This multicenter prospective interventional study will evaluate stool and saliva microRNA expression and microbiome composition in patients with histologically confirmed colon or rectal cancer during key phases of the diagnostic and therapeutic pathway. The study aims to confirm and refine molecular signatures associated with colorectal cancer, assess the diagnostic and prognostic potential of salivary biomarkers, and characterize dynamic molecular changes during treatment and follow-up
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Diagnostic accuracy of fecal microbiome and fecal microRNA molecular signatures
Timeframe: At diagnosis/baseline, before surgery or at least 30 days after bowel preparation for colonoscopy
Diagnostic and prognostic performance of salivary microbiome and microRNA molecular signatures
Timeframe: From baseline sample collection through follow-up, up to 2 years
Longitudinal change in stool and saliva microbiome and microRNA profiles
Timeframe: From diagnosis/baseline through recurrence or up to 2 years after enrollment
Integrated colorectal cancer microbiome/microRNA atlas dataset
Timeframe: From enrollment through study completion, up to 4 years