This study enrolled patients who underwent R0 resection of tumor and had elevated tumor biomarkers (CEA, CA19-9). After enroll the study, a CTC test will performed and patients who had positive CTC will be randomly assigned to two groups. The control group will continue follow-up until radiological recurrence appear, the treatment group will start treatment or change the current adjuvant regimen. First endpoint is OS. The secondary endpoint is DFS, adverse event.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
100
Started chemotherapy or change the current adjuvant therapy
Overall Survival
Time from randomization to death
Time frame: 3 year
Disease free survival
Disease free time from randomization to death or recurrence
Time frame: 3 year
Adverse event
CTCAE adverse event of chemotherapy
Time frame: 1 year
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