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Liquid Biopsy in Early Colorectal Lesions
Sponsor: University Hospital, Montpellier
Summary
Early colorectal cancer screening increasingly detects small superficial colonic lesions, but current diagnostic tools still struggle to distinguish benign from malignant lesions and to assess lymph node risk. As histology after resection has limited accuracy, many patients undergo unnecessary surgery. Liquid biopsy, analyzing circulating biomarkers such as tumor DNA, extracellular vesicles, and nucleosomes, offers a non-invasive way to better classify these lesions. Emerging evidence suggests it may outperform current criteria for predicting lymph node involvement in T1 colorectal cancer. This study will establish a biobank of 1,000 patients to identify blood-based signatures that predict tumor stage and lymph node status. The hypothesis of the study is that circulating biomarkers can accurately differentiate benign from malignant lesions and identify patients with or without lymph node metastasis.
Official title: Biobank for Validating Liquid Biopsy in Predicting the Prognosis of Superficial Colonic Lesions
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
1000
Start Date
2026-03-01
Completion Date
2031-09-01
Last Updated
2026-01-22
Healthy Volunteers
No
Conditions
Interventions
Venous blood sampling
Five 6-7 ml EDTA tubes of venous blood will be collected at two points during the care pathway: * Immediately before the endoscopic procedure, at the time of catheter insertion for general anesthesia. This is to study the signal intensity at a baseline stage. * Between 2 and 6 weeks after submucosal dissection (only in cases of pT1 adenocarcinoma) and before any further surgery for pT1 cancer. This is to study the presence or absence of a residual signal after local resection.
Locations (12)
University Hospital of Amiens
Amiens, France
University Hospital of Bordeaux
Bordeaux, France
University Hospital of Brest
Brest, France
University Hospital of Dijon
Dijon, France
University Hospital of Limoges
Limoges, France
Civil Hospices of Lyon
Lyon, France
Jean Mermoy Private Hospital
Lyon, France
University Hospital of Montpellier
Montpellier, France
University Hospital of Nancy
Nancy, France
University Hospital of Nîmes
Nîmes, France
Saint Joseph Hospital
Paris, France
University Hospital of Rennes
Rennes, France