Blood test may spare some colon cancer patients from chemo
NCT ID NCT06434896
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looks at whether a blood test that detects tiny bits of tumor DNA after surgery can help decide which stage II colon cancer patients should get chemotherapy. About 1,320 patients will be randomly assigned to either have their test results used to guide treatment or to receive standard care. The goal is to see if more patients with a positive test start chemo, and whether this approach reduces cancer recurrence.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ctDNA blood test
- What this could lead to
- If successful, this could show that a simple blood test can identify which stage II colon cancer patients need chemotherapy after surgery, avoiding unnecessary treatment for others.
- What could go wrong
- This is an early-stage observational study, not a treatment trial. The test may not accurately predict recurrence, and the results may not change standard care.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 1,320 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2020
- Expected to finish
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Dec 2026
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 years and older
- 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: * Age ≥ 18 years * Informed consent for PLCRC with specific consent for: * additional blood withdrawals * collection and use of tissue for scientific research * invitation for future (experimental) research within the cohort, including TwiCs studies * Inclusion in observational PLCRC -MEDOCC substudy * Histological confirmed stage II colon cancer * Fit enough to receive treatment with combination chemotherapy (fluoropyrimidine and oxaliplatin) according to the treating physician Exclusion Criteria: * Indication for adjuvant chemotherapy according to treating physician * Another malignancy in previous 5 years, with the exception of treated carcinoma in situ or skin cancer other than melanoma * Incomplete primary tumor resection (R1 or R2 resection) * Contra-indication for fluoropyrimidines or oxaliplatin * Pregnancy
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Get notified about this 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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
29 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Admiraal de Ruyter Ziekenhuis
RECRUITINGGoes, Netherlands
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Albert Schweizer Ziekenhuis
RECRUITINGDordrecht, Netherlands
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Amphia Ziekenhuis
RECRUITINGBreda, Netherlands
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Bernhoven
RECRUITINGUden, Netherlands
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Bravis Ziekenhuis
RECRUITINGRoosendaal, Netherlands
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Canisius Wilhelmina Ziekenhuis
RECRUITINGNijmegen, Netherlands
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Deventer Ziekenhuis
RECRUITINGDeventer, Netherlands
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Diakonessenhuis
RECRUITINGUtrecht, Netherlands
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Flevoziekenhuis
RECRUITINGAlmere Stad, Netherlands
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Haaglanden MC
RECRUITINGThe Hague, Netherlands
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Ikazia Ziekenhuis
RECRUITINGRotterdam, Netherlands
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Jeroen Bosch Ziekenhuis
RECRUITING's-Hertogenbosch, Netherlands
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Maastricht UMC
RECRUITINGMaastricht, Netherlands
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Maxima Medisch Centrum
RECRUITINGVeldhoven, Netherlands
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Meander Medisch Centrum
RECRUITINGAmersfoort, Netherlands
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NKI-AVL
RECRUITINGAmsterdam, Netherlands
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Noordwest Ziekenhuisgroep
RECRUITINGAlkmaar, Netherlands
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Reinier de Graaf Gasthuis
RECRUITINGDelft, Netherlands
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Rijnstate
RECRUITINGArnhem, Netherlands
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Rivas
RECRUITINGGorinchem, Netherlands
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Spaarne Gasthuis
RECRUITINGHaarlem, Netherlands
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St. Antonius Ziekenhuis
RECRUITINGNieuwegein, Netherlands
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St. Jans Gasthuis
RECRUITINGWeert, Netherlands
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UMC Utrecht
RECRUITINGUtrecht, Netherlands
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Van Weel-Bethesda Ziekenhuis
RECRUITINGMiddelharnis, Netherlands
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VieCuri Medisch Centrum
RECRUITINGVenlo, Netherlands
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Ziekenhuis Gelderse Vallei
RECRUITINGEde, Netherlands
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Ziekenhuis St. Jansdal
RECRUITINGHarderwijk, Netherlands
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Ziekenhuisgroep Twente
RECRUITINGAlmelo, Netherlands
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- DNA clues may reveal which esophageal cancers will return soon after surgery