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Clinical trials for colon cancer in India: how they work and how to find one | CION Cancer Clinics

Clinical trials for colon cancer do run in India, mostly at large cancer centres, but fewer than in the West and only a few are open at any one time. A trial can offer a new treatment under close watch, yet nobody knows in advance whether the new option works better. This page explains how trials work, who tends to qualify, what to ask before signing and how to find one. At CION Cancer Clinics, a multidisciplinary team plans colon cancer treatment for your stage, from surgery to chemotherapy and follow-up.

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Medically reviewed by Dr. Naresh GunduConsultant Medical Oncologist · MBBS, DNB (Internal Medicine), DM (Medical Oncology, AIIMS) · last reviewed October 2026, next review due October 2027
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The short answer

Are there clinical trials for colon cancer in India?

Yes, but fewer than in the West, and only a handful are usually open to new patients at any one time. Most run at large cancer centres and medical colleges, and each one takes only people at a particular stage with particular test results. Finding one that fits you is possible, but it takes some searching and an oncologist who can read the entry rules with you.

What a trial actually is

A clinical trial is a carefully planned study that tests a new treatment, or a new way of using an old one, in people who agree to take part. It answers a question that doctors genuinely do not yet know the answer to. That uncertainty is the whole point. If the answer were already known, there would be no trial.

Why it matters even if you never join one

Almost every treatment used for colon cancer today, from the chemotherapy given after surgery to the drugs matched to gene changes, became standard because of trials. Asking about them is a normal question at any stage, not a sign that things are going badly.

A trial is an option to discuss, never an obligation and never a shortcut.

What you may come across

What kinds of colon cancer trials might be open?

Trials cluster around the questions oncologists are still working on. These are the kinds you are most likely to see listed, not a promise that one is open near you.

New drugs for advanced disease

The largest group. They test new medicines in people whose cancer has spread and has stopped responding to standard treatment, usually after two or more lines of treatment.

Drugs matched to a gene change

Some trials only take tumours with a specific change, such as KRAS G12C, BRAF or HER2. Your biopsy report decides whether you can even be considered, which is why full marker testing matters.

Smarter decisions after surgery

These ask who truly needs chemotherapy after an operation and for how long, sometimes using a blood test for tumour DNA called ctDNA. The aim is to spare people treatment they do not need.

Supportive care and daily life

Trials of diet, exercise, nerve protection or ways to ease side effects. They carry less risk and are open to more people, including those with early disease.

These rarely make headlines but are often the easiest to join.

Not sure whether this applies to you?

Ask an oncologist

From question to consent

How do you find and join a trial in India?

Ask your oncologist first

Your treating team knows your stage, your markers and what standard treatment still has to offer. They can tell you whether a trial makes sense now, later, or not at all.

Search the national registry

Every trial in India must be listed on the Clinical Trials Registry of India (CTRI), a public website run under the ICMR. Search for colorectal cancer and note which trials are recruiting, where, and the contact named for each.

The screening visit

The trial team checks your reports, scans and blood tests against its entry rules. Many people are found not to qualify at this stage, which says nothing about how well they will do on standard treatment.

Consent, in your own language

You receive a written information sheet and consent form, which you can ask for in Telugu. Take it home, read it with family and ask every question before you sign. Only then does treatment on the trial begin.

In the trial papers

The words you will meet, in plain language

Phase one, two and three
Phase one finds a safe dose in a small group. Phase two checks whether the drug works on one cancer. Phase three compares it with standard treatment in many people.
Randomised
A computer decides which group you join. Neither you nor your doctor chooses, which keeps the comparison fair.
Placebo
A dummy medicine with no active drug. In cancer trials it is normally added on top of standard treatment, not given instead of it.
Eligibility criteria
The entry rules on stage, markers, blood counts, organ function and past treatment. They protect you as much as the study.
Ethics committee
An independent group of doctors, lawyers and lay members who must approve a trial before it starts and keep watching it while it runs.
Sponsor
The company or institution that pays for and organises the trial, usually supplying the trial medicine itself.

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Commonly believed

Are trial patients treated like guinea pigs?

"People in trials are just guinea pigs."

Indian rules require ethics committee approval, regulator permission for new drugs, informed consent and medical care with compensation if the trial causes harm. Trial patients are often watched more closely than anyone else in the clinic.

"In a trial you might get no treatment at all."

In cancer trials, a dummy pill is very rarely given in place of treatment known to work. Most trials compare a new option with the current standard, so everyone receives proper treatment.

"Trials are only for people who have run out of options."

Many are, but some are designed for people just after surgery or starting first treatment. Asking early widens the choice, because some trials only accept people who have not yet had a particular drug.

