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Clinical Trials in China / NCT07542171
Recruiting Observational

Clinical Outcomes After Non-curative Endoscopic Resection in Early Colorectal Cancer: A Multicenter Study

NCT07542171 · tracked via the Priya Life Science China tracker
Sponsor
Nanfang Hospital, Southern Medical University
Phase
Observational
Started
2025-09-03
Last updated
2026-04-21

Condition(s) studied

Early Colorectal CancerNon-curative Endoscopic Resection

Investigational drug(s) / intervention(s)

Additional SurgerySurveillance

Additional Surgery: Additional surgical resection performed after non-curative endoscopic resection based on pathological risk factors and clinical indications.

Surveillance: Active surveillance with regular endoscopic and imaging follow-up without additional surgical intervention.

Study summary

This multicenter study aims to evaluate clinical outcomes and optimize management strategies in patients with early colorectal cancer who undergo non-curative endoscopic resection.

Patients with non-curative resection following endoscopic treatment will be enrolled across multiple centers and managed according to real-world clinical decisions, including additional surgery or surveillance. Baseline demographic, endoscopic, and pathological characteristics will be systematically collected.

The primary objective is to compare recurrence and survival outcomes between different management strategies. Secondary objectives include identifying prognostic factors associated with recurrence and developing a risk stratification model to guide individualized treatment decisions.

All participants will undergo standardized follow-up according to clinical guidelines. This study is expected to provide real-world evidence to refine risk assessment, reduce unnecessary surgery, and improve personalized management for patients with early colorectal cancer after non-curative endoscopic resection.

Eligibility

Sex
ALL
Min age
18 Years
Max age
75 Years
Healthy volunteers
No
Inclusion Criteria: * Age ≥18 years; * Patients with early colorectal cancer confirmed by histopathology; * Patients who underwent endoscopic resection (including EMR, ESD, or equivalent techniques); * Pathological diagnosis indicating non-curative resection, defined by the presence of at least one of the following: positive resection margin, submucosal invasion depth \>1000 μm, poor differentiation, lymphovascular invasion, perineural invasion, or high-grade tumor budding; * Availability of complete clinicopathological and follow-up data; * Patients managed with either additional surgery or surveillance after endoscopic resection. Exclusion Criteria: * Patients with synchronous advanced colorectal cancer or distant metastasis at baseline; * History of other active malignancies; * Patients with inflammatory bowel disease, familial adenomatous polyposis, or other hereditary colorectal cancer syndromes; * Patients who received neoadjuvant therapy before endoscopic resection; * Incomplete pathological data or missing key variables; * Loss to follow-up or follow-up duration less than 6 months.

Primary outcome measure(s)

Trial sites (3)

FacilityCityRegionStatus
Nanfang Hospital, Southern Medical University Guangzhou Guangdong Recruiting
Shenzhen Longgang District People's Hospital Shenzhen Guangdong Recruiting
The Second Affiliated Hospital of Guangzhou Medical University Haizhu Guangzhou Recruiting

More Nanfang Hospital, Southern Medical University trials in China

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07542171 on ClinicalTrials.gov ↗ ← All trials in China