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RecruitingNCT07026669Updated Jun 18, 2025

A Multi-omics Sequencing-based Model for Predicting Efficacy and Dynamic Monitoring of Treatment in Small Cell Lung Cancer

An observational study in Small Cell Lung Cancer, sponsored by Cancer Institute and Hospital, Chinese Academy of Medical Sciences. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-18.

Sponsored by Cancer Institute and Hospital, Chinese Academy of Medical Sciences · Observational

From the registry’s dates

  • Started Jan 2025; still recruiting 1 year 9 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
40
Ages
18 Years and older
Sex
All
01

Study summary

Lung cancer is one of the malignant tumors with the highest incidence and mortality rates globally, with small cell lung cancer (SCLC) accounting for approximately 15%. SCLC is characterized by high malignancy, propensity for metastasis and drug resistance, and a 5-year survival rate below 7%. Despite partial progress in chemotherapy and immunotherapy, SCLC patients generally have extremely poor prognosis, and there is a lack of precise therapeutic efficacy prediction and dynamic monitoring approaches. Existing biomarkers (such as TP53/RB1 mutations) are inadequate for clinical needs due to high heterogeneity and insufficient dynamic characteristics. The rapid development of multi-omics technologies provides new opportunities for analyzing SCLC molecular features; however, previous studies have predominantly focused on single omics approaches with insufficient systematic integration, limiting clinical translation. This study aims to systematically integrate multiple omics technologies to construct predictive and dynamic monitoring models for SCLC therapeutic efficacy, providing new methods and evidence for SCLC clinical treatment and dynamic monitoring.

Read the detailed description

Study Objectives To comprehensively analyze the molecular characteristics of small cell lung cancer (SCLC) through multi-omics technologies based on peripheral blood and paraffin-embedded samples, and establish and validate multi-omics data-based models for therapeutic efficacy prediction and dynamic monitoring.

Primary Objectives

  1. To collect blood and paraffin-embedded samples from SCLC patients before treatment and analyze multi-omics sequencing characteristics of these patients.
  2. To establish and validate SCLC therapeutic efficacy prediction and dynamic monitoring models based on multi-omics detection, constructing SCLC scoring models and molecular subtypes.

Secondary Objectives To investigate the sensitivity and specificity of SCLC therapeutic efficacy prediction and dynamic monitoring models in patients with different stages of SCLC.

Exploratory Objectives To analyze potential biomarkers and therapeutic targets in SCLC based on multi-omics data, and conduct in-depth analysis of dynamic changes in peripheral blood multi-omics data during SCLC treatment efficacy processes.

Study Design This is a prospective, single-center study aimed at establishing SCLC therapeutic efficacy prediction and dynamic monitoring models based on multi-omics detection of peripheral blood and paraffin-embedded samples.

Sample Collection Time Points

  1. Collection of 20ml peripheral blood (EDTA tubes×2) and 20 unstained paraffin tissue sections before first-line first cycle treatment;
  2. Collection of 20ml peripheral blood (EDTA tubes×2) before third cycle treatment;
  3. Collection of 20ml peripheral blood (EDTA tubes×2) at disease progression. Sample Size and Omics Detection This study plans to enroll 40 SCLC patients, collecting unstained paraffin tissue sections before treatment and dynamically collecting peripheral blood specimens.

Patient Information Collection

The study requires collection of patients' demographic information before blood collection, imaging data related to disease diagnosis, hospital laboratory biochemical test results, tumor marker test results, pathological diagnosis results or other information providing diagnostic evidence, and underlying disease information. Specific information collected includes:

Information to be collected for all patients includes but is not limited to:

General demographic data: age, gender, race, etc.; Vital signs: blood pressure, pulse, heart rate, etc.; Previous major disease history and corresponding medication history; Tumor history and corresponding treatment history; Family genetic history; Smoking and drinking history; Multi-omics detection results.

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Conditions studied

  • Small Cell Lung Cancer
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In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's planned enrollment of 40 is below the median of 189 across 1,514 observational studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Cancer Institute and Hospital, Chinese Academy of Medical Sciences is the lead sponsor of 373 studies on the registry; 270 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

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

Inclusion criteria

  • Patients meeting the following criteria may have samples collected:

    1. Voluntary signing of informed consent;
    2. Age ≥18 years;
    3. Expected survival time ≥3 months;
    4. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1;
    5. Treatment-naïve limited-stage or extensive-stage SCLC confirmed by histology or cytology;
    6. Agreement to provide blood samples and paraffin-embedded samples;
    7. Measurable target lesions for efficacy evaluation.

