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ctDNA-Guided Therapy for Colorectal Cancer

N/A
Recruiting
Led By Michael White, MD
Research Sponsored by M.D. Anderson Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights
No Placebo-Only Group

Summary

This trial tests ctDNA in the blood to determine if a patient's cancer is likely to return and which treatments are best.

Who is the study for?
This trial is for adults over 18 with moderate or poorly differentiated appendiceal or colorectal adenocarcinoma, visible metastatic peritoneal disease, and good performance status. They must have adequate organ function and not be pregnant, agreeing to use contraception. Excluded are those with recent chemotherapy/radiotherapy, uncontrolled illnesses, major surgery within the last month, brain metastases, or other conditions that could affect study participation.
What is being tested?
The study tests if ctDNA levels before cytoreductive surgery can predict cancer recurrence risk in patients with colorectal or appendiceal adenocarcinoma. This helps determine the intensity of neoadjuvant chemotherapy needed prior to surgery.
What are the potential side effects?
While specific side effects aren't listed for ctDNA testing itself, associated chemotherapeutic agents (5-fluorouracil, oxaliplatin, leucovorin, irinotecan) may cause fatigue, nausea/vomiting/diarrhea (digestive issues), lowered blood cell counts leading to increased infection risk and bleeding problems.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 5 years for reporting.

Treatment Details

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Circulating tumoral DNA directed neoadjuvant therapy armExperimental Treatment1 Intervention
Participants will have their circulating tumoral DNA levels measured at the onset of neoadjuvant chemotherapy and during their neoadjuvant treatment to direct the duration of therapy provided.

Find a Location

Who is running the clinical trial?

M.D. Anderson Cancer CenterLead Sponsor
3,068 Previous Clinical Trials
1,802,631 Total Patients Enrolled
Michael White, MDPrincipal InvestigatorM.D. Anderson Cancer Center
1 Previous Clinical Trials
243 Total Patients Enrolled

Media Library

Circulating tumoral DNA directed neoadjuvant therapy (Other) Clinical Trial Eligibility Overview. Trial Name: NCT05947838 — N/A
Colon Cancer Research Study Groups: Circulating tumoral DNA directed neoadjuvant therapy arm
Colon Cancer Clinical Trial 2023: Circulating tumoral DNA directed neoadjuvant therapy Highlights & Side Effects. Trial Name: NCT05947838 — N/A
Circulating tumoral DNA directed neoadjuvant therapy (Other) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05947838 — N/A
~29 spots leftby Apr 2026