NRG-GI008

Clinical Trial Title NRG-GI008
Trial Status Open to Enrollment
Start Date 11/13/2025
Location hospitals
Trial Type Cancer - Adult Oncology
Specific Condition Colon Cancer
Description This Phase II/III trial will evaluate the what kind of chemotherapy to recommend to patients based on the presence or absences of circulating tumor DNA (ctDNA) after surgery for colon cancer.
Eligibility Criteria

Eligibility Criteria

  • The patient must have an ECOG performance status of 0 or 1
  • Patients must have histologically/pathologically confirmed Stage IIB, IIC
  • No radiographic evidence of overt metastatic disease within 45 days prior to Step 1/Study entry
  • The distal extent of the tumor must be ≥ 12 cm from the anal verge on colonoscopy or above the peritoneal reflection as documented during surgery or on pathology specimen
  • The patient must have had an en bloc complete gross resection of tumor
  • The resected tumor specimen and a blood specimen from patients with Stage IIB, IIC, or Stage III colon cancer must have central testing for ctDNA using the Signatera assay by Natera
  • Tumor must be documented as microsatellite stable or have intact mismatch repair proteins
  • The interval between surgery (post-operative Day 7) and Step 1/Study entry must be no more than 60 days.
  • Availability and provision of adequate surgical tumor tissue for molecular diagnostics and confirmatory profiling.
  • Absolute neutrophil count (ANC) must be ≥ 1500/mm3;
  • Platelet count must be ≥ 100,000/mm3; and
  • Hemoglobin must be ≥ 9 g/dL.
  • total bilirubin must be ≤ ULN (upper limit of normal) for the lab and
    alkaline phosphatase must be < 2.5 x ULN for the lab; and
    AST and ALT must be < 2.5 x ULN for the lab.
  • Adequate renal function within 28 days before Step 1/Study entry defined as serum creatinine ≤ 1.5 x ULN

Ineligibility Criteria

  • Colon cancer histology other than adenocarcinom
  • Tumor-related bowel perforation.
  • Any prior systemic chemotherapy, targeted therapy, or immunotherapy; or radiation therapy administered as treatment for colorectal cancer
  • Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class 2B or better.
  • Sensory or motor neuropathy ≥ grade 2, according to CTCAE v5.0.

Please contact Legacy Oncology Research for additional study inclusion/exclusion information.

IRB Number Central IRB
Notes Study Details | NCT05174169 | Colon Adjuvant Chemotherapy Based on Evaluation of Residual Disease | ClinicalTrials.gov
Principal Investigator Andrew Kee, MD
Contact Name Oncology Clinical Research
Contact Phone 503-413-8199
Contact Fax 503-413-6920
Contact E-Mail oncologyresearch@lhs.org