colorectal liver metastases
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age >= 18 years. Histologically confirmed primary colorectal carcinoma. Radiological confirmed and resectable liver metastasis of colorectal cancer, planned to undergo resection with or without neo-adjuvant chemotherapy. Before patient registration, written informed consent must be given according to ICH/GCP, and national/local regulations.
Exclusion criteria
Exclusion criteria: Prior adjuvant chemotherapy for the primary colorectal carcinoma given
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Our primary endpoint is recurrence of disease after hepatic resection for colorectal liver metastases within one year after resection. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Improve the selection of patients who respond to neoadjuvant chemotherapy. - Improve the selection of patients who will have a complete response after neoadjuvant chemotherapy. - To identify tumor-specific characteristics of CTC and cfDNA at the molecular level, and to correlate these parameters with the response on chemotherapy and the recurrence rate within 1 year. - To objectify whether serial measurements of cfDNA and CTCs will provide more adequate information than single point measurement prior to therapy. - To address whether or not (serial) assessments of tumor-specific characteristics of CTC and DNA at the molecular level add to the current known prognostic factors in overall survival. - To determine if cfDNA in patients who are recurrence free after >1 year can be used to discriminate between patients who will still develop recurrence during at least 2 remaining years of follow-up. - To determine reference values and the incidence of elevated cfDNA upon diagnosis of recurrence (within 12 months) and prior to start of treatment. | — |
Countries
Netherlands