Status:

RECRUITING

Endoscopic Therapy Or Surgery for Early Colon Cancer

Lead Sponsor:

Norwegian Department of Health and Social Affairs

Collaborating Sponsors:

Medical University of Gdansk

Vestre Viken Hospital Trust

Conditions:

Colon Cancer

Eligibility:

All Genders

Phase:

PHASE3

Brief Summary

The trial is a randomized head-to-head comparison of the benefits, harms and burdens of endoscopic full-thickness resection (eFTR), a novel, minimally invasive endoscopic treatment modality, for early...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Newly diagnosed biopsy-confirmed colon cancer (adenocarcinoma) with macroscopic suspicion of submucosal invasion considered removable by EFTR as deemed by the local multidisciplinary team (MDT) at the participating center
  • Size ≤20 mm in diameter as deemed by the colonoscopist
  • No presence of histopathological high-risk features in biopsy (high grade tumor growth, budding grade 2 or 3, or lymphovascular invasion)
  • Patient eligible for surgical removal as deemed by the local MDT at the participating center
  • Endoscopic images or video of the tumor
  • No sign of disease beyond T2N0M0 on pre-treatment imaging, biopsy sampling, and radiographic and clinical evaluation
  • No contraindication for any of the two treatment arms
  • Written informed consent
  • No prior or synchronous CRC
  • No other malignancy which is not cured
  • No more than 10 adenomas or serrated polyps
  • No genetic cancer syndrome (adenomatous or serrated polyposis syndrome; Lynch or Lynch-like syndrome)
  • No inflammatory bowel disease

Exclusion

    Key Trial Info

    Start Date :

    August 25 2025

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    September 1 2033

    Estimated Enrollment :

    434 Patients enrolled

    Trial Details

    Trial ID

    NCT06940947

    Start Date

    August 25 2025

    End Date

    September 1 2033

    Last Update

    November 20 2025

    Active Locations (1)

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    1

    Medical University of Gdańsk

    Gdansk, Poland