Could chemo before surgery stop colon cancer from coming back?
NCT ID NCT03426904
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether giving chemotherapy before surgery (instead of after) helps people with locally advanced colon cancer live longer without the cancer returning. About 708 adults aged 18 to 70 with non-spreading colon cancer are taking part. The goal is to see if early chemo can kill hidden cancer cells and reduce the chance of recurrence.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 708 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2020
- Expected to finish
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Dec 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Pathologically confirmed colon adenocarcinoma (\> 15 cm from the anal verge) * Radiologic T3/T4 and high risk features by CT scan * No metastasis on CT or PET(positron emission computed tomography) * Age ≥ 18 and ≤ 70 years * ECOG (Eastern Cooperative Oncology Group) performance status 0-1 * No history of colorectal cancer within 5 years * No history of chemotherapy * Patients with childbearing potential should use effective contraception during the study and the following 6 months * Adequate bone marrow function : white blood cell count of 2 x 109/L or more with neutrophils of1.5 x 109/L or more, platelet count of 100 x 109/L or more, hemoglobin of 9 g/dL (5,6 mmol/l) or more * Adequate hepatobiliary function : total bilirubin of 0.4 mg/dl or less, ASAT (aspartate aminotransferase) and ALAT (alanine aminotransferase) of 2.5 x ULN (upper limits of normal) or less, Alkaline phosphatase of 1.5 x ULN or less * Adequate renal function : GFR (Glomerular Filtration Rate) \> 50ml/min by Wright or Cockcroft formula * Signed written informed consent obtained prior to any study specific screening procedures Exclusion Criteria: * Age \> 70 years and \< 18 years * Rectal cancer : 15 cm or less from the anal verge * Complicated colon cancer (complete obstruction, perforation, bleeding) * Metastatic colon cancer * Known hypersensitivity reaction to any of the components of study treatments * Inflammatory bowel disease * Hereditary nonpolyposis colorectal cancerHNPCC, familial Adenomatous Polyposis * Clinically relevant coronary artery disease or history of myocardial infarction in the last 6 months, high risk of uncontrolled arrhythmia * Galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption * Pregnancy or breast-feeding period * Serious non-healing wound or bone fracture * Medical, geographical, sociological, psychological or legal conditions that would not permit the patient to complete the study or sign informed consent * Any significant disease which, in the investigator's opinion, would exclude the patient from the study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Asan Medical Center
Seoul, 05505, South Korea
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Chonnam National University Hwasun Hospital
Hwasun, Chonnam, 58128, South Korea
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Kyungpook National University Chilgok Hospital
Daegu, 41404, South Korea
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The Catholic Univ. of Korea St. Vincent's Hospital
Suwon, South Korea
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Other studies related to the condition(s) this trial covers.
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