Liquid biopsies may let lynch syndrome patients skip half their colonoscopies
NCT ID NCT07360834
First seen Jun 25, 2026 · Last updated Aug 04, 2026 · Updated 3 times
Summary
This study tests whether annual liquid biopsies (from blood, urine, stool, and vaginal swabs) can safely replace colonoscopies every 18 months for people with Lynch syndrome. 2,000 participants will be split into two groups: one gets standard care (colonoscopy every 18 months), the other gets liquid biopsies plus a colonoscopy every 36 months. The goal is to see if the liquid biopsy approach catches cancers just as early, while being less invasive and more convenient.
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 (blood, urine, stool, vaginal swab) and colonoscopy
- What this could lead to
- If successful, this could allow people with Lynch syndrome to have fewer invasive colonoscopies while still catching cancers early, improving quality of life.
- What could go wrong
- This is a large but early-stage study that has not yet started recruiting. Liquid biopsies may miss some early cancers, and the approach must prove it is as safe as 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 2,000 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 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.
- Ages
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35 to 80 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Participant must have signed a written informed consent prior to any trial specific procedures. When the patient is physically unable to give their written consent, a trusted person of their choice, independent from the investigator or the sponsor, can confirm in writing the patient's consent. 2. Age 35-80 3. Genetically confirmed class 4-5 (likely pathogenic (LP) or pathogenic (P) variant, respectively) in MLH1, MSH2, MSH6, or EPCAM gene. 4. The participant should be insurance covered for the financial costs of the standard surveillance and healthcare related to LS, such as affiliated to Social Security System Exclusion Criteria: 1. Previously performed proctocolectomy or equivalent (entire colon and rectum removed) 2. Active treatment for cancer within 2 years prior to inclusion. 3. Checkpoint inhibitor therapy within 12 months 4. Pregnancy 5. Participants unwilling or unable to comply with the medical follow-up required by the trial because of geographic, familial, social, or psychological reasons. 6. Persons deprived of their liberty or under protective custody or guardianship.
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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
9 sites in 9 countries. 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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Erasmus Medisch Centrum Rotterdam
Rotterdam, Netherlands
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GGC Network
Paris, France
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Ist. Tumori di Milano
Milan, Italy
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Klinicki Bolnicki Centar Sestre Milosrdnice Ustanova
Zagreb, Croatia
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Masaryk Memorial Cancer Institute
Brno, Czechia
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Oslo University Hospital
Oslo, Norway
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Pauls Stradins Clinical University Hospital
Riga, Latvia
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Tampereen Korkeakoulusäätiö SR
Helsinki, Finland
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University of Edinburgh
Edinburgh, United Kingdom
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