Endoscopic Therapy Or Surgery for Early Colon Cancer

ConditionColon Cancer
Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorNorwegian Department of Health and Social Affairs

About this trial

The trial is a randomized head-to-head comparison of the benefits, harms and burdens of endoscopic full-thickness resection (eFTR), a novel, minimally invasive endoscopic treatment modality, for early colon cancer as compared to standard-of-care surgery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Newly diagnosed biopsy-confirmed colon cancer (adenocarcinoma) with macroscopic suspicion of submucosal invasion considered removable by EFTR as deemed by the local multidisciplinary team (MDT) at the participating center

Size ≤20 mm in diameter as deemed by the colonoscopist

No presence of histopathological high-risk features in biopsy (high grade tumor growth, budding grade 2 or 3, or lymphovascular invasion)

Patient eligible for surgical removal as deemed by the local MDT at the participating center

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • eFTR

    Procedure/Surgery

    endoscopic full thickness resection

  • Surgery

    Procedure/Surgery

    standard-of-care surgery

Treatment groups

434 Participants
are divided into 2 treatment groups
Group A: eFTRExperimental treatment 1 intervention
Group B: SurgeryActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Rate of severe adverse events, re-admissions and deaths within 30 days

co-primary short-term endpoint is the composite rate of rate of severe adverse events, re-admissions and deaths within 30 days following assigned treatment

Time frame
30 days
2

Rate of cancer recurrence or CRC death after three years

primary long-term endpoint of CRC death or cancer recurrence or sign of lymph nodes or distant metastases after three years

Time frame
3 years

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Norwegian Department of Health and Social Affairs

Lead sponsor

Oslo University Hospital

Sponsor institution

Medical University of Gdansk

Collaborator

Vestre Viken Hospital Trust

Collaborator

Universitätsklinikum Hamburg-Eppendorf

Collaborator

Institute of Oncology in Warsaw

Collaborator

Karolinska Institutet

Collaborator

University Hospital, Limoges

Collaborator

University Hospital, Akershus

Collaborator

University of Roma La Sapienza

Collaborator

Hospital Clinic of Barcelona

Collaborator

Leuven University Medical Center

Collaborator

University Hospital, Ghent

Collaborator

Sorlandet Hospital HF

Collaborator

Northern Norway Regional Health Trust

Collaborator

Helse Stavanger HF

Collaborator

Haukeland University Hospital

Collaborator

St. Olavs Hospital

Collaborator

University of Oslo

Collaborator

Frontier Science Foundation

Collaborator