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Trial Title: PTC Drug Sensitivity Detection to Guide Postoperative Adjuvant of Colorectal Cancer

NCT ID: NCT05978349

Condition: Colo-rectal Cancer

Conditions: Official terms:
Rectal Neoplasms

Conditions: Keywords:
colon cancer
rectal cancer
adjuvant therapy
PTC

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: adjuvant therapy based on 3D drug sensitivity test results of micro tumor (PTC) in vitro
Description: Choose chemotherapeutic drugs(5-fluorouracil + formyltetrahydrofolate/Oxaliplatin + 5-fluorouracil + formyltetrahydrofolate/Irinotecan + 5-fluorouracil + formyltetrahydrofolate/Cetuximab + 5-fluorouracil + formyltetrahydrofolate) based on PTC drug sensitivity results.
Arm group label: experimental group

Other name: PTC drug sensitivity results

Summary: The research objectives is to compare vitro 3D drug sensitivity test results of micro tumor (PTC) with the clinical outcomes of patients, evaluate the consistency between the test results of the technology platform and the clinical prognosis, and explore the decision-making value and guiding significance of this technology in assisting the precise treatment of colorectal cancer. The completion of this study will provide real-world data support for the clinical application of micro tumor (PTC) in vitro 3D drug sensitivity detection technology, and provide more valuable reference basis for realizing the individualization and accuracy of colorectal cancer treatment and improving the clinical benefit rate.

Detailed description: The study is a multi agency prospective cohort study in China. The subjects were patients aged 18 ~ 75 years with colorectal cancer diagnosed by histopathology or cytology. They must be colorectal cancer patients who have at least one assessable tumor focus, need adjuvant therapy after radical surgery, and have not received neoadjuvant therapy, ECoG physical condition score ≤ 2 points. And they must be voluntarily participate in and sign informed consent. The patients were randomly divided into PTC drug sensitivity test group and control group. The PTC drug sensitivity test group selected the adjuvant chemotherapy scheme according to the 3D drug sensitivity test results of micro tumor (PTC) in vitro. The control group made adjuvant chemotherapy strategy according to clinical experience. The primary endpoint was the non inferiority test, and the 3-year disease-free survival rate was T-C >- Δ

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Age 18 ~ 75 years old, regardless of gender 2. Patients with colorectal cancer diagnosed by histopathology or cytology 3. Colorectal cancer patients who need adjuvant therapy after radical surgery and have not received neoadjuvant therapy 4. Having at least one assessable tumor focus 5. ECoG physical condition score ≤ 2 points 6. Voluntarily participate and sign informed consent Exclusion Criteria: 1. Patients diagnosed with metastasis 2. Patients who cannot obtain tumor samples 3. Pregnant and lactating women 4. Patients with poor compliance 5. Patients with severe cardiovascular and cerebrovascular complications who cannot receive adjuvant treatment 6. Patients with other malignant tumors 7. Suffering from serious mental and nervous system diseases 8. The researchers believe that patients should not be selected for this study

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Peking Union Medical College Hospital, Chinese Academy of Medicine Sciences

Address:
City: Beijing
Zip: 100000
Country: China

Status: Recruiting

Contact:
Last name: Jiaolin Zhou, MD

Phone: 13910136704
Email: conniezhjl@yahoo.com

Start date: February 14, 2022

Completion date: September 30, 2025

Lead sponsor:
Agency: Peking Union Medical College Hospital
Agency class: Other

Source: Peking Union Medical College Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05978349

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