Exclusion criteria

Exclusion Criteria:

  • Patients with any of the following conditions will be excluded from sample collection:

    1. Archived tumor tissue or pre-treatment tumor biopsy or histological examination showing previous histological or cytological evidence of non-small cell or small cell/non-small cell mixed components;
    2. Investigator-determined unsuitability for peripheral blood collection due to complications or other conditions;
    3. Active, known, or suspected autoimmune disease (excluding vitiligo, type I diabetes, residual hypothyroidism caused by autoimmune thyroiditis requiring only hormone replacement therapy, or conditions not expected to recur without external stimulation);
    4. Active tuberculosis (TB) infection based on chest X-ray, sputum examination, and clinical examination. Patients with active pulmonary TB infection history within the previous year should be excluded even if treated. Patients with active pulmonary TB infection history more than one year ago should also be excluded unless previous anti-TB treatment can be proven adequately effective;
    5. Comorbidities requiring immunosuppressive drug treatment, or requiring systemic or local corticosteroid use at immunosuppressive doses;
    6. Pregnancy or lactation;
    7. Positive 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 > lower limit of detection at study center);
    8. History of severe neurological or psychiatric disorders, including but not limited to: dementia, depression, seizures, bipolar disorder, etc.;
    9. Use of any anti-tumor drugs before blood sample collection;
    10. Previous history of other malignant tumors (excluding non-melanoma skin cancer and the following carcinoma in situ: bladder, gastric, colon, endometrial, cervical/dysplasia, melanoma, or breast cancer);
    11. Patients receiving live vaccines within 28 days before blood sample collection.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
40 participants (estimated)
Target follow-up
3 Years
Patient registry
Yes

Groups and cohorts

  • Limited-stage/Extensive-stage small cell lung cancer

    Small cell lung cancer with lymph node metastasis/distant metastasis

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What researchers measure

Primary outcomes

  1. SCLC scoring models and molecular subtypes

    To establish and validate SCLC therapeutic efficacy prediction and dynamic monitoring models based on multi-omics detection, and construct SCLC scoring models and molecular subtypes.

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

Secondary outcomes

  1. Sensitivity and specificity of SCLC therapeutic efficacy prediction and dynamic monitoring models

    To investigate the sensitivity and specificity of SCLC therapeutic efficacy prediction and dynamic monitoring models in patients with different stages of SCLC.

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

  2. Dynamic changes in peripheral blood multi-omics data during SCLC treatment efficacy processes

    To analyze potential biomarkers and therapeutic targets in SCLC based on multi-omics data, and conduct an in-depth analysis of dynamic changes in peripheral blood multi-omics data during SCLC treatment efficacy processes.

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

07

Study locations

1 of 1 sites recruiting
  • National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
    Beijing, Beijing 100021, China
    Recruiting
08

