NCT04792684

Brief Summary

A prospective multi-center observational study. The study will enroll eligible subjects from the United States to optimize the biomarker panel and evaluate the performance of a cfDNA marker panel selected by the Sponsor for CRC and advanced adenoma detection.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
1,300

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Dec 2020

Longer than P75 for all trials

Geographic Reach
1 country

16 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

December 30, 2020

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

March 8, 2021

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 11, 2021

Completed
4.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 30, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2025

Completed
Last Updated

November 10, 2025

Status Verified

November 1, 2025

Enrollment Period

5 years

First QC Date

March 8, 2021

Last Update Submit

November 5, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Samples Collected for Plasma Circulating Free-DNA (cfDNA) Marker Testing

    Samples Collected for Testing

    Within 12 months of sample collection

Study Arms (2)

Arm A.

Subjects that have a suspected advanced adenoma or have been newly diagnosed with CRC still not resected and scheduled for surgery

Diagnostic Test: Optimization of Plasma Circulating Free-DNA (cfDNA) Marker Panel

Arm B

Subjects at average-risk for CRC and scheduled for CRC screening colonoscopy

Diagnostic Test: Optimization of Plasma Circulating Free-DNA (cfDNA) Marker Panel

Interventions

Evaluate the performance of a preliminary panel of biomarkers

Arm A.Arm B

Eligibility Criteria

Age45 Years - 84 Years
Sexall(Gender-based eligibility)
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Two cohorts of patients aged between 45 and 84, who have a suspected advanced adenoma or have been newly diagnosed with CRC, still not resected and scheduled for surgery, and patients who are at average risk of developing colorectal cancer, scheduled for a standard-of-care screening colonoscopy. Subjects will be considered enrolled after understanding and signing the ICF and a determination is made by the Investigator that the subject is eligible to participate according to the inclusion/exclusion criteria. Enrollment will be stopped when a sufficient number of confirmed cases of colorectal cancer, advanced adenomas, and matching control subjects have been enrolled. Under the current assumptions, 1,200 subjects will need to be enrolled.

You may qualify if:

  • Arm A:
  • Must be 45-84 years of age.
  • Must have a suspected advanced adenoma or be newly diagnosed with CRC, still not resected, and scheduled for surgery.
  • Able to comprehend, sign, and date the written informed consent document.
  • Arm B:
  • Must be 45-84 years of age.
  • Able and willing to undergo a standard-of-care screening colonoscopy within 60 days.
  • Able to comprehend, sign, and date the written informed consent document.

You may not qualify if:

  • Arm A Only:
  • \. Subject with curative biopsy during colonoscopy.
  • Arm B Only:
  • Subjects with positive FIT Test results in the 6 months preceding enrollment.
  • Subject has a current diagnosis of cancer.
  • Arms A \& B:
  • Subject has a personal history of aerodigestive or digestive tract cancers.
  • Subjects having undergone previous partial surgical removal of one or more portions of their colon due to a reason other than colorectal cancer.
  • Has a known diagnosis or personal history of any of the following high-risk indications for colorectal cancer:
  • Inflammatory bowel disease (IBD) including chronic ulcerative colitis (CUC) and Crohn's disease.
  • Familial adenomatous polyposis ("FAP", including attenuated FAP).
  • Hereditary non-polyposis colorectal cancer syndrome ("HNPCC" or "Lynch Syndrome").
  • Serrated polyposis syndrome
  • first-degree relatives (e.g., parents, siblings, and offspring) who have been diagnosed with colon cancer.
  • One first-degree relative with CRC diagnosed before the age of 60.
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (16)

Precision Recearch Institute

Chula Vista, California, 91910, United States

COMPLETED

Precision Research Institute

San Diego, California, 92114, United States

COMPLETED

Medical Associates Research Group

San Diego, California, 92123, United States

COMPLETED

Clinical Research of California

Walnut Creek, California, 94598, United States

COMPLETED

Center for Gastrointestinal Disorders

Hollywood, Florida, 33021, United States

COMPLETED

Lakeland Regional Cancer Center

Lakeland, Florida, 33805, United States

RECRUITING

Springfield Clinic

Springfield, Illinois, 62702, United States

RECRUITING

Ochsner Clinic

New Orleans, Louisiana, 70121, United States

COMPLETED

Dana Farber Cancer Institute

Boston, Massachusetts, 02215, United States

COMPLETED

Mid Hudson Medical Research

New Windsor, New York, 12553, United States

RECRUITING

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

RECRUITING

Fox Chase Cancer Center

Philadelphia, Pennsylvania, 19111, United States

COMPLETED

Frontier Clinical Research

Uniontown, Pennsylvania, 15401, United States

COMPLETED

Clinical Trials Network

Union City, Tennessee, 38261, United States

COMPLETED

Vilo Research Group

Houston, Texas, 77017, United States

COMPLETED

Gastroenterology Consultants of SW Virginia

Raonoke, Virginia, 24014, United States

COMPLETED

Biospecimen

Retention: SAMPLES WITH DNA

40 ml of blood at the study visit processed for plasma

MeSH Terms

Conditions

Colorectal Neoplasms

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Antonio Jesus Merino Calvo

CONTACT

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 8, 2021

First Posted

March 11, 2021

Study Start

December 30, 2020

Primary Completion

December 30, 2025

Study Completion

December 30, 2025

Last Updated

November 10, 2025

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will not share

Locations