2026-11-12
This study is testing a blood test that looks for cancer DNA to see if it can help track cancer coming back and how well chemotherapy works for people who had early-stage colorectal cancer.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 2000 (estimated) |
| Sponsor | Singlera Genomics Inc. Industry-sponsored |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Hangzhou, Zhejiang) |
| Status | Recruiting |
| Started | September 5, 2022 |
| Main results expected | September 2028 |
| Study ends | December 2028 |
| Registry record updated | May 22, 2024 |
| Trial ID | NCT05536089 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 I or II colorectal cancer who are ctDNA positive prior to surgical resection.
✕Probably not a fit
Patients with a personal history of colorectal cancer, those who have undergone neoadjuvant therapy, or those with certain confounding conditions 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
This observational study aims to utilize a multi-locus blood-based assay that targets circulating tumor DNA methylation to monitor postoperative relapse and evaluate the efficacy of adjuvant chemotherapy in patients with resected stage I and II colorectal cancer. Participants will be those who are ctDNA positive before surgery and will undergo regular treatment as per NCCN guidelines. Serial ctDNA analyses will be conducted at various time points, including pre-treatment and several postoperative intervals, to track cancer recurrence and treatment response. The study will follow participants for up to five years post-surgery.
Why it matters
Potential benefit: If successful, this approach could lead to earlier detection of cancer relapse and more effective monitoring of chemotherapy outcomes for colorectal cancer patients.
How similar studies have gone: Other studies utilizing ctDNA for cancer monitoring have shown promising results, indicating potential success for this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients must have histologically confirmed stage I/II (without high risk) colorectal cancer. * Male or female ≥ 18 years of age on the day of signing informed consent. * Patients need to receive surgical resection, and with ctDNA positive prior to resection of colorectal cancer (CRC). * Patients must have a performance status of ≤1 on the Eastern Cooperative Oncology Group (ECOG) Performance Scale. * Written informed consent must be obtained from patient or patient's legal representative and ability for patient to comply with the requirements of the study. Exclusion Criteria: * Personal history of colorectal cancer, colorectal adenoma or aerodigestive tract cancer. * Induction of neoadjuvant systemic therapy prior to resection of CRC. * Patient is pregnant or lactating. * Patients with a history or current evidence of any condition or abnormality that might confound the results of the study, interfere with the patient's participation for the full duration of the study, or is not in the best interest of the patient to participate, in the opinion of the Investigator. * Inadequate tumor material (either quality and quantity) to support circulating tumor DNA (ctDNA) analysis.
Where it's running
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Second Affiliated Hospital
Hangzhou, Zhejiang, China Recruiting
Study contacts
- Principal investigator: Rui Liu, Ph.D — Singlera Genomics Inc.
- Study coordinator: HongFeng cao, Ph.D
- Email: hongfengcao@zju.edu.cn
- Phone: 13957117804
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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.