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CompletedNCT04943419Updated Jul 7, 2022

Myeloid-derived Suppressor Cells in Colorectal Cancer

An observational study in Colorectal Cancer, Suppression and Complication,Postoperative, sponsored by Jagiellonian University. Completed at 1 site in Poland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-07-07.

Sponsored by Jagiellonian University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
90
Ages
18 Years and older
Sex
All
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Study summary

The aim of the study is to evaluate whether the preoperative level of myeloid-derived suppressor cells is associated with postoperative complications classified by Clavien-Dindo categories. Levels of all MDSC, polymorphonuclear MDSC (PMNMDSC), monocytic MDSC (MMDSC), early-stage MDSC (EMDSC) and monocytic to polymorphonuclear MDSC ratio (M/PMN MDCS) were established and compared in patients with postoperative complications, severe postoperative complications (>= IIIA according to Clavien-Dindo) and severe septic complications.

Read the detailed description

Levels of all MDSC, polymorphonuclear MDSC (PMNMDSC), monocytic MDSC (MMDSC), early-stage MDSC (EMDSC) and monocytic to polymorphonuclear MDSC ratio (M/PMN MDCS) were established and compared in patients with and without postoperative complications. Then subgroup analysis was performed to compare levels of MDSC in patients with severe postoperative complications (>= IIIA according to Clavien-Dindo) and those without severe complications. Another subgroup analysis will be performed for patients with severe septic complications that are defined as severe complications with accompanying infection. Levels of MDSC will be compared by means of U Mann Whitney test as their distribution is not normal. After above mentioned analyses it will be possible to evaluate the role of MDSC in patients with colorectal cancer in terms of postoperative complications. Additional analyse will be performed to compare levels of MDSC in patients who underwent neoadjuvant treatment (radiotherapy or chemoradiotherapy).

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Conditions studied

  • Colorectal Cancer
  • Suppression
  • Complication,Postoperative
  • Radiotherapy
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In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's enrollment of 90 is below the median of 250 across 1,226 observational studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Jagiellonian University is the lead sponsor of 156 studies on the registry; 34 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with histologically-confirmed colorectal cancer who undergo elective surgery.

Inclusion criteria

  • age ≥ 18
  • colorectal cancer confirmed by histological examination of biopsy specimen
  • elective operation
  • signed informed consent

Exclusion criteria

Exclusion Criteria:

  • Age \< 18
  • Pregnancy or lactation
  • Emergency operation
  • General condition that precludes understanding and signing of the informed consent form
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
90 participants (actual)
Patient registry
No

Groups and cohorts

  • Colorectal cancer

    Patients with colorectal cancer qualified for elective operations.

    Diagnostic Test: Level of Myeloid-Derived Suppressor Cells

Interventions

  • Diagnostic testLevel of Myeloid-Derived Suppressor Cells

    Establishing of levels of all MDSC, PMNMDSC, MMDSC, EMDSC, M/PMN MDSC ratio on the day before operation.

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What researchers measure

Primary outcomes

  1. Level of MDSC in patients with postoperative complications

    Level of all MDSC, polymorphonuclear MDSC (PNMMDSC), monocytic MDSC ( MMDSC), early-stage MDSC (EMDSC) and monocytic to polymorphonuclear MDSC ratio (M/PMNMDSC) in patients with postoperative complications

    Time frame: 30 days

Secondary outcomes

  1. Level of MDSC in patients with severe postoperative complications

    Level of all MDSC, PNMMDSC, MMDSC, EMDSC and M/PMNMDSC ratio in patients with severe postoperative complications (Clavien-Dindo\>= IIIA)

    Time frame: 30 days

  2. Level of MDSC in patients with severe septic postoperative complications

    Level of all MDSC, PNMMDSC, MMDSC, EMDSC and M/PMNMDSC ratio in patients with severe postoperative complications (Clavien-Dindo\>= IIIA) with infection

    Time frame: 30 days

  3. Level of MDSC in patients after neoadjuvant therapy

    Level of all MDSC, PNMMDSC, MMDSC, EMDSC and M/PMNMDSC ratio in patients after neoadjuvant treatment

    Time frame: 1 day before surgery

  4. Level of MDSC in patients with T2-T4 tumours after neoadjuvant treatment

    Level of all MDSC, PNMMDSC, MMDSC, EMDSC and M/PMNMDSC ratio in patients with tumours T2-T4 after neoadjuvant treatment

    Time frame: 1 day before surgery

  5. Level of MDSC measured in the specimen

    evel of all MDSC, PNMMDSC, MMDSC, EMDSC and M/PMNMDSC ratio measured in the specimen after resection

    Time frame: 1 day

  6. Level of MDSC in patients with left and right sided tumours

    evel of all MDSC, PNMMDSC, MMDSC, EMDSC and M/PMNMDSC ratio measured in patients with left-sided and right-sided colorectal cancer

    Time frame: 1 day

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Study locations

1 site
  • 1st Department of General Surgery
    Krakow, Malopolska 31-501, Poland
08

References and documents

Publications

  • Rogala J, Sieminska I, Baran J, Rubinkiewicz M, Zybaczynska J, Szczepanik AM, Pach R. Myeloid-Derived Suppressor Cells May Predict the Occurrence of Postoperative Complications in Colorectal Cancer Patients-a Pilot Study. J Gastrointest Surg. 2022 Nov;26(11):2354-2357. doi: 10.1007/s11605-022-05364-3. Epub 2022 Jun 1. No abstract available. PubMed 35650461 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 7, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04943419
Lead sponsor
Jagiellonian University
Responsible party
Radoslaw Pach, MD, Ph D (Principal Investigator, Jagiellonian University) — Principal investigator
First posted
Jun 29, 2021
Start date
Apr 1, 2016
Primary completion
Feb 27, 2021
Completion
Jun 21, 2021
Last update
Jul 7, 2022

Study contacts

Radoslaw Pach, Ph.D.
principal investigator · Jagiellonian University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.

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