NCT04120935

Brief Summary

AlfaOmega has been designed to streamline the study of the co-evolutionary landscape between tumor and host cells in a cohort of CRC patients, with the aim of understanding how their outcomes can be significantly improved (e.g. reduction of their chance of recurrence and survival improval). This clinical resource for integrative clinical data and sample collection will allow the molecular story-telling of CRC metastatic spread along time and space and the selection of appropriate patients for experimentally-driven trials.

Trial Health

80
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
3,000

participants targeted

Target at P75+ for all trials

Timeline
7mo left

Started Oct 2019

Longer than P75 for all trials

Geographic Reach
2 countries

19 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress92%
Oct 2019Dec 2026

First Submitted

Initial submission to the registry

September 18, 2019

Completed
21 days until next milestone

First Posted

Study publicly available on registry

October 9, 2019

Completed
6 days until next milestone

Study Start

First participant enrolled

October 15, 2019

Completed
6.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2026

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2026

Last Updated

August 24, 2025

Status Verified

August 1, 2025

Enrollment Period

6.6 years

First QC Date

September 18, 2019

Last Update Submit

August 22, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Number of patients longitudinally monitored

    1. \- Number of recruited CRC cases in TIER1 with complete FFPE/clinical data match. 2. \- Number of recruited CRC cases in TIER2.

    6 months

Secondary Outcomes (1)

  • Number of patients triaged in proof-of-concept (POC) clinical trials

    6 months

Other Outcomes (2)

  • Number of new prognostic and predictive biomarkers

    6 months

  • Correlation of new prognostic and predictive biomarkers with clinical outcomes

    6 months

Study Arms (1)

Cohort of CRC patients

Stage-mixed cohort of at least 3000 patients through their course of treatments, until death or a minimum of 5 years.

Other: Observation

Interventions

Prospective Observation of standard clinical practice.

Cohort of CRC patients

Eligibility Criteria

Age18 Years+
Sexall
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Colorectal cancer patients

You may qualify if:

  • TIER1 written Informed consent.
  • Patients ≥18 years of age.
  • Previous diagnosis of colorectal cancer, or a strong suspicion of CRC based on clinical and radiological findings.
  • In patients with previous diagnosis of CRC availability of diagnostic Formalin-Fixed, Paraffin Embedded (FFPE) blocks (surgical resection and/or tumor biopsies), or at least 10 slides (preferably 20). FFPE tissue blocks are always preferred to slides.
  • ECOG Performance status \< 2.

You may not qualify if:

  • Any other current malignancy or malignancy diagnosed or relapsed within the past 5 years (other than non-melanomatous skin cancer, stage 0 melanoma in situ, and in situ cervical cancer)
  • Patient unable to comply with the study protocol owing to psychological, social or geographical reasons.
  • Known Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) or syphilis infection.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (19)

ASL di Biella - Ospedale degli Infermi

Biella, Biella, 13875, Italy

RECRUITING

IRCCS Istituto Clinico Humanitas

Milan, MI, 20089, Italy

RECRUITING

Fondazione IRCCS, Istituto Nazionale dei Tumori

Milan, MI, 20133, Italy

RECRUITING

Istituto Europeo di Oncologia (IEO)

Milan, Mi, 20141, Italy

RECRUITING

Niguarda Cancer Center - ASST Grande Ospedale Metropolitano Niguarda

Milan, MI, 20162, Italy

RECRUITING

Istituto Oncologico Veneto (IOV)

Padua, PD, 35128, Italy

RECRUITING

Ospedale Santa Maria della Misericordia

Perugia, Perugia, 06129, Italy

RECRUITING

Azienda Ospedaliero Universitaria Pisana

Pisa, Pisa, 56126, Italy

RECRUITING

AUSL della Romagna - Ospedale Santa Maria delle Croci

Ravenna, Ravenna, 48121, Italy

RECRUITING

Istituto di Candiolo - IRCCS

Candiolo, Torino, 10060, Italy

RECRUITING

Azienda Ospedaliero Universitaria San Luigi Gonzaga

Orbassano, Torino, Italy

RECRUITING

Ospedale Policlinico San Martino

Genova, Italy

RECRUITING

Azienda Ospedaliera Universitaria Luigi Vanvitelli

Napoli, 80131, Italy

RECRUITING

Azienda Ospedaliera Ordine Mauriziano

Torino, Italy

ACTIVE NOT RECRUITING

Hospital de Sant Joan Despí Moises Broggi

Barcelona, Barcelona, 08970, Spain

RECRUITING

Hospital del Mar - Parc de Salut Mar

Barcelona, Spain, 08003, Spain

RECRUITING

Vall d'Hebron Institute of Oncology (VHIO)

Barcelona, Spain, 08035, Spain

RECRUITING

INCLIVA - Instituto de Investigatión Sanitaria

Valencia, Spain, 46010, Spain

RECRUITING

Hospital Moises Broggi

Barcelona, 08970, Spain

RECRUITING

Biospecimen

Retention: SAMPLES WITH DNA

* FFPE Tissue * Fresh Tissue (tumor and normal) * Plasma * PBMC * Whole Blood * Stools * Buccal Swabs

MeSH Terms

Conditions

Colorectal Neoplasms

Interventions

Observation

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal Diseases

Intervention Hierarchy (Ancestors)

MethodsInvestigative Techniques

Study Officials

  • Silvia Marsoni, MD

    IFOM ETS - The AIRC Institute of Molecular Oncology

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 18, 2019

First Posted

October 9, 2019

Study Start

October 15, 2019

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

December 1, 2026

Last Updated

August 24, 2025

Record last verified: 2025-08

Locations