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Clinical trials

Platform Study of Circulating Tumor DNA Directed Adjuvant Chemotherapy in Colon Cancer

Recruiting nowPhase 3Randomised

The trial at a glance
Registry number NCT05534087
Recruitment Recruiting now
Phase Phase 3
Design randomised, open label
Taking part 236 people (planned)
Who can join aged 19 Years to 75 Years
Run by Seoul National University Hospital
Started
Main results expected
Record last updated

What is being tested

  • Drug mFOLFIRINOX-FOLFIRI intensified chemotherapy
  • Drug FOLFOX or CAPOX adjuvant chemotherapy

What it is measuring

3-year disease-free survival rate

This is the trial's main question — the one it is designed and sized to answer. Anything else it reports is a secondary finding, and secondary findings are far more likely to be chance.

Phase 3. Compares the treatment against current standard care in a large group. This is the design that changes practice.

How the researchers describe it

This study is a prospective, open-label, randomized phase 3 clinical trial. It aims to investigate if the early introduction of intensified chemotherapy (3 months of modified FOLFIRINOX) improves the 3-year disease-free survival rate compared to standard treatment (FOLFOX/CAPOX for an additional three months to complete six months of standard adjuvant chemotherapy) in patients with stage 2-3 colon cancer in whom ctDNA MRD in the part 1 study remained positive during adjuvant FOLFOX/CAPOX chemotherapy

Written by the trial’s sponsor, quoted from its ClinicalTrials.gov record.

What this trial is looking for

Genotype

  • Any genotype
Disease

  • Locally advanced

Read automatically from the criteria below, to make the list searchable. It is a summary of what the text mentions, not a decision about whether you qualify — and where the two disagree, the criteria are right and this is wrong.

Who the trial is looking for

Inclusion Criteria

1. Patients who willingly consented and signed the informed consent form to participate in the study

2. Age range of 19 to 75 years

3. Adenocarcinoma of colon confirmed by histology

4. Patients with stage II-III colon cancer as defined by the American Joint Committee on Cancer's eighth edition (Stage II cancer is limited to patients who are at a high risk, with more than one risk factor for recurrence.)

5. Patients who have completed the sixth cycle of FOLFOX or the fourth cycle of CAPOX adjuvant chemotherapy for colon cancer following radical resection (R0 resection)

6. A ctDNA test performed 3 to 6 weeks after surgery reveals a positive MRD

7. ECOG performance scale of 0-1 (only 1 is allowed for 70-75 years old)

8. Adequate bone marrow function [ANC ≥1,300/LL, platelets ≥75,000/LL, hemoglobin ≥8.0g/dL (may be eligible in study if intermittent transfusion is required)]

9. Appropriate liver function (total bilirubin ≤1.5xULN, AST and ALT ≤3xULN)

10. Appropriate renal function (serum creatine ≤1.5xULN, renal clearance rate ≥50 ml/min)

11. Patients who are deemed to understand the study protocol and are willing to participate in the trial until it is completed

Exclusion Criteria

1. Pregnant or lactating women

2.

This is an extract. Whether you qualify is decided by the trial team against the full criteria, not by reading this page. Read the full eligibility criteria

Where it is running

Running at 3 sites. Listed in: South Korea.

Individual hospitals, and whether each is currently open, are listed on the registry record. Sites open and close throughout a trial.

Worth asking your oncology team

Being listed here is not a recommendation, and no one page can tell you whether a trial is right for you. These are the questions it raises.

  • Is this trial open at a hospital I could realistically travel to?
  • Given my stage, my previous treatment and my tumour's molecular profile, would I be eligible?
  • What would I be giving up by joining — is the comparison arm the treatment I would otherwise be having?
  • What is already known about the safety of what is being tested?

The source

Registry record NCT05534087, registered by Seoul National University Hospital on ClinicalTrials.gov, a public database run by the US National Library of Medicine. The details on this page come from that record and are only ever as current as the sponsor has kept it.

This is a listing of a registered clinical trial, reproduced for information. It is not a recommendation, this site has no connection to the trial or its sponsor, and being listed here says nothing about whether the treatment works. Talk to your own oncology team before pursuing any trial.

This article summarises published research for general information. It is not medical advice, and it is not a substitute for a conversation with your own oncology team, who know your case. Do not start, stop, or change any treatment or supplement on the basis of what you read here.


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