Clinical trial Recruiting at 1 site Observational Ages 18 to 85

Using blood methylation markers to detect recurrence and monitor minimal residual disease in lung cancer

Official title: Application of Methylation Markers in Early Detection and MRD Monitoring of Lung Cancer

Run by Beijing Haidian Hospital · NCT07257458 · Data updated 2026-11-12

This project will test whether tracking two blood DNA methylation markers (SHOX2 and PTGER4) can detect minimal residual disease and predict recurrence in patients after non-small cell lung cancer surgery.

More Lung Cancer (NSCLC) trials

Quick facts

Study typeObservational
Ages18 Years to 85 Years
SexAll
Enrollment30 (estimated)
SponsorBeijing Haidian Hospital
Academic / other
Locations1 site (Beijing, Beijing Municipality)
StatusRecruiting
StartedApril 2, 2025
Main results expectedJune 30, 2028
Study endsJune 30, 2028
Registry record updatedDecember 2, 2025
Trial IDNCT07257458 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–85 with histologically or clinically confirmed NSCLC who are eligible for surgical resection, have ECOG ≤2, and can comply with serial blood draws and follow-up are ideal candidates.

Probably not a fit

Patients with other active malignancies, severe comorbidities that prevent surgery, pregnant or lactating individuals, or those unlikely to complete follow-up or provide adequate samples may not benefit from this approach.

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

What this trial studies

This observational study followed patients with stage I–IV non‑small cell lung cancer who underwent surgical resection and collected peripheral blood before surgery and at multiple timepoints up to 24 months postoperatively to measure SHOX2 and PTGER4 methylation in circulating tumor DNA. Serial methylation levels were compared with conventional tumor markers and imaging to see whether rising methylation signals precede radiographic recurrence. The aim was to identify high‑risk patients who might benefit from personalized adjuvant therapy and to reduce overtreatment or undertreatment. Statistical analyses examined correlations between methylation dynamics and clinical recurrence outcomes.

Why it matters

Potential benefit: If successful, this approach could detect recurrence earlier than imaging and help tailor adjuvant therapy to avoid over- or undertreatment.

How similar studies have gone: Previous research has shown that methylation markers including SHOX2 and PTGER4 can detect lung cancer and show promise for MRD monitoring, but large prospective validation for guiding adjuvant therapy remains limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosed with non-small cell lung cancer (NSCLC) by histopathology/clinical diagnosis.
* Age 18-85 years old.
* Lung cancer patients who are determined by clinicians to be eligible for surgical treatment.
* ECOG score ≤ 2, with an expected survival period of ≥ 6 months, and having signed the informed consent form.
* The subjects should have clear case information, including age, gender, and clinical diagnosis, etc.

Exclusion Criteria:

* Patients with a history of other malignant tumors or autoimmune diseases.
* Those with severe heart, lung or vascular diseases that make them unable to tolerate surgery.
* Pregnant or lactating women.
* Patients who may be unable to complete follow-up during the study, as well as other factors that the researcher deems inappropriate for participation in the study.
* Incomplete clinical or follow-up information.

Where it's running

  • Beijing Haidian Hospital
    Beijing, Beijing Municipality, China
    Recruiting

Study contacts

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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.