ClinicalTrials.gg
RecruitingNCT06515821Updated Sep 16, 2026

Multicentre Study for Data Collection, Development, and Evaluation of Novel CRC Screening and Diagnostic Methods

An observational study in Colorectal Cancer, sponsored by Firalis SA. Recruiting at 8 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Firalis SA · Observational

From the registry’s dates

  • Started Aug 2024; still recruiting 2 years 3 months later.

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Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
4,100
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 22 studies in Colorectal Neoplasms with a site in Bulgaria — 2 open to participants now, 4 under way, 3 of them phase 3. Colorectal Neoplasms · Bulgaria.

Started
2024
with 1 other
Observational
Only one
of the 22
Registered
22nd of 22
by date
Lead sponsor
1 of 22
Firalis SA

Among the 22 studies in Colorectal Neoplasms with a site in Bulgaria, this one is one of 2 that started in 2024, is the only observational one, and was the 22nd registered.

Colorectal Neoplasms

6,545 studies on the registry are indexed under Colorectal Neoplasms; 1,664 are open to participants now.

Browse Colorectal Neoplasms studies →

Open to participants now

2 of the 22 studies in Colorectal Neoplasms with a site in Bulgaria are open now. Recruiting first, the newest first:

All 2 open studies →

A study can be open while its sites in Bulgaria have not opened yet or have stopped. Only those recruiting at a site in Bulgaria →

Who these studies take

Of the 1,181 Colorectal Neoplasms studies recruiting now, 764 (65%) set no upper age limit and 264 (22%) stop at 75 or younger; 48 take children under 18; 123 take healthy volunteers.

This study: 18 Years and older · all sexes.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 22 studies in Colorectal Neoplasms with a site in Bulgaria, or all of them as a file.
02

Study summary

The primary goal is to develop easy accessible diagnostic tools for high risk subjects for colon cancer in different European populations to improve early CRC detection. These CRC screening technologies would be low cost, breakthrough and of high sensitivity and specificity.

Read the detailed description

Colorectal Cancer (CRC) is the third most commonly occurring cancer in men and the second most commonly occurring cancer in women. CRC can often be prevented through regular screening. Although colonoscopy-based screening programs result in a significant decrease in CRC incidence, the compliance rate for performing the required screening remains too low and not the desired one. Fecal Occult Blood Test (FOBT) is another widely used screening modality for CRC but have certain constraints, such as relatively low sensitivity and the need for multiple sampling (three) to reach full screening potential. The development of novel, more practical screening methods can effectively increase the screening rates for CRC through non-invasive, repeatable, cost-effective, easy-to-use, and patient-friendly procedures. This is of particular importance in different European societies and population subgroups, since an increase in the incidence of Early-Onset CRC is currently noticed, which is significantly associated with risk factors such as heredity, obesity, smoking, alcohol abuse, and hyperlipidemia.

Within this framework, ONCOSCREEN will develop a multi-tier diagnostic solution towards improved CRC screening. Furthermore, ONCOSCREEN will consider specific socio-economic determinants which increase the regional or national CRC risks, thus exploiting new solutions, particularly in younger high-risk individuals in European communities. For the validation of the developed solution, a clinical validation study (titled "ONCOSCREEN-CS") will be conducted to assess its effectiveness, sensitivity, and specificity in detecting CRC at an early stage. During the first phase of the study (ONCOSCREEN-CS-Phase A), the investigators will identify the different expression patterns of the four diagnostic solutions (ONCO-VOC, ONCO-CRISP, ONCO-NMR, ONCO-CTC) in CRC patients and healthy controls with high risk for CRC, and also initially estimate their sensitivity and specificity. During the second phase (ONCOSCREEN-CS-Phase B), the ONCOSCREEN solution will be clinically validated.

03

Conditions studied

  • Colorectal Cancer

Keywords

  • early CRC detection
  • biomarkers
  • diagnostic tool
  • high risk subject
  • colorectal cancer
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Subjects aged over 18 for all groups except the control group with no risk where in this group subjects are aged ≥ 40 years.

