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NCT07838246Completed

Liquid Biopsy Biomarkers for Endoscopic Surveillance in Lynch Syndrome

Minimally Invasive Biomarkers to Improve Endoscopic Cancer Surveillance in Individuals With Lynch Syndrome: a Prospective Institutional Study

Source: ClinicalTrials.gov · Last updated 24 Sept 2026

Brief summary (registry, in English)

Lynch syndrome (LS) is an autosomal dominant hereditary condition that markedly increases the risk of colorectal cancer (CRC) and other malignancies. Standard surveillance relies on colonoscopy every 1-2 years starting at age 20-25 years, an invasive and costly procedure that may become burdensome during lifelong follow-up and may miss interval cancers. This prospective, single-institution, observational study aims to identify minimally invasive plasma, stool, and urine biomarkers that could improve the detection of early colorectal lesions in individuals with LS and help refine surveillance protocols. Biomarker analyses include microsatellite instability (MSI) and MMR-related frameshift mutations in circulating tumor DNA, plasma and stool microRNA profiling, stool microbiome analysis, and exploratory urine cell-free DNA banking. Patients with genetically confirmed LS followed at Fondazione IRCCS Istituto Nazionale dei Tumori will be enrolled and followed for 24 months, undergoing surveillance colonoscopy at baseline, 12 months, and 24 months, with periodic venous blood sampling and stool, urine, and tissue collection according to protocol.

Status (registry)
Completed
Study type
Observational
Enrollment
109 (actual)
First submitted
11 Sept 2026
Start date
20 Jun 2023
Primary completion date
25 Jun 2026
Lead sponsor
Fondazione IRCCS Istituto Nazionale dei Tumori, Milano
NCT number
NCT07838246

What you commit to

  • Study type: Observational
  • Participants enrolled: 109
  • From 20 Jun 2023 to the primary completion date, 25 Jun 2026
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Who the study is looking for

  • Patients with Lynch syndrome, defined as carriers of a pathogenic germline mutation in one of the mismatch repair genes (MLH1, MSH2, MSH6, PMS2, or EPCAM), able to sign informed consent.
  • Age ≥18 years.
  • Patients with Lynch syndrome without a cancer diagnosis in the 6 months preceding study entry (T0).

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Fondazione IRCCS - Istituto Nazionale dei Tumori
Coordinator of this site? Confirm its status
MilanItalyUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.