New risk tool could predict cancer return after liver surgery
NCT ID NCT07391007
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This observational study aims to develop a system that combines genetic and clinical data to predict which patients with colorectal cancer that has spread to the liver are at high risk of the cancer coming back after surgery. Researchers will study 200 adults aged 18-75 who have had complete removal of both the colon tumor and liver metastases. The goal is to use this risk information to guide personalized decisions about whether additional chemotherapy after surgery would be helpful.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2028
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.
Who is studied
Patients were diagnosed with resectable colorectal liver metastases
- Ages
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18 to 75 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: 1. Aged 18 to 75 years, inclusive (male or female). 2. Pathologically and radiologically confirmed colorectal cancer with liver metastases. 3. Must have undergone complete (R0) surgical resection of both the primary colorectal tumor and all liver metastases. 4. Have adequate organ function and no contraindications to potential adjuvant therapies (surgery, chemotherapy, radiotherapy, immunotherapy). 5. Willing and able to comply with the study protocol and follow-up visits. 6. Availability of sufficient liver metastasis tumor tissue for gene sequencing. 7. Provision of a blood sample for circulating tumor DNA (ctDNA) detection within one month after surgery but before starting any adjuvant therapy. Exclusion Criteria: 1. Pregnancy or breast-feeding women 2. History of other malignancies within 5 years (except cured skin cancer and cervicalcancer in situ) 3. History of uncontrolled epilepsy, central nervous system disease, or psychiatricdisorders 4. Clinically serious heart disease, such as symptomatic coronary artery disease, NewYork Heart Association (NYHA) class II or worse congestive heart failure or severearrhythmia requiring pharmacologic intervention, or history of myocardial infarctionwithin the last 12 months 5. Baseline blood and biochemical indicator do not meet the following criteria:neutrophils \>=1.5×10\^9/L, Hb \>=90g/L, PLT \>=100×10\^9/L, ALT/AST\<=2.5 ULN, Cr \<= 1ULN 6. Allergic to any component of the therapy 7. Severe uncontrolled recurrent infections
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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
1 site. 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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Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200032, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Replacing the whole liver: a radical bid to outlast colorectal cancer
- Can software guide surgeons to the best treatment order for liver metastases?
- Liver transplant may beat surgery for certain colorectal cancer patients
- New pill aims to speed liver healing after cancer surgery
- Could restarting chemo after liver surgery keep cancer away?