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Clinical Trials/NCT04920955
NCT04920955CompletedNot Applicable

Evaluation of a Novel Blood Multi-marker Test for the Detection of Colorectal Cancer Relapse

Novigenix SA1 site in 1 country264 target enrollmentStarted: February 10, 2021Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Sponsor
Enrollment
264
Locations
1
Primary Endpoint
Sensitivity for relapse detection

Study Overview

Brief Summary

This is an observational case-control study which enroll metastatic and non-metastatic colorectal cancer (CRC) patients. The objective of this study is to evaluate a novel blood multi-marker test for the detection of relapse in colorectal cancer patients. This test is based on whole-blood transcriptomic signatures and circulating tumor methylated DNA markers. The patients will be enrolled into 4 study groups, two cross-sectional and two longitudinal groups, to follow up patients up to 36 months from primary tumor resection.

Study Design

Study Type
Observational
Observational Model
Case Control
Time Perspective
Prospective

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Male or female ≥ 18 years of age at time of informed consent.
  • Subject has signed the informed consent form (ICF) and is able to understand the information provided in it.
  • At least a blood sample is collected per subject according to the sample collection protocol.
  • Patients enrolled in local prospective protocols, in which samples have been collected according the study procedures may be included.
  • Group 1: patients with a radiologically and, whenever is possible, histologically confirmed relapse (local or distant) of colorectal cancer within 5 years from primary surgery. Metachronous primary tumors are not considered as relapse and should be excluded.
  • Group 2: Patients declared disease-free for at least 36 months but less than 5 years, as confirmed by radiological examination.
  • Group 3: Patients with a stage III-IV colorectal cancer with a curative treatment and disease-free for at least 3 months but less than 18 months.
  • Group 4: Histologically and radiologically confirmed diagnosis of stage I, II, III or IV colorectal adenocarcinoma, eligible for a treatment with curative intent.

Exclusion Criteria

  • Personal history of cancer (non-hematologic) other than CRC in complete remission for less than 5 years.
  • Personal history of hematologic cancer.
  • A blood transfusion within 6 weeks prior to inclusion into the study.
  • Transplant with regular intake of immunosuppressants.
  • Pregnant woman (self-declaration).
  • Conditions or comorbidities that would preclude the compliance with the planned surveillance program or with the protocol as judged by the Investigator.
  • Previous inclusion in the RELMA-C study and/or re-inclusion in a different study group.
  • Group 1: Any treatment for CRC relapse prior to blood collection.
  • Group 2: Patient is disease-free for less than 36 months or more than 5 years.
  • Group 3: Patient is disease-free for less than 3 months or more than 18 months
  • Group 3: Stage IV patients with detectable residual disease after primary treatment.
  • Group 4: Any cancer treatment prior to blood collection.

Outcomes

Primary Outcomes

Sensitivity for relapse detection

Time Frame: Relapse occurring within 5 years from primary curative intervention

Sensitivity of the test for detection of CRC relapse using radiological imaging as the reference diagnostic method

Specificity for relapse detection

Time Frame: 36 months disease-free

Specificity of the test for detection of CRC relapse using radiological imaging as the reference diagnostic method

Secondary Outcomes

  • Coefficient of variation of the biomarkers(6 weeks)
  • Concordance analyses(24 months)
  • Test positivity(24 months)
  • Sensitivity for CRC detection(up to 1 day prior to tumor resection)

Investigators

Sponsor
Novigenix SA
Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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