References and documents

Publications

  • Rosner S, Levy B. Relapsed small-cell lung cancer: a disease of continued unmet need. Lancet Respir Med. 2023 Jan;11(1):6-8. doi: 10.1016/S2213-2600(22)00389-7. Epub 2022 Oct 14. No abstract available. PubMed 36252600 ↗
  • Wang Z, Liu C, Zheng S, Yao Y, Wang S, Wang X, Yin E, Zeng Q, Zhang C, Zhang G, Tang W, Zheng B, Xue L, Wang Z, Feng X, Wang Y, Ying J, Xue Q, Sun N, He J. Molecular subtypes of neuroendocrine carcinomas: A cross-tissue classification framework based on five transcriptional regulators. Cancer Cell. 2024 Jun 10;42(6):1106-1125.e8. doi: 10.1016/j.ccell.2024.05.002. Epub 2024 May 23. PubMed 38788718 ↗
  • Heeke S, Gay CM, Estecio MR, Tran H, Morris BB, Zhang B, Tang X, Raso MG, Rocha P, Lai S, Arriola E, Hofman P, Hofman V, Kopparapu P, Lovly CM, Concannon K, De Sousa LG, Lewis WE, Kondo K, Hu X, Tanimoto A, Vokes NI, Nilsson MB, Stewart A, Jansen M, Horvath I, Gaga M, Panagoulias V, Raviv Y, Frumkin D, Wasserstrom A, Shuali A, Schnabel CA, Xi Y, Diao L, Wang Q, Zhang J, Van Loo P, Wang J, Wistuba II, Byers LA, Heymach JV. Tumor- and circulating-free DNA methylation identifies clinically relevant small cell lung cancer subtypes. Cancer Cell. 2024 Feb 12;42(2):225-237.e5. doi: 10.1016/j.ccell.2024.01.001. Epub 2024 Jan 25. PubMed 38278149 ↗
  • Blackhall FH. Reframing recalcitrance for small-cell lung cancer. Ann Oncol. 2021 Jul;32(7):829-830. doi: 10.1016/j.annonc.2021.04.022. Epub 2021 May 3. No abstract available. PubMed 33957222 ↗
  • Dingemans AC, Fruh M, Ardizzoni A, Besse B, Faivre-Finn C, Hendriks LE, Lantuejoul S, Peters S, Reguart N, Rudin CM, De Ruysscher D, Van Schil PE, Vansteenkiste J, Reck M; ESMO Guidelines Committee. Electronic address: clinicalguidelines@esmo.org. Small-cell lung cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up☆. Ann Oncol. 2021 Jul;32(7):839-853. doi: 10.1016/j.annonc.2021.03.207. Epub 2021 Apr 20. No abstract available. PubMed 33864941 ↗
  • Chen H, Drapkin BJ, Minna JD. Proteomics: A new dimension to decode small cell lung cancer. Cell. 2024 Jan 4;187(1):14-16. doi: 10.1016/j.cell.2023.11.042. PubMed 38181738 ↗
  • Remon J, Aldea M, Besse B, Planchard D, Reck M, Giaccone G, Soria JC. Small cell lung cancer: a slightly less orphan disease after immunotherapy. Ann Oncol. 2021 Jun;32(6):698-709. doi: 10.1016/j.annonc.2021.02.025. Epub 2021 Mar 15. PubMed 33737119 ↗
  • Lu C, Wei XW, Wang Z, Zhou Z, Liu YT, Zheng D, He Y, Xie ZH, Li Y, Zhang Y, Zhang YC, Huang ZJ, Mei SQ, Liu JQ, Guan XH, Deng Y, Chen ZH, Tu HY, Xu CR, Chen HJ, Zhong WZ, Yang JJ, Zhang XC, Mok TSK, Wu YL, Zhou Q. Allelic Context of EGFR C797X-Mutant Lung Cancer Defines Four Subtypes With Heterogeneous Genomic Landscape and Distinct Clinical Outcomes. J Thorac Oncol. 2024 Apr;19(4):601-612. doi: 10.1016/j.jtho.2023.11.016. Epub 2023 Nov 20. PubMed 37981218 ↗
  • Claxton L, O'Connor J, Woolacott N, Wright K, Hodgson R. Ceritinib for Untreated Anaplastic Lymphoma Kinase-Positive Advanced Non-Small-Cell Lung Cancer: An Evidence Review Group Evaluation of a NICE Single Technology Appraisal. Pharmacoeconomics. 2019 May;37(5):645-654. doi: 10.1007/s40273-018-0720-8. PubMed 30298279 ↗
  • Cao W, Chen HD, Yu YW, Li N, Chen WQ. Changing profiles of cancer burden worldwide and in China: a secondary analysis of the global cancer statistics 2020. Chin Med J (Engl). 2021 Mar 17;134(7):783-791. doi: 10.1097/CM9.0000000000001474. PubMed 33734139 ↗
  • Gao S, Li N, Wang S, Zhang F, Wei W, Li N, Bi N, Wang Z, He J. Lung Cancer in People's Republic of China. J Thorac Oncol. 2020 Oct;15(10):1567-1576. doi: 10.1016/j.jtho.2020.04.028. No abstract available. PubMed 32981600 ↗
  • Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021 May;71(3):209-249. doi: 10.3322/caac.21660. Epub 2021 Feb 4. PubMed 33538338 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07026669
Lead sponsor
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Responsible party
Zhijie Wang (Professor, Cancer Institute and Hospital, Chinese Academy of Medical Sciences) — Principal investigator
First posted
Jun 18, 2025
Start date
Jan 1, 2025
Primary completion
Dec 1, 2027 (estimated)
Completion
Dec 1, 2027 (estimated)
Last update
Jun 18, 2025

Study contacts

Zhijie Wang, MD
Contact
jie_969@163.com
+8613466323860

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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