"A new drug in a trial must be better than the old one."

Nobody knows that yet, which is why the trial exists. Some new drugs turn out better, some the same, and some worse or more toxic. Join for the right reasons, with honest expectations.

Being straight with you

What this page cannot tell you

It cannot tell you which trials are open today. Trials open and close every month, and any list printed here would be out of date by the time you read it. The registry and your oncologist are the only reliable sources.

Who this does not apply to

Most people with colon cancer that has not spread are treated with well-tested surgery and chemotherapy, and do not need a trial to receive good care. Rectal cancer trials are separate, because the treatment path differs; start from the rectal cancer pages instead. People who are very unwell are usually not eligible, which protects them from extra hospital visits.

Where CION fits

CION's medical oncologists can look at a trial you have found, check whether you are likely to meet its entry rules and talk the consent form through with you. Treatment on the trial happens at the hospital running it. If you would rather stay on standard treatment, that is a sound choice too.

Never pay anyone to get you into a trial. A genuine trial does not charge a joining fee.

Questions we are asked

Common questions about colon cancer trials

Can CION help me find a trial?

CION's oncologists can review a trial you have found, or look for ones that might match your stage and test results, and talk you through the consent document. The trial itself is run by the hospital or research centre named on the registry, and treatment happens there.

Do I have to pay to be in a trial?

The sponsor usually supplies the trial medicine and pays for tests the trial requires. Standard treatment given alongside, travel and stays may still cost you. Ask for a written list of what is covered before you sign, and keep a copy.

Can I leave a trial once I have joined?

Yes, at any time, and you do not have to give a reason. Leaving does not cost you your right to standard treatment. Tell the trial team first, because they will want to arrange your follow-up and stop the trial medicine safely.

How do I know a trial is genuine?

A genuine Indian trial is registered on CTRI, has ethics committee approval and gives you a written consent document with a named doctor and contact details. Be wary of anyone who asks for money to join or promises that the new drug will work.

Am I too old or too unwell for a trial?

Each trial sets rules on blood counts, kidney and liver function and how active you are day to day. Some older people qualify easily, while some younger people do not. Only a screening visit with the trial team can answer it for you.

Are there immunotherapy trials for colon cancer?

Some trials test immunotherapy, often in cancers that are not MSI-high, where standard immunotherapy rarely helps. For MSI-high cancer, immunotherapy is already an established option outside trials, so ask your oncologist about that first.

Is it worth travelling to another city for a trial?

Sometimes, especially if the trial tests a drug matched to a gene change your tumour carries. Count the visits, the length of the study and who will look after you between visits before deciding. Your oncologist can help you weigh it up honestly.

What should I bring when asking about trials?

Biopsy and surgery reports, the latest scans with their reports, MMR or MSI, RAS and BRAF results, and a list of every treatment you have had with dates. Trial teams decide eligibility from these papers, so a complete file saves a great deal of time.

Your Specialists

Meet CION's colon cancer specialists. Bring your colonoscopy, scan or biopsy report.

Our surgical and medical oncologists plan colon cancer care together: which operation, whether chemotherapy is needed, and the follow-up that comes after.

Dr. Naresh Gundu
Medical Oncologist

Dr. Naresh Gundu

MBBS, DNB (Internal Medicine), DM (Medical Oncology)

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Dr. C. Raghavendra Reddy
Medical Oncologist

Dr. C. Raghavendra Reddy

MBBS(Gold Medal), DNB(General Medicine), DM(Medical Oncology)(Gold Medal)

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Dr. Bharati Devi Gorantla
Medical Oncologist

Dr. Bharati Devi Gorantla

MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)

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Dr. Owais Mohammed
Medical Oncologist

Dr. Owais Mohammed

MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)

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Dr. T. Raghavender Reddy
Medical Oncologist

Dr. T. Raghavender Reddy

MBBS, DM (Medical Oncology), MD (Radiation Oncology)

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Dr. N. Kiranmayee
Medical Oncologist

Dr. N. Kiranmayee

MBBS, DM (Medical Oncology), MD (Internal Medicine)

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Dr. Muralidhar Muddusetty
Surgical Oncologist

Dr. Muralidhar Muddusetty

MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)

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Dr. Mohammed  Imaduddin
Surgical Oncologist

Dr. Mohammed Imaduddin

M.B.B.S, MS (General Surgery), M.Ch (Surgical Oncology)

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Sources

  1. National Cancer Institute — Colon Cancer Treatment
  2. American Cancer Society — Colorectal Cancer Treatment
  3. ESMO — Colorectal Cancer: A Guide for Patients
  4. Cancer Research UK — Treatment for bowel (colorectal) cancer

This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.