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

  • CRC Group

    1. Signature of the indicating that the subject accepts to participate in the study and to comply with the requirements and restrictions inherent in this study.
    2. Subjects aged ≥18 years
    3. Subject is willing to undergo FOBT test, colonoscopy, and tissue
    4. Subject for whom the decision to perform a colonoscopy has been made by the treating physician
    5. Subject has positive CRC diagnosis according to colonoscopy result
    6. Covered by a Health Insurance System
    7. Subject is able to comply with all study procedures
  • Control Group with risks and presence of polyps

    1. Signature of the informed consent indicating that the subject accepts to participate in the study and to comply with the requirements and restrictions inherent in this study.
    2. Subjects aged ≥18 years
    3. Otherwise healthy individuals with recognized risk factors for CRC development defined by either heredity and/or obesity and/or smoking and/or excess alcohol consumption and/or hyperlipidaemia.
    4. Subject be willing to undergo FOBT test, colonoscopy, and tissue biopsy
    5. Subject has negative CRC diagnosis according to colonoscopy result
    6. Covered by a Health Insurance System, which will cover colonoscopy as screening in patients with risk factors and alarm symptoms such as abdominal pain, change in stool texture, change in stool frequency, blood in stool/rectal bleeding, diarrhea, constipation, abdominal bloating, weight loss, tiredness.
  • Control Group with risks and absence of polyps

    1. Signature of the informed consent indicating that the subject accepts to participate in the study and to comply with the requirements and restrictions inherent in this study.
    2. Subjects aged ≥18 years
    3. Otherwise healthy individuals with recognized risk factors for CRC development defined by either heredity and/or obesity and/or smoking and/or excess alcohol consumption and/or hyperlipidaemia.
    4. Subject be willing to undergo FOBT test, colonoscopy, and tissue biopsy
    5. Subject has negative CRC diagnosis according to colonoscopy result
    6. Covered by a Health Insurance System, which will cover colonoscopy as screening in patients with risk factors and alarm symptoms such as abdominal pain, change in stool texture, change in stool frequency, blood in stool/rectal bleeding, diarrhea, constipation, abdominal bloating, weight loss, tiredness.
  • Control Group with no risks

    1. Signature of the informed consent indicating that the subject accepts to participate in the study and to comply with the requirements and restrictions inherent in this study.
    2. Subjects aged ≥40 years
    3. Otherwise healthy individuals without any recognized risk factors for CRC development defined by either heredity and/or obesity and/or smoking and/or excess alcohol consumption and/or hyperlipidemia.
    4. Subject be willing to undergo FOBT test
    5. Subject has negative FOBT result

Exclusion criteria

Exclusion Criteria:

  • For the CRC Group

    1. Legal incapacity or limited legal capacity
    2. Subject did not sign the form
    3. Subject who, according to the investigator's assessment, presents with an unstable medical condition contraindicating the performance of the planned blood test, stool test or breath test
    4. Subject has had surgery in the previous 6-8 weeks or is under medication for CRC treatment.
  • For the control groups

    1. Legal incapacity or limited legal capacity
    2. Subject did not sign the Informed Consent form
    3. Previous history of any type of cancer
    4. Gastrointestinal disorders or other serious acute or chronic diseases
Terms in these criteria, in plain language(2)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
4,100 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • CRC Group

    Subject has positive CRC diagnosis according to colonoscopy result

    Diagnostic Test: ONCOSCREEN

  • Control Group with risks and presence of polyps

    Healthy individuals with recognized risk factors for CRC development defined by either heredity and/or obesity and/or smoking and/or excess alcohol consumption and/or hyperlipidaemia.

    Diagnostic Test: ONCOSCREEN

  • Control Group with risks and absence of polyps

    Healthy individuals with recognized risk factors for CRC development defined by either heredity and/or obesity and/or smoking and/or excess alcohol consumption and/or hyperlipidaemia.

