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Brief Title: Circulating Tumor DNA Based Adjuvant Chemotherapy in Stage II Colon Cancer Patients: the MEDOCC-CrEATE Trial
Official Title: Circulating Tumor DNA Based Adjuvant Chemotherapy in Stage II Colon Cancer Patients: the MEDOCC-CrEATE Trial
Study ID: NCT06434896
Brief Summary: Patients in the Prospective Dutch ColoRectal Cancer cohort (PLCRC) with non-metastatic colon cancer that gave consent for additional blood withdrawals are enrolled in the observational PLCRC-MEDOCC substudy. In this study, blood is collected before surgery, after surgery and during follow-up. Within PLCRC-MEDOCC, patients with stage II colon cancer that are not considered to have an indication for adjuvant chemotherapy, can be included in the MEDOCC-CrEATE subcohort under the condition that they gave informed consent in PLCRC for biobanking of tissue and for future studies (Trial within Cohorts design). Patients included in MEDOCC-CrEATE will be randomized 1:1 to the (A) ctDNA-based treatment group versus (B) the standard of care group. A total of 1320 patients will be randomized. Patients randomized to the ctDNA-based treatment group will have their post-surgery samples analysed directly after informed consent for MEDOCC-CrEATE. All patients with detectable ctDNA will be offered adjuvant chemotherapy (3 months CAPOX). Patients with undetectable ctDNA will receive routine follow-up at the surgical department. The aim of this Trial within Cohorts study is to investigate how many patients with detectable ctDNA after surgery start with adjuvant chemotherapy.
Detailed Description:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Jeroen Bosch Ziekenhuis, 's Hertogenbosch, , Netherlands
Noordwest Ziekenhuisgroep, Alkmaar, , Netherlands
Ziekenhuisgroep Twente, Almelo, , Netherlands
Flevoziekenhuis, Almere, , Netherlands
Meander Medisch Centrum, Amersfoort, , Netherlands
Rijnstate, Arnhem, , Netherlands
Amphia Ziekenhuis, Breda, , Netherlands
Reinier de Graaf Gasthuis, Delft, , Netherlands
Haaglanden MC, Den Haag, , Netherlands
Deventer Ziekenhuis, Deventer, , Netherlands
Albert Schweizer Ziekenhuis, Dordrecht, , Netherlands
Ziekenhuis Gelderse Vallei, Ede, , Netherlands
Admiraal de Ruyter Ziekenhuis, Goes, , Netherlands
Rivas, Gorinchem, , Netherlands
Spaarne Gasthuis, Haarlem, , Netherlands
Ziekenhuis St. Jansdal, Harderwijk, , Netherlands
Maastricht UMC, Maastricht, , Netherlands
Van Weel-Bethesda Ziekenhuis, Middelharnis, , Netherlands
St. Antonius Ziekenhuis, Nieuwegein, , Netherlands
Canisius Wilhelmina Ziekenhuis, Nijmegen, , Netherlands
Bravis Ziekenhuis, Roosendaal, , Netherlands
Ikazia Ziekenhuis, Rotterdam, , Netherlands
Bernhoven, Uden, , Netherlands
Diakonessenhuis, Utrecht, , Netherlands
UMC Utrecht, Utrecht, , Netherlands
Maxima Medisch Centrum, Veldhoven, , Netherlands
VieCuri Medisch Centrum, Venlo, , Netherlands
St. Jans Gasthuis, Weert, , Netherlands