Promising combo therapy for brain lining cancer shows hope in new trial
NCT ID NCT06304441
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding a chemotherapy drug (pemetrexed) directly into the spinal fluid, alongside a targeted pill (like osimertinib), works better than the pill alone for people with a specific type of lung cancer that has spread to the brain lining. About 100 adults with EGFR-mutated non-small cell lung cancer and confirmed leptomeningeal metastasis will be enrolled. The goal is to see if the combination improves response rates and survival while monitoring side effects.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2024
- Expected to finish
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Sep 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Male or female aged between 18 and 75 years. 2. Histologically or cytologically confirmed diagnosis of NSCLC with single activating EGFR mutations (L858R or Exon19Del). 3. Confirmed diagnosis of leptomeningeal metastasis according to ESMO/EANO guidelines. 4. Normal liver and kidney function; WBC≥4000/mm3, Plt≥100000/mm3. 5. No history of severe nervous system disease. 6. No severe dyscrasia. Exclusion Criteria: 1. Any evidence of nervous system failure, including severe encephalopathy, grade 3 or 4 leukoencephalopathy on imaging, and Glasgow Coma Score less than 11. 2. Any evidence of extensive and lethal progressive systemic diseases without effective treatment. 3. Patients with poor compliance or other reasons that were unsuitable for this study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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The Third People's Hospital of Huizhou (Huizhou Hospital of Guangzhou Medical University)
RECRUITINGHuizhou, Guangdong, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Radioactive nanoparticles aimed at cancer that spreads to the Brain's lining
- Can radiation spare the brain while fighting cancer in the spinal fluid?
- Can a Direct-to-Brain chemo route outsmart resistant lung cancer?
- Spinal injection of dual immunotherapy plus chemotherapy targets cancer spread to brain lining
- Spinal fluid injection of Dual-Target antibody and chemotherapy shows promise for deadly cancer complication
- Smartwatch could alert doctors to brain cancer complications before they worsen