ClinicalTrials.gg
RecruitingNCT06287671COCOUpdated Dec 30, 2024

Colorectal Omics and OfCS Proteoglycans

An observational study in Colorectal Cancer, Diverticulitis, Colonic and Inflammatory Bowel Diseases, sponsored by Claus Anders Bertelsen, PhD, MD. Recruiting at 2 sites in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-12-30.

Sponsored by Claus Anders Bertelsen, PhD, MD · Observational

From the registry’s dates

  • Started Oct 2024; still recruiting 2 years 1 month later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,000
Ages
18 Years and older
Sex
All
01

Study summary

This observational study aims to test proteomics, metabolomics and proteoglycans as predictors of postoperative complications after colorectal surgery and as biomarkers of colorectal cancer.

The main questions to answer are:

  • can these biomarkers predict anastomotic leakages
  • can these biomarkers predict recurrence after colorectal cancer
  • can these biomarkers be used as diagnostic tests for colorectal cancer
  • can these biomarkers be identified in the tumor

Participants will undergo elective colorectal resection or stoma closure.

Read the detailed description

The prospective cohort study will include 1,000 patients undergoing elective colorectal resections or colostomy reversal at two colorectal centers in Denmark. Repeating study blood samples will be collected on each postoperative day (POD) 1-4 or until discharge. If the participants are diagnosed with cancer, blood sampling is planned 26-35 days after the index procedure, and after one, two, and three years, a tumor biopsy will be taken from the fresh specimen in the operation theatre.

Analyses of blood plasma and tissue for oncofetal chondroitin sulfate (ofCS) proteoglycans, proteomics, and metabolomics will be performed on those repeating blood samplings to:

  • To investigate whether metabolomics, proteomics, and ofCS techniques can identify new biomarkers where charges in plasma levels can predict or detect subclinical AL (primary outcome) and other major postoperative complications after colorectal surgery and prediction of 90-day and three-year mortality.
  • To investigate whether the APOE genotype is associated with the risk of AL and other major postoperative complications and long-term outcomes, i.e., recurrence and mortality, after colorectal surgery.
  • To examine whether metabolomics and proteomics can identify new biomarkers predicting recurrence after colorectal cancer resections.
  • To identify other potential biomarkers that might enable early cancer diagnosis.
  • Whether proteoglycans can be used as a diagnostic test with a high degree of separability to identify tumor markers that are usable in a clinical setting (primary outcome). Participants with colorectal cancer will be compared with a control group of participants with benign conditions.
  • Whether the level of proteoglycans measured correlates to the tumor load.
  • Whether the proteoglycans and proteomics detected in plasma are presented in tumor tissue from the resected specimen.
  • Whether the proteoglycans detected can be used as tumor markers with a high degree or measure of separability for monitoring recurrence after colorectal cancer in a clinical setting (primary outcome).

Postoperative and follow-up data will be collected prospectively for the electronic health records.

02

Conditions studied

  • Colorectal Cancer
  • Diverticulitis, Colonic
  • Inflammatory Bowel Diseases
  • Stoma Colostomy
03

In context

Colorectal Neoplasms

6,541 studies on the registry are indexed under Colorectal Neoplasms; 1,667 are open to participants now.

This study's planned enrollment of 1,000 is above the median of 250 across 1,440 observational studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Claus Anders Bertelsen, PhD, MD is the lead sponsor of 5 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Study population

Patients planned for elective colorectal surgery

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients diagnosed or with suspicion of colorectal cancer or adenoma, inflammatory bowel disease, late complications to colon diverticulosis, colostomy reversal or other diagnoses requiring colorectal resection.
  • Patients planned to undergo elective surgical procedures coded as KJFB20-KJFB99, KJFG30-37 or KJGB00-97 according to the Danish modification of the NOMESCO Classification of Surgical Procedures
  • Able to speak Danish, English, or other languages where professional interpretation is available
  • Able to give

Exclusion criteria

Exclusion Criteria:

  • Patients undergoing synchronous: liver resection (patients undergoing metastasectomies can be included); total gastrectomy or cardia resection; Whipple's procedure or another major pancreatic resection (resections of the pancreatic tail can be included); total or partial nephrectomies or cystectomy
  • Patients previously included in the study
  • Patients known to be pregnant (pregnancy test not required)
  • Non-resident in Denmark
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,000 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Study cohort

    Patients undergoing elective colorectal resection or stoma closure

    Procedure: Colorectal resection or stoma closure

Interventions

  • ProcedureColorectal resection or stoma closure

    Elective open or minimally invasive resection for colorectal cancer, IBD or other benign colorectal disorder, or stoma closure

06

What researchers measure

Primary outcomes

  1. Rate of anastomotic leakage diagnosed by CT-scan or reoperation

    Anastomotic leakage after colorectal resection with anastomosis or stoma closure

    Time frame: 30 days

  2. Rate of major postoperative complications

    Major postoperative complication (Clavien-Dindo score 3B or higher, and DVT and pulmonary embolism) after colorectal resection with anastomosis or stoma closure

    Time frame: 30 days

  3. Short-term mortality

    Postoperative mortality after colorectal resection with anastomosis or stoma closure

    Time frame: 90 days

  4. Recurrence after colorectal cancer

    Recurrence after radical resection, diagnosed by imaging modalities or tissue biopsy

    Time frame: 4 years

  5. Diagnostic value of omics and other biomarkers detecting colorectal cancer

    Identifying omics and chondroitin sulfate-modified proteoglycans that can be used i a clinical setting to identify colorectal cancer patients

    Time frame: 30 days

  6. Correlation between biomarker in plasma and tissue

    Does presence of tumor markers in blood plasma correlate with the same tumor makers in the tumor tissue

    Time frame: 30 days

07

Study locations

1 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No — Results will be published by the investigators in academic journals. Sharing of generated study data will be carried out in several different ways. After acceptance from the participant and the ethics committee of the Capital Region of Denmark, individual participant data and blood plasma will be available to potential collaborators interested in colorectal disorders.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 30, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06287671
Lead sponsor
Claus Anders Bertelsen, PhD, MD
Collaborators
Viborg Regional Hospital
Responsible party
Claus Anders Bertelsen, PhD, MD (Clinical research professor, consultant colorectal surgeon, Nordsjaellands Hospital) — Sponsor-investigator
First posted
Mar 1, 2024
Start date
Oct 8, 2024
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2032 (estimated)
Last update
Dec 30, 2024

Study contacts

Nanna B Hupfeld, ph.d.
Contact
nanna.baekvang.hupfeld.01@regionh.dk
+4548292793
Claus A Bertelsen, PhD
study chair · Department of Surgery, Copenhagen University Hospital - North Zealand

Oversight

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

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