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CompletedNCT07327164Updated Jan 9, 2026

Precision Medicine for Neurocutaneous Syndromes in Western China

An observational study in Neurocutaneous Syndromes, Neurofibromatosis Type 1 (NF1) and Tuberous Sclerosis Complex (TSC), sponsored by West China Hospital. Completed at 1 site in China. Open to participants aged Up to 65 Years. Per ClinicalTrials.gov, last updated 2026-01-09.

Sponsored by West China Hospital · Observational

Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
1,200
Ages
Up to 65 Years
Sex
All
01

Study summary

The goal of this observational study (retrospective multicenter cohort study) is to learn if precision medicine approaches-including genetic testing, targeted drugs, and coordinated care from multiple specialists-can improve health outcomes and lower medical costs for people with neurocutaneous syndromes (NCS) in Western China, where healthcare resources are limited. NCS includes four main conditions: neurofibromatosis type 1 (NF1), tuberous sclerosis complex (TSC), Sturge-Weber syndrome (SWS), and von Hippel-Lindau disease (VHL). The main questions it aims to answer are:

  • Do genetic testing and targeted drugs help people with NCS live longer without disease getting worse?
  • Do these approaches better control seizures (for TSC and SWS) and shrink tumors (for NF1 and VHL)?
  • Do they reduce the total cost of medical care?

Researchers will compare two groups to see the effects: participants who received precision medicine (genetic testing + targeted drugs + multidisciplinary care) versus those who received standard, uncoordinated care.

Participants will:

  • Undergo genetic testing to identify specific gene changes linked to their NCS
  • Receive targeted drugs (e.g., mTOR inhibitors for TSC, MEK inhibitors for NF1) if eligible
  • Attend regular checkups, imaging scans (like MRI), and follow-up visits for an average of 11.4 years
  • For those in the multidisciplinary care group, receive coordinated care from neurologists, geneticists, surgeons, and other specialists (with remote telemedicine visits for those living far from hospitals)
02

Conditions studied

  • Neurocutaneous Syndromes
  • Neurofibromatosis Type 1 (NF1)
  • Tuberous Sclerosis Complex (TSC)
  • Sturge-Weber Syndrome (SWS)
  • Von Hippel-Lindau Disease

Keywords

  • Precision Medicine
  • Targeted Therapy
  • Western China
  • cost-effectiveness
03

In context

Neurofibromatosis 1

176 studies on the registry are indexed under Neurofibromatosis 1; 43 are open to participants now.

This study's enrollment of 1,200 is above the median of 188 across 58 observational studies indexed under Neurofibromatosis 1.

Browse Neurofibromatosis 1 studies →

Lead sponsor

West China Hospital is the lead sponsor of 501 studies on the registry; 246 are open to participants now.

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

04

Who can participate

Ages eligible
Up to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study included 1200 patients with neurocutaneous syndromes (NF1, TSC, SWS, or VHL) from three tertiary hospitals in Western China, recruited between 2015 and 2023. Participants were aged 0-65 years (median age at diagnosis: 8.2 years), with 69.3% under 18 years old and a slight male predominance (53.6%). All had confirmed diagnoses and at least 12 months of follow-up.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

* Confirmed diagnosis of one of the following neurocutaneous syndromes: Neurofibromatosis Type 1 (NF1) Tuberous Sclerosis Complex (TSC) Sturge-Weber Syndrome (SWS) Von Hippel-Lindau Disease (VHL) (Diagnosis established by established clinical criteria [e.g., NIH criteria for NF1, International TSC Consensus Criteria] or confirmed pathogenic genetic variant)

  • Age between 0 and 65 years at the time of initial evaluation.
  • Follow-up duration of at least 12 months at one of the participating tertiary medical centers in Western China:

West China Hospital, Sichuan University (Chengdu) Xinqiao Hospital, Army Medical University (Chongqing) The First Affiliated Hospital of Xi'an Jiaotong University (Xi'an)

*Availability of complete baseline clinical data, including: Demographic information Diagnostic workup Initial symptom profile Treatment history (if any)

