Exosome-derived Extrahepatic Metastasis Detection By Liquid Biopsy In Colorectal Cancer Liver Metastases

⚠️

This is not medical advice. AI-assisted translation — inaccuracies may occur. Always verify the original and consult your oncologist before taking any steps.

About the trial

Colorectal cancer is the third most common malignancy worldwide, and prognosis largely depends on how effectively metastatic disease is managed. The liver is the most frequent and prognostically important site of metastasis, and patients responding well to chemotherapy may become candidates for curative hepatic resection. However, the presence of extrahepatic metastasis (EHM) critically influences treatment eligibility and survival. Although clinical scores such as the Fong and Beppu systems include EHM as a determinant, its detection by imaging remains limited, especially for small or occult lesions. Accurate identification of EHM is also essential when considering liver transplantation for unresectable colorectal liver metastases (CRLM), where EHM remains an exclusion criterion. The EXELION Study aims to develop a non-invasive diagnostic model using serum exosomal microRNAs (miRNAs) to detect both hepatic and extrahepatic metastases in patients with CRLM. By integrating circulating miRNA profiling with machine learning-based analysis, this study seeks to supplement imaging diagnostics, improve treatment stratification, and enhance clinical decision-making for metastatic colorectal cancer.

Original English text from ClinicalTrials.gov

Who can (and can't) join

✓ Qualifies

  • Osoby dorosłe (od 18 lat)
  • Potwierdzony rak jelita grubego z przerzutami
  • Dostępność próbek krwi przed leczeniem
  • Wyrażenie świadomej zgody
  • Posiadanie danych klinicznych i obrazowych do oceny przerzutów poza wątrobą

✗ Disqualifies

  • Inne choroby nowotworowe w ciągu ostatnich 5 lat
  • Zła jakość próbki krwi lub jej rozpad
  • Brak możliwości wyrażenia świadomej zgody

Simplified criteria — AI translation

Trial details

Minimum age
18 Years
Last updated (source)
July 7, 2026
Sex
No restrictions

Therapies / drugs in trial

Locations (1)

City of Hope Medical Center

Duarte, United States

Trial contact

Contact information from ClinicalTrials.gov. Contact in English.

Share this trial

Data from ClinicalTrials.gov. AI-assisted translation, last sync: 7/8/2026.

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