Blood test hunts hidden cancer after surgery
NCT ID NCT04813627
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked for leftover cancer DNA in the blood of over 2,000 people who had surgery for stage II or III colorectal cancer. Participants did not receive any new treatment—they just gave blood samples over about 21 months. The goal was to find patients who might be eligible for a future vaccine study.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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2,079 people
The number who actually took part.
- Started
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Jul 2021
- Finished
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Apr 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Participants with Stage II (high risk)/III CRC after resection (R0) and that are scheduled to receive AdCTx will be enrolled in this study.
- 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: * Must have given informed consent indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study. * Age ≥ 18 years old at time of signing the informed consent form. * Ability to comply with the study protocol, in the investigator's judgment. * Must have Stage II/Stage III rectal cancer or Stage II (high risk)/Stage III colon cancer per AJCC 2017 that has been surgically totally resected (R0 confirmed by pathology report). Stage II (high risk) colon cancer is defined as (any of): * T4 * Grade ≥ 3 * Clinical presentation with bowel obstruction or perforation * Histological signs of vascular, lymphatic or perineural invasion * \< 12 nodes examined * Adequate tumor material in formalin-fixed paraffin embedded blocks or as sectioned tissue (only upon approval by sponsor) must be available, preferably from resection. The specimen should be submitted along with an associated pathology report. Multiple samples may be provided as available, but priority should be given to tissue with the highest tumor content and lowest necrotic area. * Intention to receive a standard of care AdCTx within 8 weeks post-surgery, and be scheduled for at least 3 months of treatment (including rest days) according to the treating physician or investigator. * Eastern Cooperative Oncology Group Performance Status of 0 or 1. * Adequate end-organ function. Exclusion Criteria: * Neo-adjuvant (radio)chemotherapy prior to surgery. * Prior systemic investigational therapy. * Active Hepatitis B virus (HBV) infection. * Active hepatitis C virus (HCV) infection. * History of human immunodeficiency virus (HIV) antibody positivity. * Residual tumor classification following surgery other than R0 (microscopic margin-negative resection). * Participants with known past or current malignancy other than inclusion diagnosis, except for: * Cervical carcinoma of Stage 1B or less. * Non-invasive basal cell or squamous cell skin carcinoma. * Non-invasive, superficial bladder cancer. * Prostate cancer with a current prostate-specific antigen level \< 0.1 ng/mL. * Any curable cancer with a complete response of \> 2 years duration. * Participant has not started standard of care AdCTx within 8 weeks post-surgery. * Participant has received less than 3 months (including rest days) of AdCTx treatment. * Inadequate tumor material (either quality or quantity) to support ctDNA analysis. * Participants who have had prior splenectomy. * Participants with diagnosed microsatellite instability high tumors.
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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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AZ Groeninge
Kortrijk, 8500, Belgium
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Agaplesion Markus Krankenhaus
Frankfurt am Main, 60431, Germany
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Algemeen Ziekenhuis (AZ) Glorieux
Ronse, 9600, Belgium
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Algemeen Ziekenhuis Sint-Lucas
Bruges, 8310, Belgium
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Asklepios Klinik Altona
Hamburg, 22763, Germany
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Asklepios Klinik St. Georg
Hamburg, 20099, Germany
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Asklepios Klinik Weissenfels
Weißenfels, 06667, Germany
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Asklepios Kliniken Nord
Hamburg, 22417, Germany
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Asklepios MVZ Elmshorn
Elmshorn, 25335, Germany
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Cancer Care Specialists Of Central Illinois Sc (Ccsci) - Cancer Care Center Of Decatur
Decatur, Illinois, 62526, United States
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Cancer Center Donauwoerth and Dachau
Donauwörth, 86609, Germany
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Centre Hospitalier Regional, CHR
Verviers, 4800, Belgium
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Centres Hospitaliers Jolimont
La Louvière, 7100, Belgium
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Centro Oncologico Galicia
A Coruña, 15009, Spain
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Centrum fuer Haematologie und Onkologie Bethanien
Frankfurt am Main, 60389, Germany
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Charité Campus Mitte (CCM) - Universitätsmedizin Berlin
Berlin, 10117, Germany
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Clinique Saint-Pierre d'ottignies (CSPO)
Ottignies, 1340, Belgium
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Clinique et Maternite Sainte-Elisabeth (CMSE)
Namur, 5000, Belgium
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Complejo Hospitalario Universitario A Coruna
A Coruña, 15006, Spain
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Complejo Hospitalario Universitario De Santiago De Compostela
Santiago de Compostela, 15706, Spain
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Complejo Hospitalario de Navarra
Pamplona, 31008, Spain
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Complejo Hospitalario de Orense
Ourense, 32005, Spain
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Corporacio Sanitaria Universitaria Parc Tauli
Sabadell, 08208, Spain
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Forschungszentrum Ruhr
Witten, 58455, Germany
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Gemeinschaftspraxis Dr. med. B. Heinrich, Prof. M. Bangerter MD
