Clinical performance study of a new diagnostic test for drug sensitivity evaluation in metastatic colorectal cancer

2024-519600-27-00 Protocol DSEE-CRC Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 28 Oct 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol DSEE-CRC

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 75
Countries 1
Sites 1

metastatic colorectal cancer

To evaluate the performance of µCAN to generate high-quality, accurate, robust and reliable data intended as guidance in the physician’s choice for 3rd line therapy for patients with metastatic colorectal cancer.

Key facts

Sponsor
Oncosyne AS
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Diagnosis [E01]
Trial duration
28 Oct 2025 → ongoing
Decision date (initial)
2025-04-29
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis, Others

To evaluate the performance of µCAN to generate high-quality, accurate, robust and reliable data intended as guidance in the physician’s choice for 3rd line therapy for patients with metastatic colorectal cancer.

Secondary objectives 3

  1. To evaluate the performance of μCAN to generate high quality, accurate, robust and reliable data intended as guidance in the physician’s choice for 3rd line therapy for patients with mCRC (Part A).
  2. To demonstrate compliance with the general safety and performance requirements for μCAN (Part A).
  3. To evaluate the device user experience for μCAN (Part A).

Conditions and MedDRA coding

metastatic colorectal cancer

Study design 2 periods

#TitleAllocationBlindingRoles blindedArms
1 Part A – µCAN report evaluation
All mCRC patients treated at the participating study site may be considered eligible for study participation based on the judgement of the recruiting Investigator. Tumour samples will be taken according to best practice procedures at the tumour sampling site. Tumour samples will be sent to Oncosyne for µCAN processing and analysis. A µCAN report will typically be available to the Investigator within 8 weeks from when the tumour sample was taken.
Not Applicable None
2 Part B – Exploratory clinical evaluation of µCAN
Patients who complete Part A, are eligible and who consent to participation in Part B, will be randomised to receive µCAN guided therapy or SoC therapy for their next line of therapy.
Randomised Controlled None µCAN guided therapy: Patients randomised to this arm (µCAN guided therapy) will have a µCAN report available. Treating physician may use the report as reference when deciding next in line treatment. Treatment is per phycisians decision and may, or may not, include a drug listed in the report.

30 patients are expected to enter this arm.
SoC therapy: Patients randomised to this arm will be treated according to SoC for their disease. Treating physician will not have a report for reference.

15 patients are expected to enter this arm.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Willing and able to give written informed consent (for each part of the study) for participation in the clinical performance study.
  2. Male or female patients, ≥18 years of age, with Eastern Cooperative Oncology Group (ECOG) performance status 0-1, who have metastatic lesions in the liver or peritoneum (or lymph nodes) that are radiologically assessable and can be biopsied, and who have recently failed 1st-line systemic therapy (2nd line for patients with three standard therapy lines) for unresectable metastatic disease and will shortly commence a new line of standard therapy.
  3. Patient is eligible for another line of tumour directed therapy on failure of the SoC.
  4. Patient has the following laboratory values, as measured in serum/plasma within 14 days prior to signing of informed consent for participation in Part A and B, respectively, indicative of adequate organ function: (see protocol for full laboratory values).

Exclusion criteria 4

  1. Life expectancy < 3 months.
  2. Planned treatment or treatment with another investigational drug or investigational device within 3 months prior to the day of the tumour sampling procedure.
  3. Patients who are pregnant, or currently breastfeeding.
  4. Investigator considers the patient unlikely to comply with clinical performance study procedures, restrictions and requirements.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Proportion of patients with a successful biopsy yielding a µCAN report.

Secondary endpoints 5

  1. Proportion of patients with a successful biopsy yielding a µCAN report within 56 days (8 weeks).
  2. Proportion of patients with a successful biopsy yielding a µCAN report with at least one drug therapy nomination.
  3. Frequency, intensity and seriousness of adverse events (AEs) related to device or study procedures.
  4. Frequency and nature of device deficiencies (DD).
  5. Device user experience questionnaire.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Fluorouracil

SCP1165178 · ATC

Active substance
Fluorouracil
Substance synonyms
5-FLOUROURACIL, 5-FLUORO-1H-PYRIMIDINE-2,4-DIONE, 5-FLUOROURACIL, 5-FU
Route of administration
INFUSION
Max daily dose
000
Max total dose
000
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
L01BC02 — FLUOROURACIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Oncosyne AS

Sponsor organisation
Oncosyne AS
Address
Ullernchausseen 64
City
Oslo
Postcode
0379
Country
Norway

Scientific contact point

Organisation
Oncosyne AS
Contact name
Information desk

Public contact point

Organisation
Oncosyne AS
Contact name
Information desk

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Norway Ongoing, recruiting 75 1
Rest of world 0

Investigational sites

Norway

1 site · Ongoing, recruiting
Akershus University Hospital
Department of Oncology, Sykehusveien 25, 1474, Loerenskog

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Norway 2025-10-28 2025-10-28

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 8 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-519600-27-00_redacted 5.3
Recruitment arrangements (for publication) K1_Recruitment arrangements 2
Subject information and informed consent form (for publication) L1_SIS-ICF Fase 2_Redacted 3
Subject information and informed consent form (for publication) L1_SIS-ICF_Redacted 3
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_5-Fluorouracil 0
Synopsis of the protocol (for publication) D1_Protocol synopsis_NOR_2024-519600-27-00 2
Synopsis of the protocol (for publication) D4_Patient facing document_EORTC QLQC30 3
Synopsis of the protocol (for publication) D4_Patient facing document_EQ-5D-5L 0

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-12-20 Norway Acceptable
2025-04-29
2025-04-29
2 SUBSTANTIAL MODIFICATION SM-1 2026-03-23 Norway Acceptable
2026-05-11
2026-05-11