About this trial
In this study, the investigators aimed to apply their previously developed multi-locus blood-based assay targeting circulating tumor DNA methylation to monitor postoperative relapse and evaluate adjuvant chemotherapy efficacy in resected stage I and stage II (without high risk) colorectal cancer after radical resection.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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.
Disqualifiers
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.
Trial population
Patients must have baseline evaluations performed prior to the study and must meet all inclusion and exclusion criteria. In addition, the patient must be thoroughly informed about all aspects of the study, including the study visit schedule and required evaluations and all regulatory requirements for informed consent. The written informed consent must be obtained from the patient prior to enrollment. The following criteria apply to all patients enrolled onto the study unless otherwise specified.
Trial design
Cohort
Prospective
Treatments tested in this trial
a multi-locus blood-based assay
Diagnostic testColorectal tumor-specific plasma ctDNA methylation markers detection
Treatment groups
Trial outcomes
Primary outcomes
5y DFS
The 5-year disease free survival rate of the patients from both cohorts.
ctDNA methylation markers versus CT/MRI
ctDNA methylation predictors of outcome will be compared to CT/MRI
Secondary outcomes
3y DFS
The 3-year disease free survival rate of the patients from both cohorts.
Sponsors and contacts
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Singlera Genomics Inc.
Lead sponsor
Second Affiliated Hospital, School of Medicine, Zhejiang University
Collaborator