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Trial · NCT04068103

Circulating Tumor DNA Testing in Predicting Treatment for Patients With Stage IIA Colon Cancer After Surgery

NCT04068103, Phase 2, Phase 3, Active not recruiting, NRG Oncology; results first posted 2025-04-27

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Circulating Tumor DNA Testing in Predicting Treatment for Patients With Stage IIA Colon Cancer After Surgery. Trials, record NCT04068103. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04068103

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Circulating Tumor DNA Testing in Predicting Treatment for Patients With Stage IIA Colon Cancer After Surgery
NCT number
NCT04068103
Status
Active not recruiting
Phases
Phase 2, Phase 3
Enrollment
635 participants, actual
Lead sponsor
NRG Oncology
Conditions
Colon Adenocarcinoma, Stage IIA Colon Cancer AJCC v8
Interventions
Capecitabine, Fluorouracil, Leucovorin, Leucovorin Calcium, Oxaliplatin, Patient Observation
First posted
2019-08-28
Last updated
2025-05-07
Results first posted
2025-04-27

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryClearance of Circulating Tumor Deoxyribonucleic Acid (ctDNA) (to Undetectable Levels) for the "Baseline ctDNA Detected" Patient Subset (Phase II)Baseline up to 6 months
A two by two contingency table of clearance by treatment arm will be created. The one-sided Fisher exact p-value will be used to determine futility based on the rule specified. Degenerate tables where the Fisher p-value cannot be calculated (no patients clear on either arm or all patients clear on both arms) will count as a failure and a recommendation for early termination.
PrimaryRecurrence-free Survival (RFS) the "Baseline ctDNA Detected" Patient Subset (Phase III)Time to recurrence or death, assessed up to 3 years
RFS will be compared by treatment arm using the logrank test with no stratification in the intent to treat (ITT) cohort. Kaplan Meier curves will be computed to describe the distribution of time to event. A summary hazard ratio and associated confidence interval will be computed from a Cox model with treatment arm as the only covariate.
SecondaryRFSUp to 3 yearsAccording to ctDNA marker status and treatment. Kaplan Meier analyses to describe the distribution of time to event for each marker-treatment combination.
SecondaryOverall Survival (OS)Up to 3 years
According to ctDNA marker status and treatment. Kaplan Meier analyses to describe the distribution of time to event for each marker-treatment combination. The unstratified logrank test will be used to compare treatments for patients ?ctDNA positive? at baseline and a Cox model will estimate the hazard ratio.
SecondaryTime to Recurrence (TTR)Up to 3 years
According to ctDNA marker status and treatment. Kaplan Meier analyses to describe the distribution of time to event for each marker-treatment combination. The unstratified logrank test will be used to compare treatments for patients ?ctDNA positive? at baseline and a Cox model will estimate the hazard ratio.
SecondaryCompliance With Adjuvant Chemotherapy and/or Active SurveillanceUp to 3 years
The duration of chemotherapy will be categorized as none, less than 3 months, and at least 3 months by treatment arm and baseline ctDNA status. Arms will be compared by a chi square test within each baseline ctDNA status.
SecondaryIncidence (Presence or Absence) of ctDNA in Blood Following Resection of Stage II Colon CancerUp to 3 years

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYClearance of Circulating Tumor Deoxyribonucleic Acid (ctDNA) (to Undetectable Levels) for the Baseline ctDNA Detected Patient Subset (Phase II)Baseline up to 6 monthsParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYRecurrence-free Survival (RFS) the Baseline ctDNA Detected Patient Subset (Phase III)Time to recurrence or death, assessed up to 3 yearsThe primary aim for the Phase III portion of the study will not be reported because the study never went to Phase III.
SECONDARYRFSUp to 3 years
SECONDARYOverall Survival (OS)Up to 3 years
SECONDARYTime to Recurrence (TTR)Up to 3 years
SECONDARYCompliance With Adjuvant Chemotherapy and/or Active SurveillanceUp to 3 years
SECONDARYIncidence (Presence or Absence) of ctDNA in Blood Following Resection of Stage II Colon CancerUp to 3 years

