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NCT Number: NCT07663162

Monocentric Retrospective and Prospective Observational Study of Patients With Colorectal Cancer

Monocentric retrospective and prospective observational study of patients with colorectal cancer

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Key information

About this study

Monocentric retrospective and prospective observational study of patients with colorectal cancer The study aims to collect all data (pathological, radiological, surgical, molecular, therapeutics, stage of disease, patients' age, laboratory exams) of patients with colorectal neoplasm, at any stage and accessing to IRCCS Ospedale San Raffaele, with the purpose to analyse patients' outcomes and relating them with the above mentioned features. Moreover, biological samples will be collected at different clinically relevant endpoints to seek potential biomarker useful to a better management of CRC.

Additional biological samples (blood volume collection, approximately 30 mL) will be collected before, during and after treatment at specific timepoints, such as baseline, at disease progression and pre- and post-surgery when applicable.

For the retrospective cohort patients with colorectal cancer accessing to IRCCS Ospedale San Raffaele from 2020 to the data of protocol approval will be included (approx. 500 patients). For the prospective cohort approximately 1500 patients will be included.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participant is willing and able to give informed and written consent for the participation in the study
  • Patients affected by colorectal neoplasm (regardless of disease stage)
  • Aged > 18 years
  • Patients in clinical conditions permissive to adhere to the diagnostic-therapeutic program proposed in according to the stage of the disease

Exclusion criteria

  • Pediatric population
  • Pre-existing conditions or concurrent diagnoses that would preclude the participant's full adherence with or completion of the study
  • Pregnancy

Treatment and study plan

Primary outcomes

  1. Overall Survival (OS)

    Time frame: From date of diagnosis until the date of death from any cause or last follow up, assessed up to 5 years

    Overall survival, defined as the time from diagnosis to death from any cause.

  2. Progression-Free Survival (PFS)

    Time frame: From date of start of each treatment line until the date of first documented progression or date of death from any cause, assessed up to 12 months. Tumor assessments will be performed in accordance with clinical practice.

    Progression-free survival (PFS), defined as the time from the start of each treatment line to the first documented disease progression or death from any cause, whichever occurs first, according to RECIST version 1.1. PFS will be assessed separately for each treatment line received by the patient

  3. Disease-free survival (DFS)

    Time frame: From date of surgery or complete response until the date of first documented recurrence or date of death from any cause, whichever came first, assessed up to 5 years. Tumor assessments will be performed in accordance with clinical practice

    Time from complete response or radical surgery to disease recurrence or death from any cause

  4. R0 - Resection Rate

    Time frame: At the time of surgery, based on postoperative pathological assessment

    Percentage of patients undergoing surgical resection with no residual tumor (R0)

  5. Incidence of Treatment-Related Adverse Events

    Time frame: From treatment initiation until the date of death from any cause or last follow up, assessed up to 5 years

    Frequency and severity of adverse events related to treatment, graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v.6.

Secondary outcomes

  1. Incidence of Hospitalization

    Time frame: From treatment initiation until the date of death from any cause or last follow up, assessed up to 5 years

    Proportion of patients requiring hospitalization during the study period.

  2. Mean Change from Baseline in Laboratory Parameters

    Time frame: From treatment initiation, during routine laboratory examination (every month as per clinical practice) and at disease progression until the date of death from any cause or last follow up, assessed up to 5 years

    Variation from baseline in routine laboratory values (e.g., hemoglobin, liver function tests), measured as continuous variables.

  3. Patient-Reported Outcomes

    Time frame: At baseline and during scheduled visits as per clinical practice until the date of death from any cause or last follow up, assessed up to 5 years.

    Change from baseline in descriptive patient-reported outcomes assessing disease-related symptoms and quality of life.

Other outcomes

  1. Mean Change from Baseline in Immunological Biomarkers

    Time frame: At all clinically relevant timepoints (such as baseline, at first disease revaluation, at disease progression, pre- and post-surgery) until the date of death from any cause or last follow up, assessed up to 5 years

    Changes in immunological biomarkers will be assessed through the evaluation of soluble factors (such as cytokines) and immunophenotype of circulating and tumor-resident immune cells.

  2. Frequency of Tumor Genetic Alterations

    Time frame: At all clinically relevant timepoints (such as at baseline, surgery and disease progression) until the date of death from any cause or last follow up, assessed up to 5 years

    Prevalence and type of somatic genetic alterations in tumor tissue assessed with Next-Generation Sequencing (NGS).

  3. Histopathological Tumor Features

    Time frame: At all clinically relevant timepoints (such as at baseline, surgery and disease progression) until the date of death from any cause or last follow up, assessed up to 5 years

    Histopathological tumor features will be assessed using high-throughput approaches, including multiplexed immunohistochemistry (IHC), to explore novel prognostic and/or predictive biomarkers.

Study contacts

Contact information is provided by the study sponsor or research team.

Valentina Burgio, Medical Oncologist

CONTACT

[email protected]

+39 022643 7627

Sponsors and collaborators

Lead sponsor

IRCCS San Raffaele

Other

Registry information

Acronym: CRC-R

Important dates

Study start
2026
Primary completion
2036
Study completion
2036
First posted
Jun 23, 2026
Registry last updated
Jun 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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