Talk to us

Found a trial and not sure it suits you?

Send us the trial details with your reports, and an oncologist will tell you honestly whether you are likely to qualify and what to ask. One helpline serves every CION centre.

Call 1800 202 8726

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Where to find us

Our centres in and around Hyderabad

Addressed by landmark, because that is how this city navigates. One helpline books a consultation at any of these centres, and your team will tell you where each test and operation takes place.

CION Ameerpet

Beside Blue Fox Hotel, Satyam Theatre Road

Begumpet SR Nagar Punjagutta
CION Kukatpally

Opposite Big Bazaar, Mumbai Highway

KPHB JNTU Bharat Nagar
CION L.B. Nagar

Anu Arcade, next to L.B. Nagar Metro station

Vanasthalipuram Nagole Hayathnagar
CION Tolichowki

Inside Premier Hospital, Khader Bagh Road

Mehdipatnam Attapur Rethibowli
CION Masab Tank

Mahavir Hospital, AC Guards, Lakdikapul

Lakdikapul Khairatabad Basheer Bagh
CION Banjara Hills

Road No. 12

Jubilee Hills Madhapur Film Nagar
CION Kompally

Suchitra Circle, NH-44

Suchitra Circle Alwal Dundigal
CION Balanagar

Balanagar Main Road

Balanagar Fatehnagar Moosapet
CION Siddipet

Lohith Sai Hospital, Shivaji Nagar

Gajwel Husnabad Dubbaka
CION Sangareddy

X Roads, Pothreddipalle

Narayankhed Zaheerabad Patancheru
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Colon Cancer Topics

Browse CION’s colon cancer guide — symptoms and screening, tests and staging, treatment decisions, diet and daily life, cost and care in Hyderabad. Tap any topic to read more.

Symptoms and early signs

Colon cancer symptoms: the complete list, and what usually causes them Early signs of colon cancer, and what usually explains them Do I have colon cancer? How to think about your symptoms Blood in stool: what it usually means, and when to get it checked Bright red or dark blood in the stool: what the colour tells you Is blood in the stool always piles? Piles vs colon cancer: how doctors tell them apart Fissure, fistula or something else: the benign causes of bleeding Blood only on the toilet paper: what it usually means Blood mixed into the stool: what it usually means and what to do Black, tarry stools: what melena means and when to act Mucus in stool: what it usually means and when it matters Change in bowel habit: when is it a warning sign? New constipation in an adult: what causes it and when to worry Diarrhoea that will not settle: could it be colon cancer? Alternating constipation and diarrhoea: what it usually means Narrow or pencil-thin stools: what they usually mean Feeling you have not emptied fully: is it tenesmus, and is it serious? Abdominal pain and colon cancer: where is it felt, and when does it matter? Bloating and gas: when they point to the colon A lump you can feel in the abdomen: what it usually is Unexplained weight loss: when is colon cancer the reason? Tiredness and iron-deficiency anaemia: could the colon be the cause? Why low haemoglobin in a man needs investigating Nausea, vomiting and bowel obstruction: what the symptoms mean When bowel symptoms are an emergency, and when they can wait How long should you wait before seeing a doctor about bowel symptoms? Which doctor should you see for bowel symptoms? What will the doctor ask and examine for a bowel symptom? Does a normal examination rule out colon cancer? Colon cancer symptoms in young adults, and why they get missed Colon cancer symptoms with no bleeding at all Can colon cancer be silent, with no symptoms at all? Symptoms that can suggest colon cancer has spread A bowel symptom diary to take to your appointment

Causes and risk factors

What causes colon cancer, and why there is rarely one answer Colon cancer risk factors you can change, and what each one is worth Colon cancer risk factors you cannot change, and what to do about them Red meat and colon cancer: how much does it really raise the risk? Does processed meat raise your risk of colon cancer? Does a low-fibre diet cause colon cancer? Alcohol and colon cancer: how much does drinking raise the risk? Smoking and colon cancer: how the risk works and what stopping changes Obesity, belly fat and colon cancer: what the link really means Does sitting all day and not exercising raise colon cancer risk? Does type 2 diabetes raise your risk of colon cancer? Inflammatory bowel disease and colon cancer risk: what it really means Colonoscopy surveillance in long-standing colitis: how often, and why Previous polyps: what they mean for your future colon cancer risk A previous cancer and your risk of a second colon cancer Age and colon cancer: how your risk changes over a lifetime Is colon cancer hereditary, and what does it mean for your family? Family history of colon cancer: what it means for your risk Gut bacteria and colon cancer: what is known and what is not Does antibiotic use raise the risk of colon cancer? Radiation to the abdomen and the risk of bowel cancer later Does the Indian diet raise or lower colorectal cancer risk? Does spicy food cause colon cancer? Does constipation cause colon cancer, or is it a warning sign? Can piles turn into colon cancer, or raise your risk? Reducing your own colon cancer risk: what actually works Does aspirin prevent colon cancer, and should you take it? Do calcium and vitamin D really prevent colon cancer?

