Evidence map›Paper›PMID 41239188›Full record

ArticleMolecular oncology2026

Detection of circulating tumor DNA in colorectal cancer patients using a methylation-specific droplet digital PCR multiplex.

Luisa Matos do Canto, Louise Raunkilde, Jan Lindebjerg, Mads Malik Aagaard, Christina Therkildsen, Jakob Kleif, Lars Henrik Jensen, Torben Frøstrup Hansen, Rikke Fredslund Andersen

Abstract read
In one paragraph

Article in Molecular oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Luisa Matos do CantoDepartment of Biochemistry and Immunology, Vejle Hospital, University Hospital of Southern Denmark, Denmark.ORCID 0000-0001-9095-9431
Louise RaunkildeDanish Colorectal Cancer Center South, Vejle Hospital, University Hospital of Southern Denmark, Denmark.
Jan LindebjergDanish Colorectal Cancer Center South, Vejle Hospital, University Hospital of Southern Denmark, Denmark.
Mads Malik AagaardDepartment of Clinical Genetics, Vejle Hospital, University Hospital of Southern Denmark, Denmark.
Christina TherkildsenGastro Unit, Copenhagen University Hospital, Amager - Hvidovre Hospital, Denmark.
Jakob KleifGastro Unit, Copenhagen University Hospital, Amager - Hvidovre Hospital, Denmark.
Lars Henrik JensenDanish Colorectal Cancer Center South, Vejle Hospital, University Hospital of Southern Denmark, Denmark.
Torben Frøstrup HansenDanish Colorectal Cancer Center South, Vejle Hospital, University Hospital of Southern Denmark, Denmark.
Rikke Fredslund AndersenDepartment of Biochemistry and Immunology, Vejle Hospital, University Hospital of Southern Denmark, Denmark.ORCID 0000-0002-5894-7745

Funding

Aase & Ejnar Danielsens FundAndersen-Isted FoundationA.P. Møller og Hustru Chastine Mc-Kinney Møller's FundArvid Nilsson's FundAugustinus FondenAxel Muusfeldt's FundBeckett FoundationCarl & Ellen Hertz' LegatCivilingeniør Walter Christensen og Hustrus FundDagmar Marshall's FundDen Midtjyske BladfondDen Obelske FamiliefondDirektør Svend Espersen's FundElisa F. Hansens MindelegatElna og Jørgen Fagerholt's Cancer research fundElse og Mogens Wedell-WedellsborgEva & Henry Frænkel's FundFamilien Erichsens MindelegatFamilien Hede Nielsen's FundFondation JuchumGangsted FoundationHans & Nora Buchard's FundHenrik Henriksen's FundH-FoundationInge & Jørgen Larsen's FundJens BærentsenKathrine & Vigo Skovgaard's FundKID FoundationKnud & Edith Eriksen's FundKøbmand Inger Bonnén's FundKøbmand Sven og Ina Hansen's FundKong Chr. d. X's FundKornerup FondenKrista & Viggo Petersen's FundLinex FoundationO-FoundationP.M. Christiansen og Hustrus FundSavværksejer Jeppe Juhls og hustrus MindelegatSofus Carl Emil Friis og hustrus LegatSøren og Helene Hempels LegatThora & Viggo Grove's MindelegatTømmerhandler Vilhelm Bang's FundTømrermester Jørgen Holm og hustru Elisa F. Hansen's MindelegatTorben & Alice Frimodt's FundToyota FoundationVissing FondenWilly & Ingeborg Reinhard's Fund
6 · The paper itself

Abstract

Despite the use of conventional biomarkers and imaging methods for treatment monitoring of colorectal cancer (CRC) patients, limitations remain in detecting minimal residual disease and early relapse. Circulating tumor DNA (ctDNA) offers a promising noninvasive and cost-effective alternative for monitoring disease progression and relapse, potentially improving patient outcomes. In this study, we developed a methylation-specific droplet digital PCR (MS-ddPCR) multiplex assay designed to detect ctDNA through a combination of tumor-specific and tissue-conserved methylation markers. Our objective was to evaluate the performance of this assay in patients with CRC and assess ctDNA dynamics as a prognostic tool in those with metastatic CRC (mCRC). The assay demonstrated high specificity (96.7%) and sensitivity in detecting ctDNA in both patients with localized tumors (64.4%) and mCRC (89.2%). Notably, ctDNA dynamics from baseline to after the first treatment cycle were significantly associated with progression-free survival (PFS) and overall survival (OS) in mCRC. Classifying patients based on ctDNA-RECIST (Response Evaluation Criteria in Solid Tumors) and the percent reduction in ctDNA fraction revealed pronounced differences in PFS and OS. Median PFS and OS were 11.4 and 35.3 months for good responders compared with 7.6 (HR = 1.71, 95% CI 0.9-3.25) and 18.4 (HR = 2.15, 95% CI 1.16-3.99) for poor responders, while patients with progressive disease had a median PFS and OS of 5.1 (HR = 4.36, 95% CI 1.91-9.92) and 6.85 (HR = 4.73, 95% CI 2.09-10.7) months. Our multiplex MS-ddPCR assay provides a sensitive, cost-effective approach for detecting and quantifying ctDNA in CRC patients, especially in metastatic disease. The ability to monitor ctDNA dynamics holds potential for early treatment response assessment, prognosis, and guiding personalized therapeutic strategies, making it a valuable tool for clinical practice.

Indexed as

Circulating Tumor DNAColorectal NeoplasmsDNA MethylationMultiplex Polymerase Chain ReactionAdultAgedAged, 80 and overBiomarkers, TumorFemaleHumansMaleMiddle AgedPrognosisBiomarkers, TumorCirculating Tumor DNAcirculating tumor DNAColorectal CancerddPCRmethylation

Identifiers

PMID41239188
PMCPMC13060638

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.