    Diagnostic Test: ONCOSCREEN

  • Control Group with no risks

    Healthy individuals without any recognized risk factors for CRC development defined by either heredity and/or obesity and/or smoking and/or excess alcohol consumption and/or hyperlipidemia.

    Diagnostic Test: ONCOSCREEN

Interventions

  • Diagnostic testONCOSCREEN

    Subjects samples will be tested with diagnostic tests.

06

What researchers measure

Primary outcomes

  1. ONCO CTC expression pattern of ONCOSCREEN tools in CRC patients and healthy controls using colonoscopy as the reference method.

    Blood samples will be collected to assess various novel biomarkers associated with CRC.

    Time frame: At the day of visit/sampling and through study completion, an average of 3 years

  2. ONCO NMR expression pattern

    Blood samples will be collected to assess various novel biomarkers associated with CRC.

    Time frame: At Day1 and through study completion, an average of 3 years

  3. ONCO CRISPR expression pattern

    Blood and stool samples will be collected to assess various novel biomarkers associated with CRC.

    Time frame: At Day1 and through study completion, an average of 3 years

  4. ONCO VOC expression pattern

    Breath samples will be collected to analyze volatile organic compounds (VOCs). By examining the electrochemical signal responses using pattern recognition algorithms, researchers can identify early indicators distinguishing between CRC-linked and healthy categories.

    Time frame: At Day1 and through study completion, an average of 3 years

  5. Evaluation of genetic risks associated to CRC

    Buccal swabs will be collected to evaluate genetic risks associated to CRC. Analyzing buccal swab samples can identify genetic variations linked to an increased CRC risk, enhancing personalized screening accuracy.

    Time frame: At Day1 and through study completion, an average of 3 years

07

Study locations

5 of 8 sites recruiting
  • Military Medical Academy Sofia, Gastroenterology Clinic, 3 Sveti Georgi Sofiiski str., Sofia 1606, Bulgaria
    Sofia, 1606, Bulgaria
    Recruiting
    • Daniela Stoyanova, Prof. Dr. · Contact
  • University Specialised Hospital for Active Treatment of Oncology Departement of Gastroenterology.
    Sofia, 1797, Bulgaria
    Not yet recruiting
  • UFC: Université de Franche-Comté Oncology department CHU Besançon
    Besançon, 25030, France
    Not yet recruiting
  • MKI UKSH Lübeck
    Lübeck, 23538, Germany
    Recruiting
  • UMC Mainz: University Medical Center Mainz
    Mainz-GE, 55131, Germany
    Recruiting
  • LSMU: Lithuanian University of Health Sciences Gastroenterology Department,
    Kaunas, 50161, Lithuania
    Recruiting
  • IPO: Instituto Português de Oncologia
    Porto, 4200-072, Portugal
    Recruiting
  • IBO: Institutul Oncologic Prof. Dr. Alexandru Trestioreanu București
    Bucharest, Romania
    Not yet recruiting
08

References and documents

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2024 (actual). Primary completion is estimated for Dec 2026, 28 months after the start.

Of 117 industry-sponsored observational studies under Colorectal Neoplasms, half reached primary completion within 45 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 60. This study's planned 28 months is below that.

Counting every sponsor, half of 646 studies reached it within 52 months; a quarter within 27 and three quarters within 104.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 28, 2024
First posted
Jul 23, 2024
StartActual
Aug 1, 2024
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Sep 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06515821
Lead sponsor
Firalis SA
Collaborators
University Medical Center Mainz
Responsible party
Sponsor
First posted
Jul 23, 2024
Start date
Aug 1, 2024
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Sep 16, 2026

Study contacts

Federica ZILLI, PhD
Contact
federica.zilli@firalis.com
+33 (0) 389911320
Céline Meyer
Contact
celine.meyer@firalis.com
Markus MOELHER, MD, PhD
principal investigator · University Medical Center Mainz

Oversight

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

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