Clinical trial Recruiting at 3 sites Observational Ages 18 and up

TheraSure CNI-Monitor blood test for people with advanced NSCLC receiving immunotherapy

Official title: Validation of the TheraSure CNI-Monitor Under Immuno-checkpoint-therapy (Hereinafter: "Immunotherapy") in NSCLC in Palliative Therapy

Run by University Medical Center Goettingen · NCT05426668 · Data updated 2026-11-12

This will test whether a blood-based TheraSure CNI-Monitor can detect tumor DNA changes and help predict or track response in adults with non-curative (stage III/IV) NSCLC who are receiving immunotherapy.

More NSCLC trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment170 (estimated)
SponsorUniversity Medical Center Goettingen
Academic / other
Drugs / interventionschemotherapy, Immunotherapy
Locations3 sites (Göttingen, Lower Saxony and 2 other locations)
StatusRecruiting
StartedFebruary 24, 2025
Main results expectedNovember 2027
Study endsFebruary 2028
Registry record updatedJanuary 5, 2026
Trial IDNCT05426668 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with non-curatively treatable stage III or IV NSCLC who are receiving immunotherapy (monotherapy, dual immunotherapy, or immunotherapy plus chemotherapy) and can give informed consent are eligible.

Probably not a fit

Patients with curative disease, those not receiving immunotherapy, those with severe anemia (Hb < 9 g/dL), or those unable to give informed consent are unlikely to benefit from or be eligible for this observational validation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a prospective, non-interventional multicenter study at three German sites that collects blood plasma from patients with non-curative stage III or IV NSCLC receiving immunotherapy. Cell-free DNA in plasma will be analyzed by next-generation sequencing to quantify copy-number instability (CNI) using the TheraSure CNI-Monitor, which is sensitive to low tumor DNA fractions. Researchers will correlate CNI scores over time with patients' clinical course and treatment outcomes without changing standard care. The aim is to validate whether serial CNI measurements can serve as a minimally invasive marker of response or progression during immunotherapy.

Why it matters

Potential benefit: If successful, the test could provide a simple blood-based way to predict and monitor which patients benefit from immunotherapy, enabling earlier and better-informed treatment decisions.

How similar studies have gone: Prior small cohorts and other cfDNA/CNV-based approaches have shown promise detecting tumor-derived DNA and correlating with outcomes, but broad validation specifically in NSCLC patients on immunotherapy is still limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Signed informed consent form
* Age ≥18 years
* NSCLC, non-curatively treatable stage III or stage IV with palliative treatment indication
* Immunocheckpoint-therapy for malignant disease (Immunotherapy as monotherapy, double immunotherapy or combination with chemotherapy)

Exclusion Criteria:

* Person is unable to understand the nature, importance and scope of the clinical trial
* Participation in an interventional study
* Hb value \<9g/dl

Where it's running

  • University Medical Center Göttingen
    Göttingen, Lower Saxony, Germany
    Recruiting
  • Medizinische Hochschule Hannover
    Hanover, Germany
    Recruiting
  • Pius-Hospital Oldenburg
    Oldenburg, Germany
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.