Circulating DNA to Improve Outcome of Oncology PatiEnt. A Randomized Study

COPE is a biology driven protocol with 2 independent, multicentric, two-arm non-comparative randomized (2:1) phase II trials in 2 distinct populations: colorectal cancer patients and non-small-lung cancer patients. For each phase II trial, patient will be randomized between two arms with two patients randomized in arm A for one patient randomized in arm B: * Arm A (Experimental - initial MTB providing therapeutic recommendation based on tumor sequencing and then follow-up combining standard imaging and ctDNA analysis) * Arm B (Standard - initial MTB providing therapeutic recommendation based on tumor sequencing and then follow-up based on standard imaging).

NCT Number	NCT04258137
Lead Sponsor	Institut Bergonié
Conditions	Colorectal Cancer, Non Small Cell Lung Cancer
Enrollment	332 participants
Start Date	2020-09-04
Primary Completion	2027-05-24 (estimated)
Study Completion	2027-12-01 (estimated)
Updated on ClinicalTrials.gov	2026-07-24