Augsburg, 86150, Germany
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Haematologisch-Onkologische Praxis Eppendorf HOPE
Hamburg, 20249, Germany
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Helios Dr. Horst Schmidt Kliniken (HSK)
Wiesbaden, 65199, Germany
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Hospital De Sant Joan Despi Moises Broggi
Barcelona, 08970, Spain
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Hospital General De Granollers
Granollers, 08402, Spain
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Hospital Sant Joan de Deu-Fundacio Althaia
Manresa, 08243, Spain
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Hospital Universitari Germans Trias - ICO Badalona
Badalona, 08916, Spain
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Hospital Universitari Sant Joan de Reus
Reus, 43204, Spain
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Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitario Miguel Servet
Zaragoza, 50009, Spain
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Hospital Universitario Mutua de Terrassa
Terrassa, 08222, Spain
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Hospital de la Santa Creu i Sant Pau
Barcelona, 08041, Spain
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IOR- Instituto Quiron Dexeus
Barcelona, 08028, Spain
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Imelda Ziekenhuis
Bonheiden, 2820, Belgium
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Internistische Schwerpunktpraxis Hamatologie und Onkologie
Mainz, 55122, Germany
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John Muir Clinical Research Center
Concord, California, 94520, United States
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Klinikum der Johann Wolfgang Goethe-Universitaet Frankfurt
Frankfurt am Main, 60590, Germany
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Klinikum der Universität München, Medizinische Klinik und Poliklinik III
München, 81377, Germany
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Krankenhaus Nordwest GmbH - Institut Fuer Klinisch-Onkologische Forschung
Frankfurt am Main, 60488, Germany
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Marin Cancer Care
Greenbrae, California, 94904, United States
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Medizinische Hochschule Hannover
Hanover, 30625, Germany
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Medizinische Klinik III, Universitätsklinikum Bonn
Bonn, 53127, Germany
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Northwest Cancer Specialists
Vancouver, Washington, 98684, United States
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Oncology Hematology Care Clinical Trials, LLC
Cincinnati, Ohio, 45245, United States
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Orchard Healthcare Research Inc.
Skokie, Illinois, 60077, United States
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Prosper Hospital
Recklinghausen, 45659, Germany
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Ridley-Tree Cancer Center
California City, California, 93105, United States
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Rockwood Cancer Treatment Center
Spokane, Washington, 99204, United States
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Rocky Mountain Cancer Centers - Denver Midtown
Denver, Colorado, 80218, United States
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SLK-Kliniken Heilbronn GmbH
Heilbronn, 74078, Germany
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St. Johannes Hospital
Dortmund, 44137, Germany
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Staedtisches Klinikum Muenchen GmbH, Klinikum Neuperlach
München, 81737, Germany
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Staedtisches Krankenhaus Kiel gGmbH
Kiel, 24116, Germany
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Studiengesellschaft BSF
Halle, 06108, Germany
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Texas Oncology - Austin
Austin, Texas, 78705, United States
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Texas Oncology - Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246, United States
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Texas Oncology - Northeast Texas
Tyler, Texas, 75702, United States
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Texas Oncology - San Antonio Medical Center
San Antonio, Texas, 78229, United States
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The Oncology Institute of Hope
Los Angeles, California, 90033, United States
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USOR - New York Oncology Hematology, P.C.
Albany, New York, 12206, United States
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USOR - Willamette Valley Cancer Institute and Research Center
Eugene, Oregon, 97401, United States
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Universitaetsklinikum St. Josef-Hospital Bochum
Bochum, 44791, Germany
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Universitaetsklinikum Ulm
Ulm, 89081, Germany
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Universitaetsmedizin Rostock
Rostock, 18057, Germany
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Universitair Ziekenhuis Brussel (UZ-VUB - Academisch Ziekenhuis)
Jette, 1090, Belgium
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Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
Leuven, 3000, Belgium
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VZW Algemeen Ziekenhuis KLINA
Brasschaat, 2930, Belgium
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Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031, United States
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ZNA Campus Middelheim
Antwerp, 2020, Belgium
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Ze:ro Arztpraxen
Mannheim, 68165, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Watch and wait: could immunotherapy let some GI cancer patients avoid surgery?
- DNA 'Crystal Ball' may spot return of colorectal cancer
- Glowing dye could help surgeons spot hidden cancer during colorectal surgery
- New blood test could spot colon cancer before it spreads
- Acupuncture needles aim to zap cancer brain fog
- Blood test could spare colon cancer patients from unnecessary chemo