Simple blood test could spare thousands from unnecessary chemo
NCT ID NCT06076811
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looks at whether a blood test for tumor DNA can better predict if colorectal cancer will come back after surgery. Currently, doctors use tumor tissue to decide who needs chemotherapy, but many patients get chemo they may not need. The test checks for cancer DNA in the blood, which could be a more accurate way to find hidden cancer cells. Researchers will follow 1,600 patients to see if the test works in real-world practice.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- liquid biopsy (circulating tumor DNA test)
- What this could lead to
- If successful, this blood test could become a standard way to identify which colorectal cancer patients need chemotherapy after surgery, sparing others from unnecessary side effects.
- What could go wrong
- This is an observational study, not a treatment trial. The test may not prove more accurate than current methods, and 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 1,600 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2023
- Expected to finish
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Jul 2030
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
DANISH.MRD part I - Surgery Patients with colorectal cancer clinical stage I-III scheduled for curative-intent resectional surgery. DANISH.MRD part I - Surveillance Patients participating in DANISH.MRD part 1, and pathological stage III colorectal cancer, and candidates for adjuvant chemotherapy.
- 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.
DANISH.MRD part I - Surgery Inclusion Criteria: * Colon or rectal cancer, clinical tumor stage I-III. * Patient able to understand and sign written informed consent. * Scheduled for curative-intent resectional surgery (including "compromised" curative resections). Exclusion Criteria: * Hereditary colorectal cancer linked to familial colonic polyposis or Lynch syndrome. * Inflammatory bowel disease (Crohn's disease or ulcerative colitis). * Verified distant metastases. * Malignant colorectal polyps diagnosed after polypectomy. * Patients who are unlikely to comply with the protocol (e.g., uncooperative attitude, inability to return for subsequent visits) and/or otherwise considered by the Investigator to be unlikely to complete the study. DANISH.MRD part II - Surveillance Inclusion Criteria: * Participation in DANISH.MRD part I - Surgery. * Colorectal cancer, UICC stage III. * Has received curative-intent resection and is a candidate for adjuvant chemotherapy (3- or 6-months regime). Exclusion Criteria: * Not treated with adjuvant chemotherapy * Treated with neoadjuvant chemo-radiation therapy. * Synchronous colorectal and non-colorectal cancer diagnosed per operative (except skin cancer other than melanoma). * Other cancers (excluding colorectal cancer or skin cancer other than melanoma) within 3 years from eligibility screening. * Patients who are unlikely to comply with the protocol (e.g., uncooperative attitude, inability to return for subsequent visits) and/or otherwise considered by the Investigator to be unlikely to complete 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.
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
10 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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Aalborg University Hospital
RECRUITINGAalborg, North Denmark, 9000, Denmark
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Aarhus University Hospital
RECRUITINGAarhus, Central Jutland, 8000, Denmark
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Bispebjerg Hospital
RECRUITINGCopenhagen, Capital Region of Denmark, 2400, Denmark
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Gødstrup Hospital
RECRUITINGHerning, Central Jutland, 7400, Denmark
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Herlev Hospital
NOT_YET_RECRUITINGHerlev, Capital Region of Denmark, 2730, Denmark
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Odense University Hospital
RECRUITINGOdense, The Region of Southern Denmark, 5000, Denmark
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Regional Hospital Horsens
RECRUITINGHorsens, Central Jutland, 8700, Denmark
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Regional Hospital Randers
RECRUITINGRanders, Central Jutland, 8930, Denmark
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Regional Hospital Viborg
RECRUITINGViborg, Central Jutland, 8800, Denmark
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Vejle Hospital
RECRUITINGVejle, 7100, Denmark
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a lab test tell which chemo works for colon cancer?
- Can MRI and computer models predict how well cancer drugs reach tumors?
- Gut bacteria may hold clues to why some cancer treatments work better
- Burning the edges: a new way to stop colon polyps from coming back
- Missed Follow-Up colonoscopies: do they raise the risk of advanced growths?