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Circulating tumor DNA based adjuvant chemotherapy in stage II colon cancer patients: the MEDOCC-CrEATE trial

Circulating tumor DNA based adjuvant chemotherapy in stage II colon cancer patients: the MEDOCC-CrEATE trial - MEDOCC-CrEATE

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON54658
Enrollment
1320
Registered
2019-10-29
Start date
2020-08-28
Completion date
Unknown
Last updated
2025-10-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Colon carcinoma large bowel cancer Bowel cancer

Interventions

Patients will be asked informed consent to immediately analyse their post-surgery sample for ctDNA. Patients with detectable ctDNA are seen as high risk and will be offered adjuvant chemotherapy.

Sponsors

Universitair Medisch Centrum Utrecht
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: - Age >= 18 years - Informed consent for PLCRC with specific consent for additional blood withdrawals, collection of tissue and being informed about future experimental research - Histological confirmed stage II colon cancer - Fit for combination chemotherapy (fluoropyrimidin and oxaliplatin) according to the treating physician

Exclusion criteria

Exclusion criteria: - Indication for adjuvant chemotherapy according to treating physician - Another malignancy in previous 5 years, except carcinoma in situ or skin cancer other than melanoma - Incomplete tumor resection (R1 or R2 resection) - Contra-indications for fluoropyrimidines or oxaliplatin - Pregnancy

Design outcomes

Primary

MeasureTime frame
Proportion of patients with detectable ctDNA in their blood starting with chemotherapy

Secondary

MeasureTime frame
- Recurrence Rate 2 years after surgery (intention-to-treat analysis) - 2-year RR in a per-protocol analysis - 5-year RR (intention-to-treat and per-protocol) - 2- and 5-year disease free survival (DFS) rate - disease-related 5- and 7-year overall survival (OS) rate - quality of life (QoL), RR in patients without detectable ctDNA after surgery - time-to-recurrence (TTR) -cost-effectiveness of the ctDNA-based treatment.

Countries

Netherlands

Contacts

Public ContactM. Koopman

Universitair Medisch Centrum Utrecht

m.koopman-6@umcutrecht.nl(0)88 7556265

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)