Results by group4

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Clearance of Circulating Tumor Deoxyribonucleic Acid (ctDNA) (to Undetectable Levels) for the Baseline ctDNA Detected Patient Subset (Phase II)Arm I (Blood Stored and Tested for ctDNA Later)Cleared ctDNA3Participants
Clearance of Circulating Tumor Deoxyribonucleic Acid (ctDNA) (to Undetectable Levels) for the Baseline ctDNA Detected Patient Subset (Phase II)Arm II (Blood Tested for ctDNA at Baseline)Cleared ctDNA1Participants
Clearance of Circulating Tumor Deoxyribonucleic Acid (ctDNA) (to Undetectable Levels) for the Baseline ctDNA Detected Patient Subset (Phase II)Arm I (Blood Stored and Tested for ctDNA Later)Failed to clear ctDNA4Participants
Clearance of Circulating Tumor Deoxyribonucleic Acid (ctDNA) (to Undetectable Levels) for the Baseline ctDNA Detected Patient Subset (Phase II)Arm II (Blood Tested for ctDNA at Baseline)Failed to clear ctDNA8Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm I (Blood Stored and Tested for ctDNA Later)318
Overall StudySTARTEDArm II (Blood Tested for ctDNA at Baseline)317
Overall StudyCOMPLETEDArm I (Blood Stored and Tested for ctDNA Later)318
Overall StudyCOMPLETEDArm II (Blood Tested for ctDNA at Baseline)317
Overall StudyNOT COMPLETEDArm I (Blood Stored and Tested for ctDNA Later)0
Overall StudyNOT COMPLETEDArm II (Blood Tested for ctDNA at Baseline)0

Adverse events158

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersArm I (Blood Stored and Tested for ctDNA Later)00
otherAbdominal painGastrointestinal disordersArm II (Blood Tested for ctDNA at Baseline)415
otherAlanine aminotransferase increasedInvestigationsArm I (Blood Stored and Tested for ctDNA Later)00
otherAlanine aminotransferase increasedInvestigationsArm II (Blood Tested for ctDNA at Baseline)315
otherAlkaline phosphatase increasedInvestigationsArm I (Blood Stored and Tested for ctDNA Later)00
otherAlkaline phosphatase increasedInvestigationsArm II (Blood Tested for ctDNA at Baseline)415
otherAllergic reactionImmune system disordersArm I (Blood Stored and Tested for ctDNA Later)00
otherAllergic reactionImmune system disordersArm II (Blood Tested for ctDNA at Baseline)115
otherAnemiaBlood and lymphatic system disordersArm I (Blood Stored and Tested for ctDNA Later)00
otherAnemiaBlood and lymphatic system disordersArm II (Blood Tested for ctDNA at Baseline)315

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityArm I (Blood Stored and Tested for ctDNA Later)8318
Total, all-cause mortalityArm II (Blood Tested for ctDNA at Baseline)6317
Total, other adverse eventsArm I (Blood Stored and Tested for ctDNA Later)00
Total, other adverse eventsArm II (Blood Tested for ctDNA at Baseline)1515
Total, serious adverse eventsArm I (Blood Stored and Tested for ctDNA Later)00
Total, serious adverse eventsArm II (Blood Tested for ctDNA at Baseline)315

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
U10CA180868NRG Oncology Network Group Operations CenterWOLMARK, NORMAN; Le, Quynh-Thu Xuan; MANNEL, ROBERT S.NRG ONCOLOGY FOUNDATION, INC.NATIONAL CANCER INSTITUTE2014 to 2026

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Arm I (Blood Stored and Tested for ctDNA Later) vs Arm II (Blood Tested for ctDNA at Baseline): deaths from any cause

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04068103

GET https://conductscience.org/api/trials/v1/NCT04068103/events?page=2