Colorectal Cancer Clinical Trial
Official title:
TAS-102 in ctDNA-defined Minimal Residual Disease in Colorectal Cancer After Completion of Adjuvant Chemotherapy
To measure the level of circulating tumor DNA (ctDNA) in the blood of colorectal cancer patients after 6 months of receiving TAS-102 therapy. ctDNA is genetic material from tumor cells that can be found and measured in the blood.
Primary Objectives: The primary objective is to determine the 6-month ctDNA clearance rate in colorectal cancer patients with minimal residual disease following 6 months of TAS-102 therapy. Secondary Objectives: - To determine the 3-month ctDNA clearance rate in colorectal cancer patients with minimal residual disease. - To determine the disease free survival (DFS) amongst colorectal cancer patients with minimal residual disease following 6 months of TAS-102 therapy. - To determine the overall survival (OS) amongst colorectal cancer patients with minimal residual disease following 6 months of TAS-102 therapy. - To determine the safety and tolerability of TAS-102 for the treatment of colorectal cancer patients with minimal residual disease. Exploratory Objectives: - To determine markers of response and resistance in archival tumor tissue including but not limited to immune profiles of tumor-infiltrating lymphocytes, expression of immune markers in tumor cells and microenvironment, and molecular markers (including but not limited to mutations, deletions, and/or amplifications or cancer molecular subtype) - To determine changes in profiles of circulating lymphocytes and ctDNA with treatment - To determine baseline characteristics in archival tumor and/or plasma that may predict clinical benefit ;
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