Exclusion criteria

Exclusion Criteria:

  • Incomplete medical records- Key clinical, imaging, or genetic data missing, preventing reliable diagnosis or outcome assessment.
  • Follow-up duration less than 12 months- Patients lost to follow-up or with insufficient longitudinal data to evaluate clinical outcomes.
  • Diagnostic uncertainty- Cases that did not meet established clinical or genetic diagnostic criteria for NF1, TSC, SWS, or VHL (e.g., atypical presentations without molecular confirmation).
  • Age > 65 years at initial evaluation- Although rare in neurocutaneous syndromes, patients older than 65 were excluded to maintain cohort relevance to typical disease onset and progression patterns.
  • Participation in another interventional trial during the study period (if applicable)
05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
1,200 participants (actual)
Patient registry
No

Groups and cohorts

  • Multidisciplinary Care Group

    patients referred to or enrolled in a structured telemedicine-supported multidisciplinary clinic, which included scheduled virtual visits via WeChat Video or DingTalk with neurologists, genetic counselors, and specialty nurses. Real-time interpretation was available for ethnic minority patients.

  • Standard In-Person Care (SIC) Group

    Patients managed through conventional outpatient visits without structured telemedicine support.

06

What researchers measure

Primary outcomes

  1. Progression-free survival (PFS)

    Proportion of patients from diagnosis to disease progression, malignant transformation, or death

    Time frame: 12 months

  2. Seizure control

    Engel class I/II refers to the \*\*Engel Epilepsy Surgery Outcome Scale\*\*, a widely used classification system for assessing seizure control after epilepsy surgery. It categorizes patients into four classes based on postoperative seizure frequency: 1. \*\*Engel Class I\*\*: \*\*Seizure-free\*\* or \*\*auras only\*\* (no disabling seizures). 2. \*\*Engel Class II\*\*: \*\*Rare disabling seizures\*\* (≤3 seizure days per year). Higher Engel class (I \> II \> III \> IV) indicates better seizure control.

    Time frame: 12 months

  3. Tumor response

    volumetric tumor reduction measured with preoperative tumor volume

    Time frame: 12 months

  4. Quality of life: SF-36 Score

    SF-36 (Short-Form 36) is a 36-item patient-reported survey that measures generic health-related quality of life across eight domains and two summary components. Each domain is scored 0-100, where 0 = maximum disability and 100 = no disability; therefore, \*\*higher values always indicate better health\*\*. Domain structure and score range 1. \*\*Physical functioning (PF)\*\* - 0-100 2. \*\*Role-physical (RP)\*\* - 0-100 3. \*\*Bodily pain (BP)\*\* - 0-100 (higher = less pain) 4. \*\*General health (GH)\*\* - 0-100 5. \*\*Vitality (VT)\*\* - 0-100 6. \*\*Social functioning (SF)\*\* - 0-100 7. \*\*Role-emotional (RE)\*\* - 0-100 8. \*\*Mental health (MH)\*\* - 0-100

    Time frame: 12 months

Secondary outcomes

  1. Overall survival Rate

    the overall survivial rate in the whole cohort

    Time frame: 12 months

  2. treatment costs

    the amount of money(Chinese Yuan, ¥) in volved in the medical costs and transportation costs

    Time frame: 12 Months

07

Study locations

1 site
  • West China Hospital of Sichuan University
    Chengdu, Sichuan, China
08

References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2000 to primary completion in Dec 2020, 251 months.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 24, 2025
First posted
Jan 8, 2026
StartActual
Jan 1, 2000
Primary completionActual
Dec 1, 2020
CompletionActual
Apr 1, 2025
Last update
Jan 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07327164
Collaborators
First Affiliated Hospital Xi'an Jiaotong University, Xinqiao Hospital, Amry Medical University
Responsible party
Zhigang Lan (Professor, West China Hospital) — Principal investigator
First posted
Jan 8, 2026
Start date
Jan 1, 2000
Primary completion
Dec 1, 2020
Completion
Apr 1, 2025
Last update
Jan 9, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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