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MRD Watch

Sunday, November 15, 2026

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Trials

MRD trials

The curated index is a sourced list of studies. Accruing is the live ClinicalTrials.gov recruiting set. DYNAMIC-III is not in the curated index because it is registered in Australia and New Zealand, not with an NCT id.

NCT04068103Phase 2/3Active, not recruitingColorectal and GI

COBRA: ctDNA as a predictive biomarker for adjuvant chemotherapy in stage IIA colon cancer

Phase 2/3 trial of whether ctDNA detection after resection of stage IIA colon cancer identifies patients who benefit from adjuvant chemotherapy. ClinicalTrials.gov lists the study as active, not recruiting.

NRG Oncology

NCT04259944Phase 2UnknownColorectal and GI

PEGASUS: liquid-biopsy-guided adjuvant therapy for stage III and high-risk stage II colon cancer

Phase 2 study that changes capecitabine, CAPOX, or FOLFIRI according to serial ctDNA after surgery for microsatellite-stable stage III or T4N0 stage II colon cancer. ClinicalTrials.gov lists the status as unknown.

IFOM ETS - The AIRC Institute of Molecular Oncology

NCT04264702Not applicableUnknownColorectal and GI

BESPOKE CRC: observational study of tumor-informed ctDNA after colorectal resection

Observational study of serial tumor-informed ctDNA after surgery for stage I to IV colorectal cancer, with clinician-directed therapy. ClinicalTrials.gov lists the status as unknown.

Natera, Inc.

NCT04457297Phase 3CompletedColorectal and GI

ALTAIR: trifluridine/tipiracil versus placebo when ctDNA becomes positive after resection of colorectal cancer

Phase 3 randomized trial of trifluridine/tipiracil versus placebo in patients with resected colorectal cancer who test ctDNA-positive without radiographic recurrence. ClinicalTrials.gov lists the study as completed.

National Cancer Center Hospital East

NCT05174169Phase 2/3RecruitingColorectal and GI

CIRCULATE-US: adjuvant chemotherapy assigned from postoperative ctDNA in colon cancer

Phase 2/3 trial that assigns adjuvant chemotherapy according to whether circulating tumor DNA is detected after surgery for colon cancer. ClinicalTrials.gov lists the study as recruiting.

NRG Oncology

NCT06966440Not specifiedRecruitingColorectal and GI

ADAPT-MRD: ctDNA-guided adjuvant therapy after resection of pancreatic cancer

Randomized trial comparing ctDNA-guided adjuvant therapy with standard adjuvant therapy after radical resection of pancreatic cancer. ClinicalTrials.gov lists the study as recruiting, with a start date of June 1, 2025.

Ruijin Hospital

NCT07001085Not applicableRecruitingColorectal and GI

ctDNA monitoring in hepatocellular carcinoma and metastatic colorectal cancer

Interventional study of serial ctDNA in hepatocellular carcinoma and in colorectal cancer metastatic to the liver. The registry lists the phase as not applicable and the primary outcome as assessment of the clinical value of the ctDNA level. ClinicalTrials.gov lists the study as recruiting.

Medical University of Warsaw

NCT07823322Phase 2Not yet recruitingColorectal and GI

A Study to Evaluate INCA33890 in the Treatment of Circulating Tumor DNA-Positive Stage II/III Microsatellite Stable Colorectal Cancer After Curative Resection and Chemotherapy

NCT07823322 (NEXERA-204) is an Incyte-sponsored, not-yet-recruiting, single-arm phase 2 study of INCA33890 in about 40 adults with Signatera-positive, microsatellite-stable stage II/III colorectal cancer after curative resection and chemotherapy, with ctDNA clearance at 3 months as the primary endpoint; Natera announced a clinical collaboration on this study on November 10, 2026.

Incyte Corporation

NCT07927998Phase 2RecruitingColorectal and GI

A Study of Retifanlimab After Chemoradiation in People With Anal Cancer

NCT07927998 (PACER) is a recruiting, single-arm phase 2 MSK trial (estimated enrollment 25) of retifanlimab after definitive chemoradiation in people with anal squamous cell carcinoma who remain Signatera-positive, with the rate of ctDNA clearance at 12 weeks as the primary endpoint.

Memorial Sloan Kettering Cancer Center