Development and Validation of a Circulating Tumour DNA Marker for Pre-neoplastic Colorectal Tumours.
NCT07776548 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 110
Last updated 2026-08-20
Summary
The goal of this prospective interventional biomarker development and validation study is to determine whether circulating tumour DNA (ctDNA) can be detected in patients with large pre-neoplastic colorectal lesions undergoing endoscopic resection and whether ctDNA can be used to identify local recurrence after resection.
The main questions it aims to answer are:
* Can advanced colorectal laterally spreading tumours (LSTs) shed detectable ctDNA into the bloodstream before endoscopic resection?
* Can ctDNA measured at the first surveillance colonoscopy detect or predict local recurrence after endoscopic resection?
Participants will:
* Provide a blood sample before their planned endoscopic resection procedure for ctDNA analysis.
* Undergo standard endoscopic resection of their colorectal lesion.
* Allow collection and molecular analysis of tissue samples obtained from the resected lesion.
* Allow researchers to collect clinical, endoscopic, pathological, and molecular data from their medical records for research purposes.
The study does not alter the standard clinical management, resection technique, or surveillance schedule. The only study-specific procedures are blood sample collections performed during routine intravenous catheter placement for the participant's endoscopic procedures.
Conditions
- Advanced Colorectal Laterally Spreading Tumours (LSTs)
Interventions
- DIAGNOSTIC_TEST
-
Blood Collection for ctDNA Analysis
Blood samples will be collected before endoscopic resection for circulating tumour DNA (ctDNA) analysis. Results will be correlated with tumour tissue sequencing findings and surveillance colonoscopy outcomes.
Sponsors & Collaborators
-
Centre hospitalier de l'Université de Montréal (CHUM)
lead OTHER
Principal Investigators
-
Roupen Djinbachian, MD, PhD · Centre Hospitalier Universitaire de Montréal (CHUM)
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2027-01-04
- Primary Completion
- 2028-06-30
- Completion
- 2029-01-03
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