NCT06404593已完成不适用
Dynamic ctDNA Detection for Guiding Adjuvant Therapy and Recurrence Monitoring After Curative Resection of Colorectal Cancer Liver Metastases: A Prospective Study
Peking University Cancer Hospital & Institute1 个研究点 分布在 1 个国家目标入组 270 人开始时间: 2019年6月18日最近更新:
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 270
- 试验地点
- 1
- 主要终点
- progression-free survival
研究概览
简要总结
Evaluating the value of dynamic monitoring of a colorectal cancer liver metastasis cohort underwent curative resection after receiving multipoint ctDNA detecting in predicting recurrence prognosis and guiding adjuvant chemotherapy treatment.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 20 Years 至 85 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Before implementing any trial-related procedures, written informed consent should be signed;
- •>=20 and <= 85 years old, male or female;
- •Patients with liver metastases pathologically confirmed as colorectal adenocarcinoma;
- •According to the Response Evaluation Criteria for Solid Tumors (RECIST version 1.1), there is at least one lesion that can be measured by imaging;
- •The multidisciplinary team (MDT) confirmed that the liver metastases were initially resectable ,without locally treatable extrahepatic metastases;
- •The general physical condition is good (ECOG score 0-1);
- •Life expectancy of more than 3 months;
- •There is no obvious symptoms of primary bleeding, obstruction and other indications for emergency surgery;
- •adequate organ function;
- •samples meet NGS quality control requirements;
- •The subjects are able and willing to comply with the visits, treatment plans, laboratory tests and other research-related procedures stipulated in the research protocol.
排除标准
- •Patients who are intolerant to systemic chemotherapy or surgery;
- •Patients with multiple primary lesions;
- •Blood samples and/or baseline tissue samples that do not meet the requirements for testing (hemolysis, low tumor cell content, insufficient DNA extraction yield, etc.);
- •Excessive tissue necrosis after conversion therapy, making it impossible to sample according to testing requirements
- •Patients who have not undergone surgery after conversion therapy, only receiving radiofrequency ablation or chemotherapy follow-up
- •Not all metastatic lesions were resected after conversion therapy, or liver metastatic lesions did not achieve R0 resection
- •No definite mutations detected in the tissue, or mutations detected in tumor tissue were not covered by the designed small panel.
结局指标
主要结局
progression-free survival
时间窗: 1 year
overall survival
时间窗: 5 year
次要结局
未报告次要终点
研究者
研究点 (1)
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