ClinicalTrials.gg
Active, not recruitingNCT07912723SERSUpdated Nov 3, 2026

SERS-Based Diagnosis of Leptomeningeal Metastasis in EGFR-Mutant NSCLC

An observational study in Lung Adenocarcinoma EGFR-mutated and Leptomeningeal Metastasis From Lung Cancer, sponsored by limeifang. Active, not recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by limeifang · Observational

Updated Nov 3, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
74
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 88 studies in Adenocarcinoma of Lung with a site in China — 38 open to participants now, 41 under way, 9 of them phase 3. Adenocarcinoma of Lung · China.

Planned enrollment
30th of 31
74 · median 500
Started
2026
with 5 others
Observational
31 of 88
15 open now
Primary completion
2027-06
later than 24 of 40 live
Registered
85th of 88
by date

Among the 88 studies in Adenocarcinoma of Lung with a site in China, this one is the 30th largest by planned enrollment of the 31 observational ones, is one of 6 that started in 2026, is one of 31 observational ones, reaches primary completion later than 24 of the 40 other live ones, and was the 85th registered.

By phase

88 studies; the count open now beside each. This study's row is marked.

Observationalthis study31 · 15 open
Phase 225 · 6 open
No phase11 · 4 open
Phase 310 · 7 open
Phase 16 · 4 open
Phase 1/23 · 1 open
Phase 2/31 · 1 open
Phase 41 · 0 open

By the year they started

First in 2009; this study’s year is marked. 6 started in 2026.

Size and results

Median enrollment 69 across the 57 interventional studies, 500 across the 31 observational. Of the 26 that completed or were terminated, 4 (15%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 88 studies in Adenocarcinoma of Lung with a site in China, or all of them as a file.
02

Study summary

This prospective, multicenter study aims to address the low sensitivity of cerebrospinal fluid (CSF) cytology (60-70%) in diagnosing leptomeningeal metastasis (LM) in patients with EGFR-mutant lung cancer. We will establish a diagnostic methodology and develop a predictive model using surface-enhanced Raman spectroscopy (SERS) technology to improve diagnostic accuracy and guide subsequent clinical management.

03

Conditions studied

  • Lung Adenocarcinoma EGFR-mutated
  • Leptomeningeal Metastasis From Lung Cancer
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Study participants will be recruited from outpatient clinics and inpatient wards across three tertiary hospitals. The target population comprises patients with advanced non-small cell lung cancer (NSCLC) who have been histologically or cytologically confirmed to harbor EGFR-sensitive mutations, and who have leptomeningeal metastasis verified by cerebrospinal fluid (CSF) cytology. Both treatment-naïve patients and those who have undergone prior systemic anti-tumor therapy are eligible. All participants must be aged 18 years or older, have comprehensive clinical records accessible, and voluntarily sign the informed consent form.

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

Age ≥ 18 years; confirmed NSCLC; EGFR-sensitive mutations (19del, L858R, or uncommon mutations); Positive CSF cytology for malignant cells; No prior treatment or prior systemic therapy allowed; Complete medical records available (demographics, pathology, molecular pathology, imaging); Signed and willingness to complete the study.

Exclusion criteria

Exclusion Criteria:

confirmed mixed histology containing small cell lung cancer (SCLC) components; Presence of other primary other than lung cancer; Molecular pathology indicating concurrent other driver mutations, including ALK, ROS1, or other oncogenic alterations; Co-existing neurological diseases unrelated to the tumor; Severe cardiac or pulmonary dysfunction; Pregnancy or lactation.

Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
74 participants (estimated)
Patient registry
No

Interventions

  • Diagnostic testSurface-Enhanced Raman Spectroscopy (SERS) Detection

    In this study, cerebrospinal fluid (CSF) samples are analyzed using surface-enhanced Raman spectroscopy (SERS). SERS is a highly sensitive spectroscopic technique based on nanostructured metallic substrates, capable of capturing characteristic "molecular fingerprint" signals from trace amounts of metabolites, proteins, nucleic acids, and other biomolecules released by tumor cells into the CSF.Detection procedure: CSF specimens are collected from participants via lumbar puncture. After centrifugation, the supernatant is deposited onto a SERS-active substrate, and Raman scattering spectra are acquired under laser excitation. The acquired spectral data undergo preprocessing steps including baseline correction, smoothing, and noise reduction, followed by extraction of characteristic peak information.

06

What researchers measure

Primary outcomes

  1. SERS signal characteristics and the formation of fingerprint spectra

    Time frame: Baseline

07

Study locations

1 site
  • the 900th Hospital of the Joint Logistics Support Force; Fujian Cancer Hospital; Fujian Provincial People's Hospital
    Fuzhou, Fujian 350000, China
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2026 (actual). Primary completion is estimated for Jun 2027, 17 months after the start.

Of 36 observational studies under Adenocarcinoma of Lung, half reached primary completion within 65 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 65. This study's planned 17 months is below that.

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

Registered
Sep 14, 2026
First posted
Nov 3, 2026
StartActual
Jan 24, 2026
Primary completionEst.
Jun 30, 2027
CompletionEst.
Jun 30, 2027
Last update
Nov 3, 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.
Registered
First appeared on the registry. No changes since
Nov 3, 2026
Show all 1 update
  1. Nov 3, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07912723
Lead sponsor
limeifang
Responsible party
limeifang (Associate Chief Physician, Fujian Cancer Hospital) — Sponsor-investigator
First posted
Nov 3, 2026
Start date
Jan 24, 2026
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Nov 3, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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