Multiple Omics Sequencing Technologies in Predicting the Efficacy and Monitoring the Recurrence of Non-Small Cell Lung Cancer

NCT07057102 | Recruiting DMC

• 1 other identifier: NCC5160
• Study Type: observational
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Lung cancer is one of the diseases with the highest global incidence and mortality. Studies have confirmed that liquid biopsy markers such as minimal residual disease (MRD) detection in solid tumors, circulating tumor DNA (ctDNA), and T-cell receptor (TCR) have roles in monitoring disease status, prognostic evaluation, recurrence prediction, and guiding treatment decisions in NSCLC patients. Peripheral blood dynamic monitoring indicators have broad application prospects and may completely transform the treatment paradigm for NSCLC patients in the future. However, current limitations exist, including the need to improve the sensitivity of detection methods, the lack of uniform criteria for defining MRD positivity, the undetermined timing and cycle of MRD testing, and insufficient results from large-scale prospective clinical trials. Therefore, the transition of peripheral blood-based dynamic testing to routine clinical practice still requires results from large-scale prospective clinical trials. This study intends to conduct a prospective clinical trial enrolling NSCLC patients with different stages and treatment modalities (immunotherapy combined with chemotherapy, targeted therapy combined with chemotherapy, neoadjuvant therapy, adjuvant therapy). Based on peripheral blood and tumor tissue samples, it will systematically integrate multi-omics approaches including ctDNA testing, whole exome sequencing (WES), genome-wide methylation sequencing (GM-seq), and TCR-seq to carry out comprehensive, precise, and dynamic biomarker detection for efficacy monitoring and recurrence prediction, providing new methods and evidence for the clinical application of dynamic liquid biopsy monitoring in lung cancer.

Conditions

Non Small Cell Lung Cancer

Keywords

Non-small cell lung cancer; ctDNA; MRD

Outcome Measures

Primary Outcomes (1)

• Liquid Biopsy Biomarkers

  Liquid biopsy biomarkers for efficacy monitoring, prognostic evaluation, and recurrence prediction

  From enrollment to the end of monitoring at 3 years or the occurrence of disease progression.

Secondary Outcomes (2)

• Comparison of MRD and Conventional Imaging

  From enrollment to the end of monitoring at 3 years or the occurrence of disease progression.

• The appropriate timing for minimal residual disease (MRD) testing

  From enrollment to the end of monitoring at 3 years or the occurrence of disease progression.

Study Arms (3)

Advanced/Metastatic

Advanced/Metastatic non-small cell lung cancer

Neoadjuvant Therapy

Non-small cell lung cancer patients undergoing neoadjuvant therapy

Adjuvant therapy

Non-small cell lung cancer patients undergoing adjuvant therapy after surgery

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

NSCLC patients From Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

You may qualify if:

• Voluntarily signed the informed consent;
• Aged 18 years or older;
• Expected life expectancy of ≥3 months;
• Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1 (see Appendix 1);
• Histologically or cytologically confirmed non-small cell lung cancer (NSCLC) patients;
• Classified as stage II, III, or IV according to the AJCC TNM staging system (9th edition);
• Willing to provide blood samples and pre-treatment paraffin-embedded tissue samples;
• With evaluable target lesions for efficacy assessment.

You may not qualify if:

• In the investigator's opinion, unsuitable for peripheral blood collection due to complications or other circumstances;
• Active, known, or suspected autoimmune diseases (except vitiligo, type 1 diabetes, residual hypothyroidism caused by autoimmune thyroiditis requiring only hormone replacement therapy, or conditions not expected to relapse without external stimulation);
• Active tuberculosis (TB) infection confirmed by chest X-ray, sputum examination, and clinical physical examination. Patients with a history of active TB infection within the past 1 year, even if treated, will be excluded. Patients with a history of active TB infection more than 1 year ago will also be excluded unless they can demonstrate that previous antitubercular treatment was fully effective;
• Comorbidities requiring treatment with immunosuppressive drugs, or comorbidities requiring systemic or local corticosteroids at immunosuppressive doses;
• Pregnant or lactating;
• Positive for human immunodeficiency virus antibody (HIVAb), active hepatitis B virus infection (HBsAg-positive and HBV-DNA \> 10³ copies/ml), or hepatitis C virus infection (HCV antibody-positive and HCV-RNA \> the lower limit of detection at the study center);
• History of severe neurological or psychiatric disorders, including but not limited to: dementia, depression, seizures, bipolar disorder, etc.;
• Use of any antitumor-active drugs prior to blood sample collection;
• Previous history of other malignancies (excluding non-melanoma skin cancer and the following in situ carcinomas: bladder, stomach, colon, endometrium, cervix/dysplasia, melanoma, or breast cancer);
• Administration of live vaccines within 28 days prior to blood sample collection.

Sponsors & Collaborators

• Cancer Institute and Hospital, Chinese Academy of Medical Sciences: lead

Study Sites (1)

National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

Beijing, Beijing Municipality, 100021, China

RECRUITING

Related Publications (13)

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MeSH Terms

Conditions

Carcinoma, Non-Small-Cell Lung

Condition Hierarchy (Ancestors)

Carcinoma, Bronchogenic; Bronchial Neoplasms; Lung Neoplasms; Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Respiratory Tract Diseases

Study Officials

• Zhijie Wang, MD

  National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

  STUDY DIRECTOR

Central Study Contacts

Zhijie Wang, MD

CONTACT

+8613466323860; jie_969@163.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 3 Years
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: June 28, 2025
• First Posted: July 9, 2025
• Study Start: January 1, 2025
• Primary Completion (Estimated): December 31, 2027
• Study Completion (Estimated): December 31, 2027
• Last Updated: July 9, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)