UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058699
Receipt number R000067113
Scientific Title Integrative Analysis of Circulating Tumor DNA and Digital Pathology Score for Postoperative Risk Assessment in Colorectal Cancer
Date of disclosure of the study information 2025/08/05
Last modified on 2025/08/05 13:47:41

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Basic information

Public title

Integrative Analysis of Circulating Tumor DNA and Digital Pathology Score for Postoperative Risk Assessment in Colorectal Cancer

Acronym

Integrative Analysis of Circulating Tumor DNA and Digital Pathology Score for Postoperative Risk Assessment in Colorectal Cancer

Scientific Title

Integrative Analysis of Circulating Tumor DNA and Digital Pathology Score for Postoperative Risk Assessment in Colorectal Cancer

Scientific Title:Acronym

Histotyping in MONSTAR-3

Region

Japan Europe


Condition

Condition

Malignant solid tumors

Classification by specialty

Gastroenterology Hepato-biliary-pancreatic medicine Pneumology
Nephrology Gastrointestinal surgery Hepato-biliary-pancreatic surgery
Chest surgery Breast surgery Obstetrics and Gynecology
Dermatology Oto-rhino-laryngology Orthopedics
Urology Radiology Oral surgery
Neurosurgery Laboratory medicine

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate the prognostic and lymph node metastasis prediction performance of the combination of blood circulating tumor DNA (ctDNA) status and digital pathology score using deep learning in colorectal cancer patients who have undergone radical surgical treatment (including radical surgical treatment after local resection).

Basic objectives2

Others

Basic objectives -Others

This study aims to refine a recurrence and lymph node metastasis risk prediction model integrating ctDNA MRD with Histotyping by performing digital Histotyping analysis of tumor specimens from colorectal cancer patients enrolled in the resectable cohort of the MONSTAR-SCREEN-3 trial, and evaluating the association between the integrated biomarker of ctDNA MRD and Histotyping with clinical outcomes.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Time-to-recurrence (TTR) in prognostic models using ctDNA and Histotyping.
Diagnostic concordance for lymph node metastasis in prediction models using ctDNA and Histotyping.

Key secondary outcomes

Association between ctDNA, Histotyping score and efficacy of adjuvant therapy.
Correlation between Histotyping and clinical outcomes including disease-free survival (DFS), overall survival (OS), and ctDNA positivity, as well as their associations with other clinicopathological and molecular biological features and perioperative treatments


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Colorectal cancer patients undergoing radical surgical treatment enrolled in the MONSTAR-SCREEN-3 study (cohort B) who have not withdrawn consent or refused secondary use of their samples and information.

Key exclusion criteria

Data required for this study are missing.
Cases for which the principal investigator determines that enrollment in this study is inappropriate.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Takayuki
Middle name
Last name Yoshino

Organization

National Cancer Center Hospital East

Division name

Department for the Promotion of Drug and Diagnostic Development

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa-shi Chiba, Japan

TEL

04-7133-1111

Email

tyoshino@east.ncc.go.jp


Public contact

Name of contact person

1st name Tadayoshi
Middle name
Last name Hashimoto

Organization

National Cancer Center Hospital East

Division name

Department for the Promotion of Drug and Diagnostic Development

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa-shi Chiba, Japan

TEL

04-7133-1111

Homepage URL


Email

tadhashi@east.ncc.go.jp


Sponsor or person

Institute

National Cancer Center Hospital East

Institute

Department

Personal name



Funding Source

Organization

National Cancer Center Hospital East

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

Oslo University Hospital,University of Oxford

Name of secondary funder(s)

Oslo University Hospital,University of Oxford


IRB Contact (For public release)

Organization

National Cancer Center Institutional Review Board

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo, Japan

Tel

03-3542-2511

Email

NCC_IRBoffice@ml.res.ncc.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 08 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2025 Year 04 Month 20 Day

Date of IRB

2025 Year 06 Month 05 Day

Anticipated trial start date

2025 Year 06 Month 09 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

To evaluate the prognostic and lymph node metastasis prediction performance of the combination of blood circulating tumor DNA (ctDNA) status and digital pathology score using deep learning in colorectal cancer patients who have undergone radical surgical treatment (including radical surgical treatment after local resection).


Management information

Registered date

2025 Year 08 Month 05 Day

Last modified on

2025 Year 08 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067113