Screening

Colon cancer screening: who needs it, when, and how it is done Why screening works for colon cancer, and who it is for At what age should colon cancer screening start? Should colon cancer screening start at 45 or 50? Colon cancer screening tests compared: which one should you choose? FIT test explained: what the home stool test can and cannot tell you How to do a FIT stool test at home, step by step A positive FIT result: what happens next A negative FIT result: what it does not rule out FOBT vs FIT: how the two stool blood tests differ, and which to choose Stool DNA testing: what it finds and whether it suits you in India Screening colonoscopy: what happens, step by step How often should you have a screening colonoscopy? Sigmoidoscopy as a screening test: what it checks and what it misses CT colonography: what a virtual colonoscopy can and cannot do Colon capsule endoscopy: the camera pill, explained Can a blood test screen for colon cancer? Is a CEA blood test a screening test for colon cancer? Average-risk vs high-risk colon cancer screening: which pathway are you on? Screening when a parent or sibling had colon cancer: when to start Screening in Lynch syndrome and polyposis families Colon cancer screening with inflammatory bowel disease When should colon cancer screening stop? What does colon cancer screening cost in Hyderabad? Is colon cancer screening covered by insurance or Aarogyasri? Why so few Indians get screened for colon cancer Overcoming embarrassment about bowel screening and colonoscopy Colon cancer screening for women and men: what is different? Health check packages: do they include bowel screening? How to convince a parent to get screened for colon cancer

Treatment by stage

Colon cancer treatment options, explained stage by stage How your colon cancer treatment plan is decided Treatment for stage 1 colon cancer: what to expect Treatment for stage 2 colon cancer: surgery first, then a careful decision Treatment for stage 3 colon cancer: surgery, then chemotherapy Treatment for stage 4 colon cancer: how the plan is decided The tumour board: who decides your colon cancer treatment? Does surgery always come first for colon cancer? When is chemotherapy given before colon cancer surgery? Do you need chemotherapy after colon cancer surgery? The stage 2 dilemma: do you need chemotherapy after surgery? Three months or six months of chemotherapy after colon cancer surgery? How soon after colon cancer surgery should chemotherapy start? ctDNA testing after colon cancer surgery: can a blood test guide chemotherapy? Which chemotherapy regimen for which situation in colon cancer? When is targeted therapy added for colon cancer? Why does tumour side change the drug choice in colon cancer? When is immunotherapy an option for colon cancer? Is radiation ever used for colon cancer? Treatment when you are not fit for colon cancer surgery Colon cancer treatment in elderly patients: why age alone does not decide Colon cancer treatment alongside diabetes, heart or kidney disease Refusing or delaying colon cancer treatment: what happens How quickly does colon cancer treatment need to start? Clinical trials for colon cancer in India: how they work and how to find one Getting a second opinion on your colon cancer treatment plan Questions to ask before starting colon cancer treatment

Metastatic and advanced disease

Metastatic colon cancer: what it means and what can still be done Colon cancer that has spread to the liver: what it means When colon cancer in the liver is curable by surgery Who is eligible for liver surgery when colon cancer has spread? Conversion chemotherapy: shrinking liver spread so surgery becomes possible Ablation for colon cancer that has spread to the liver Colon cancer that has spread to the lungs: what it means and what can be done Peritoneal spread in colon cancer: what it means Colon cancer that has spread to the bones: what it means and what is done Colon cancer that has spread to the brain In what order is stage 4 colon cancer treated? First-line, second-line and third-line treatment for colon cancer When colon cancer treatment stops working: what comes next Maintenance treatment and chemotherapy breaks in stage 4 colon cancer Chemotherapy rechallenge in colon cancer: going back to a drug that worked Managing bowel obstruction in advanced colon cancer: the options and how to choose Fluid in the abdomen with colon cancer: what ascites means Liver failure and jaundice in advanced colon cancer How pain is controlled in advanced colon cancer Living well with stage 4 colon cancer: what it looks like day to day Deciding when to stop active treatment for colon cancer Palliative care alongside colon cancer treatment: what it is and when to ask Advance care planning in colon cancer: putting your wishes on record End of life with colon cancer: what to expect and how to help
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