Mouth bacteria may predict colon cancer drug resistance
NCT ID NCT07619859
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study examines if the amount of a bacteria called Fusobacterium nucleatum in colon cancer tumors is linked to how well patients respond to targeted therapies like cetuximab or panitumumab. Researchers will analyze stored tumor samples from 500 patients with metastatic colorectal cancer. The goal is to understand why some patients do not benefit from these drugs, which could lead to better treatment choices in the future.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could help doctors predict which patients with metastatic colorectal cancer will benefit from anti-EGFR therapies, leading to more personalized treatment.
- What could go wrong
- This is an observational study, not a treatment trial. It looks at past data, so it can show links but not prove cause and effect. Results may not change practice immediately.
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.
- Participants
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About 500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2024
- Expected to finish
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Jun 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
The study population consists of patients diagnosed with metastatic (Stage IV) colorectal adenocarcinoma who received at least one cycle of anti-EGFR therapy (Cetuximab or Panitumumab) between January 2016 and December 2022 at the Hospital de Amor (Barretos, SP, Brazil). Eligible patients must have formalin-fixed paraffin-embedded (FFPE) tumor tissue samples available in the institutional biobank for molecular analysis. Patients with primary tumors outside the colon or rectum, non-adenocarcinoma histology, or with activating mutations in KRAS, NRAS, or BRAF (unless anti-EGFR was used in combination with BRAF inhibitors) are excluded.
- 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: * Histologically confirmed diagnosis of metastatic (Stage IV) adenocarcinoma of the colon or rectum. * Received at least one cycle of anti-EGFR therapy (cetuximab or panitumumab), either as monotherapy or in combination regimens, regardless of the line of therapy. * Anti-EGFR therapy administered between January 2016 and December 2022. * Availability of formalin-fixed paraffin-embedded (FFPE) tumor tissue blocks (from primary tumor or metastatic site) stored in the institutional biobank, with adequate quality for molecular analysis Exclusion Criteria: * Primary tumor originating in sites other than the colon or rectum. * Presence of activating mutations in KRAS or NRAS genes. * Presence of BRAF gene mutation (except for patients who received anti-EGFR therapy combined with BRAF inhibitors, according to standard clinical practice for this subgroup). * Tumor histology other than adenocarcinoma. * Insufficient clinical or follow-up data in medical records for the evaluation of the study's primary endpoints
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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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Barretos Cancer Hospital
Barretos, São Paulo, 14784-400, Brazil
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