Status:

RECRUITING

The Sagittarius Trial

Lead Sponsor:

IFOM ETS - The AIRC Institute of Molecular Oncology

Conditions:

Colon Cancer Stage II

Colon Cancer Stage III

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Background \& Rationale: Colon cancer is a leading cause of cancer deaths, with a high recurrence rate in stage II high-risk and stage III patients due to undetectable micro-metastases. Liquid biopsy...

Detailed Description

Background \& Rationale: Colon cancer (CC) is the second most lethal malignancy, accounting for nearly 10% of all cancer-related deaths. Despite over two-thirds of CC patients undergoing surgical res...

Eligibility Criteria

Inclusion

  • SAGITTARIUS trial written informed consent.
  • Age ≥ 18 years.
  • Histologically confirmed diagnosis of operable stage III and High-Risk stage II CC located at least 12 cm from the anal verge by endoscopy and above the peritoneal reflection at surgery.
  • Availability of the original FFPE tumor tissue.
  • ECOG performance status 0-1.
  • Normal organ functions (as defined in section 9.3).
  • Women with childbearing potential (WOCBP) should complete a pregnancy test and be willing to use highly effective contraceptive methods.

Exclusion

  • History of another neoplastic disease, unless in remission for ≥ 5 years. Participants with basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or carcinoma in situ (e.g., breast carcinoma, cervical cancer in situ) that have undergone potentially curative therapy are not excluded.
  • Macroscopic or microscopic evidence of residual tumor (R1 or R2 resections). Patients should never have had any evidence of metastatic disease (including presence of tumor cells in the peritoneal lavage).
  • Current or recent treatment with another investigational drug or participation in another investigational study.
  • Patient unable to comply with the study protocol owing to psychological, social or geographical reasons.
  • Is pregnant or breastfeeding, or expecting to conceive or father children within the projected duration of the study.
  • Inadequate contraception (male or female patients) if of childbearing or procreational potential.
  • Clinically relevant cardiovascular disease.
  • Acute or subacute intestinal occlusion or history of inflammatory bowel disease or any other autoimmune disease.
  • Pre-existing neuropathy \> grade 1. Known grade 3 or 4 allergic reaction to any of the components of the treatment.
  • Has a known history of Human Immunodeficiency Virus (HIV).
  • Has a known history of Hepatitis B (defined as Hepatitis B surface antigen \[HBsAg\] reactive) or known active Hepatitis C virus infection.
  • Has a known history of active TB (Bacillus Tuberculosis).
  • Has a medical condition that contraindicate the use of the investigational medicinal product (IMP) according to product indications.
  • Prior neoadjuvant treatment administered before surgery.

Key Trial Info

Start Date :

October 22 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2028

Estimated Enrollment :

700 Patients enrolled

Trial Details

Trial ID

NCT06490536

Start Date

October 22 2024

End Date

September 1 2028

Last Update

August 29 2025

Active Locations (26)

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Page 1 of 7 (26 locations)

1

Charité - Universitätsmedizin Berlin

Berlin, Germany, 10117

2

Azienda Sanitaria Locale di Biella

Biella, Biella, Italy, 13875

3

Fondazione Poliambulanza

Brescia, Brescia, Italy, 25124

4

Azienda Ospedaliera Universitaria San Martino

Genova, Genova, Italy, 16132