New combo therapy aims to stop colorectal cancer from coming back
NCT ID NCT06434376
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-phase trial tests whether adding a personalized immune treatment to standard chemotherapy can prevent cancer recurrence in colorectal cancer patients who have minimal residual disease (MRD) after surgery. Ten adults aged 18-80 with stage II (high-risk) or stage III colorectal cancer will receive routine chemo plus a custom-made immune modulator based on their tumor's unique features. The goal is to see if this approach improves response rates and delays or prevents relapse.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- personalized immune modulators (neoantigen-based) plus routine chemotherapy
- What this could lead to
- If it works, this could point toward a way to reduce the risk of cancer returning after surgery for patients with signs of remaining disease.
- What could go wrong
- This is a very early (Phase 1) trial with only 10 participants, so results may not apply broadly. The personalized approach is complex and may not be effective or feasible for all patients.
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
-
Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
-
About 10 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Jul 2024
- Expected to finish
-
Dec 2026
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 to 80 years
- Sex
-
Anyone
- Healthy volunteers
-
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. They must give informed consent, indicating that they understand the purpose of the study and the procedures required, and are willing to participate in the study. 2. Age 18-80. 3. Pathological examination confirmed colorectal adenocarcinoma. 4. For patients with stage II with high risk factors or stage III with radical surgery, stage II (high risk) colon cancer is defined as (any of): a )T4 b)≥ Level 3 c) The clinical manifestations are intestinal obstruction or intestinal perforation d) Histological signs of vascular, lymphatic, or perineural invasion e) Check \< 12 nodes 5. Patients with liver or lung metastases that can be resected in one stage with the primary lesion. 6. There must be sufficient formalin to fix the tumor material in the paraffin embedded (FFPE) block or section tissue (only after sponsor approval), preferably obtained from excision. 7. Patients should meet the following biochemical indicators: total bilirubin ≤2× upper limit of normal (ULN); AST and ALT≤2× upper limit of normal (ULN); Creatinine clearance ≥60 ml/min. 8. Patients should meet the following hematological indicators: neutrophil count ≥1.5×109 /L; Hemoglobin ≥10.0 g/dL; Platelet count ≥100×109 /L. 9. Expected survival ≥ 3 months. 10. Postoperative ctDNA MRD test was positive, routine blood indexes were negative, and imaging was negative. Exclusion Criteria: 1. Stage I patients and stage II patients without risk factors or MSI-H. 2. Stage IV patients who cannot be surgically resected. 3. Patients with liver, kidney, heart, lung and other dysfunction, unable to tolerate surgery or unable to complete follow-up chemotherapy. 4. Patients who refuse adjuvant therapy such as chemotherapy, are allergic to chemotherapy drugs and have poor compliance. 5. Patients who have received other immunotherapy within 1 month (such as immune checkpoint inhibitor therapy, therapeutic antibody therapy, immune cell therapy, and immune system modulator therapy) 6. Patients with a known past or current malignancy, except where a diagnosis is included, except in the following cases: 1. Stage 1B or below cervical cancer. 2. Non-invasive basal cell or squamous cell skin cancer. 3. Non-invasive superficial bladder cancer. 4. Prostate cancer with a current PSA level \< 0.1 ng/mL. 5. Any curable cancer with a complete response (CR) duration of \> 2 years. 7. Patients with hematological and autoimmune diseases. 8. Patients with active hepatitis B or C. 9. Patients affected by drug abuse, clinical or psychological or social factors that make informed consent or the implementation of research. 10. Pregnant and lactating women. 11. Patients with mental illness, senile dementia, etc.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Colorectal adenocarcinoma are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
-
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
-
No 1111 Wenzhou Avenue (East Section), Longwan District, Wenzhou City, Zhejiang Province, China
Wenzhou, Zhejiang, 325024, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- 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?
- A 2.2 mm scope could spot cancerous tissue in minutes, not days
- Experimental drug put to the test against Hard-to-Treat GI cancers
- The gatekeepers of tumors: scientists probe how blood vessels let immune cells in