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NCT04068103

Circulating Tumor DNA Testing in Predicting Treatment for Patients With Stage IIA Colon Cancer After Surgery

Active, enrolled Phase 2, PHASE3 Results posted Last updated 7 May 2025
What this trial tests

Phase 2, PHASE3 trial testing Capecitabine in Colon Adenocarcinoma in 635 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
16 December 2019
Primary endpoint
30 June 2023
21 June 2026

Quick facts

Lead sponsorNRG Oncology
PhasePhase 2, PHASE3
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment635
Start date16 December 2019
Primary completion30 June 2023
Estimated completion21 June 2026
Sites957 locations across Canada, United States, Puerto Rico

Drugs / interventions tested

Conditions studied

Sponsor

NRG Oncology — full company profile →

Who can join

18 and older, any sex, with Colon Adenocarcinoma or Stage IIA Colon Cancer AJCC v8. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Clearance of Circulating Tumor Deoxyribonucleic Acid (ctDNA) (to Undetectable Levels) for the "Baseline ctDNA Detected" Patient Subset (Phase II) Primary · Baseline up to 6 months

A two by two contingency table of clearance by treatment arm will be created. The one-sided Fisher exact p-value will be used to determine futility based on the rule specified. Degenerate tables where the Fisher p-value cannot be calculated (no patients clear on either arm or all patients clear on both arms) will count as a failure and a recommendation for early termination.

GroupValue95% CI
Arm I (Blood Stored and Tested for ctDNA Later)3
Arm II (Blood Tested for ctDNA at Baseline)1
Arm I (Blood Stored and Tested for ctDNA Later)4
Arm II (Blood Tested for ctDNA at Baseline)8

Adverse events — posted to ClinicalTrials.gov

Time frame: AEs assessed during and up to 30 days after therapy, about 28 weeks.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm I (Blood Stored and Tested for ctDNA Later)
Serious: 0
Deaths: 8/318
Arm II (Blood Tested for ctDNA at Baseline)
Serious: 3/15 (20%)
Deaths: 6/317

Serious adverse events (9 terms)

ReactionSystemArm I (Blood Stored and Te…Arm II (Blood Tested for c…
DiarrheaGastrointestinal disorders
Abdominal painGastrointestinal disorders
Hepatobiliary disorders - Other, specifyHepatobiliary disorders
Neutrophil count decreasedInvestigations
TyphlitisGastrointestinal disorders
White blood cell decreasedInvestigations
Enterocolitis infectiousInfections and infestations
Non-cardiac chest painGeneral disorders
Small intestinal mucositisGastrointestinal disorders
Other adverse events (70 terms — click to expand)

ReactionSystemArm I (Blood Stored and Te…Arm II (Blood Tested for c…
DiarrheaGastrointestinal disorders
FatigueGeneral disorders
Peripheral sensory neuropathyNervous system disorders
Platelet count decreasedInvestigations
NauseaGastrointestinal disorders
HypokalemiaMetabolism and nutrition disorders
Neutrophil count decreasedInvestigations
Mucositis oralGastrointestinal disorders
Abdominal painGastrointestinal disorders
Alkaline phosphatase increasedInvestigations
ConstipationGastrointestinal disorders
DysgeusiaNervous system disorders
VomitingGastrointestinal disorders
Weight lossInvestigations
White blood cell decreasedInvestigations
Alanine aminotransferase increasedInvestigations
AnemiaBlood and lymphatic system disorders
AnorexiaMetabolism and nutrition disorders
Aspartate aminotransferase increasedInvestigations
HypomagnesemiaMetabolism and nutrition disorders
Palmar-plantar erythrodysesthesia syndromeSkin and subcutaneous tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspepsiaGastrointestinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
HyponatremiaMetabolism and nutrition disorders
ParesthesiaNervous system disorders
Skin hyperpigmentationSkin and subcutaneous tissue disorders
TremorNervous system disorders
Allergic reactionImmune system disorders
AnxietyPsychiatric disorders
Back painMusculoskeletal and connective tissue disorders
ChillsGeneral disorders
DehydrationMetabolism and nutrition disorders
DepressionPsychiatric disorders
DizzinessNervous system disorders
Dry skinSkin and subcutaneous tissue disorders
DysphagiaGastrointestinal disorders
Edema faceGeneral disorders

Most-reported serious reactions: Diarrhea, Abdominal pain, Hepatobiliary disorders - Other, specify, Neutrophil count decreased, Typhlitis, White blood cell decreased, Enterocolitis infectious, Non-cardiac chest pain.

Data from ClinicalTrials.gov NCT04068103 adverse events section.

Sponsor's own description

This phase II/III trial studies how well circulating tumor deoxyribonucleic acid (ctDNA) testing in the blood works in predicting treatment for patients with stage IIA colon cancer after surgery. ctDNA are circulating tumor cells that are shed by tumors into the blood. Finding ctDNA in the blood means that there is very likely some small amounts of cancer that remain after surgery. However, this cancer, if detected, cannot be found on other tests usually used to find cancer, as it is too small. Testing for ctDNA levels may help identify patients with colon cancer after surgery who do benefit, and those who do not benefit, from receiving chemotherapy.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Detecting Liquid Remnants of Solid Tumors: Circulating Tumor DNA Minimal Residual Disease.
    Moding EJ, Nabet BY, Alizadeh AA, Diehn M. · · 2021 · cited 237× · PMID 34785539 · DOI 10.1158/2159-8290.cd-21-0634
  2. Using Circulating Tumor DNA in Colorectal Cancer: Current and Evolving Practices.
    Malla M, Loree JM, Kasi PM, Parikh AR. · · 2022 · cited 187× · PMID 35839443 · DOI 10.1200/jco.21.02615
  3. Liquid biopsy for therapy monitoring in early-stage non-small cell lung cancer.
    Nagasaka M, Uddin MH, Al-Hallak MN, Rahman S, et al · · 2021 · cited 91× · PMID 34074295 · DOI 10.1186/s12943-021-01371-1
  4. Prognostic significance of postsurgery circulating tumor DNA in nonmetastatic colorectal cancer: Individual patient pooled analysis of three cohort studies.
    Tie J, Cohen JD, Lo SN, Wang Y, et al · · 2021 · cited 88× · PMID 32984952 · DOI 10.1002/ijc.33312
  5. A clinician's handbook for using ctDNA throughout the patient journey.
    Hasenleithner SO, Speicher MR. · · 2022 · cited 85× · PMID 35307037 · DOI 10.1186/s12943-022-01551-7
  6. Liquid biopsies to monitor and direct cancer treatment in colorectal cancer.
    Mauri G, Vitiello PP, Sogari A, Crisafulli G, et al · · 2022 · cited 79× · PMID 35264786 · DOI 10.1038/s41416-022-01769-8
  7. Circulating tumor DNA to monitor treatment response in solid tumors and advance precision oncology.
    Bartolomucci A, Nobrega M, Ferrier T, Dickinson K, et al · · 2025 · cited 72× · PMID 40122951 · DOI 10.1038/s41698-025-00876-y
  8. Circulating tumor DNA methylation detection as biomarker and its application in tumor liquid biopsy: advances and challenges.
    Li L, Sun Y. · · 2024 · cited 52× · PMID 39525954 · DOI 10.1002/mco2.766

Verify or expand the search:

Other trials of Capecitabine

Trials testing the same drug.

Other recruiting trials for Colon Adenocarcinoma

Currently open trials in the same condition.

Other NRG Oncology trials

Trials by the same sponsor.

Verify against primary sources

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04068103.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing