NCT04739072

Brief Summary

This study investigates if circulating tumor DNA (ctDNA) and other tumor-related molecules/chemicals released in the blood can help doctors predict if colorectal cancer may come back or spread. Tumors shed DNA and other cancer related chemicals into the blood that can be identified and studied further to provide information about the cancer. Information gathered from this study may help researchers better understand if ctDNA found in the blood can predict whether colorectal cancer may come back or spread.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
1,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Nov 2019

Longer than P75 for all trials

Geographic Reach
1 country

10 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 Start

First participant enrolled

November 22, 2019

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

February 2, 2021

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 4, 2021

Completed
4.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2025

Completed
Last Updated

November 13, 2025

Status Verified

November 1, 2025

Enrollment Period

6.1 years

First QC Date

February 2, 2021

Last Update Submit

November 11, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Analysis of deoxyribonucleic (DNA), ribonucleic acid (RNA), and proteomic alterations from plasma

    To detect circulating tumor DNA (ctDNA) in plasma samples from patients with colorectal cancer (CRC) who have completed curative therapies (i.e. minimal residual disease) towards predicting recurrence earlier than the current standard of care utilizing the CRC23 assay and the LUNAR assay from Guardant Health technology.

    Up to 5 years

  • Detection of recurrences post completion of curative therapies

    To detect ctDNA in plasma samples from patients with CRC who have completed curative therapies (i.e. minimal residual disease) towards predicting recurrence earlier than the current standard of care utilizing the CRC23 assay and the LUNAR assay from Guardant Health technology.

    Up to 5 years

Secondary Outcomes (3)

  • Changes in cancer-specific plasma alterations during neoadjuvant, adjuvant therapies and surveillance

    Baseline up to 5 years

  • Disease free survival (DFS)

    Up to 5 years

  • Overall survival (OS)

    Up to 5 years

Other Outcomes (4)

  • Optimal combination of cancer-specific plasma DNA, RNA and / or proteomic alterations for early detection of recurrences

    Up to 5 years

  • Sensitivity, specificity, positive predictive and negative predictive values of cancer-specific plasma alterations in detecting recurrences

    Up to 5 years

  • Correlation between cancer-specific alterations in plasma and tissue and either with outcomes including DFS & OS

    Up to 5 years

  • +1 more other outcomes

Study Arms (1)

Ancillary-correlative (biospecimen collection)

Patients undergo collection of blood samples at baseline, during each neoadjuvant therapy treatment, prior to surgical resection, and up to 4 times per year for up to 5 years. Patients also undergo collection of tissue sample at time of surgical resection. Patients medical records may also be reviewed.

Procedure: Biospecimen CollectionOther: Electronic Health Record Review

Interventions

Undergo collection of blood and tissue samples

Ancillary-correlative (biospecimen collection)

Review of medical records

Ancillary-correlative (biospecimen collection)

Eligibility Criteria

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

Patients with colorectal cancer at MD Anderson Cancer Center.

You may qualify if:

  • Age ≥ 18 years.
  • Histological/cytological confirmation of colorectal adenocarcinoma.
  • Patients with any stage colorectal adenocarcinoma deemed potentially eligible for curative intent treatment. Patients with stages II-IV colorectal cancer post-R0 resection may also be enrolled onto the protocol any time before or up to 3 months post-surgery and prior to initiating adjuvant therapy.
  • Ability to understand and the willingness to sign a written informed consent document.
  • Willing to pursue standard of care surveillance post completion of curative therapies.
  • Willing to provide blood samples for correlative research.

You may not qualify if:

  • Known active malignancies other than colorectal adenocarcinoma that may interfere with detection and / or interpretation of circulating plasma markers. Patients with known clonal hematopoiesis of indeterminate potential are eligible.
  • Co-morbid systemic illnesses or other severe concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (10)

Banner - MD Anderson Cancer Center

Gilbert, Arizona, 85234, United States

TERMINATED

Baptist- MD Anderson Cancer Center

Jacksonville, Florida, 32207, United States

TERMINATED

The Queen's Medical Center

Honolulu, Hawaii, 96813, United States

TERMINATED

St. Luke's Cancer Institute

Boise, Idaho, 83712, United States

TERMINATED

Cooper Hospital UNIV MED CTR.

Camden, New Jersey, 08103, United States

TERMINATED

UT Southwestern/Simmons Cancer Center-Dallas

Dallas, Texas, 75390, United States

TERMINATED

Houston Methodist Cancer Center

Houston, Texas, 77030, United States

TERMINATED

M D Anderson Cancer Center

Houston, Texas, 77030, United States

RECRUITING

UT Health San Antonio MD Anderson Cancer Center

San Antonio, Texas, 78229, United States

TERMINATED

Baylor Scott & White Research Institute

Temple, Texas, 76508, United States

TERMINATED

Related Links

Biospecimen

Retention: SAMPLES WITH DNA

Blood and tissue

MeSH Terms

Conditions

Colorectal Neoplasms

Condition Hierarchy (Ancestors)

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

Study Officials

  • Arvind Dasari

    M.D. Anderson Cancer Center

    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

February 2, 2021

First Posted

February 4, 2021

Study Start

November 22, 2019

Primary Completion

December 31, 2025

Study Completion

December 31, 2025

Last Updated

November 13, 2025

Record last verified: 2025-11

Locations