Lung Cancer Clinical Trial
Official title:
Liquid Biopsy in Combination With PET/CT Versus PET/CT Alone in Diagnosis of Small Lung Nodules
Verified date | December 2023 |
Source | Palo Alto Veterans Institute for Research |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The purpose of this study is to determine if a liquid biopsy, a method of detecting cancer from a blood draw, combined with a PET/CT scan, a type of radiological scan, is better at determining whether a lung nodule is cancerous when compared to a PET/CT scan alone. A PET/CT scan is already used for diagnosis of lung nodules, but its efficacy is uncertain in nodules 6-20 mm in size. Therefore, the PET/CT will be evaluated for its diagnostic ability in lesions this size alone and in combination with a liquid biopsy. Secondarily, a machine learning model will be created to see if the combination of the PET/CT imaging data and the liquid biopsy data can predict the presence of cancer.
Status | Terminated |
Enrollment | 31 |
Est. completion date | February 1, 2023 |
Est. primary completion date | February 1, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Over 18 years of age - ECOG performance status of 0,1, or 2 - Newly discovered lung nodule with: 1. At least one solid lung nodule measuring 6 mm- 20 mm in greatest diameter detected on screening CT 2. No single lesion larger than 20 mm in greatest diameter when multiple nodules present 3. High- or intermediate-risk nodules per American College of Chest Physician (ACCP) guidelines - Able to provide informed consent Exclusion Criteria: - Prior cancer of any type for the previous 3 years - Prior organ, bone marrow, of hematopoietic stem cell transplant - Contraindication to administration of [18F]FDG - Inability to undergo a PET/CT scan - Ongoing infection, either acute or subacute - Severe COPD or lung disease requiring home oxygen use - Pregnancy |
Country | Name | City | State |
---|---|---|---|
United States | VA Palo Alto Health Care System | Palo Alto | California |
Lead Sponsor | Collaborator |
---|---|
Palo Alto Veterans Institute for Research |
United States,
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* Note: There are 15 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Comparison of liquid biopsy with PET/CT to PET/CT alone for predicting lung cancer | Determine the sensitivity and specificity of liquid biopsy and PET/CT in combination compared with PET/CT alone for predicting lung cancer for lesions 6 mm- 20 mm in size | 24 months | |
Secondary | ctDNA gene panel ability in detecting lung cancer | Determine the sensitivity and specificity of a ctDNA gene panel in detecting lung cancer for lesions 6 mm- 200 mm in size | 24 months | |
Secondary | DNA methylation liquid biopsy ability in detecting lung cancer | Determine the sensitivity and specificity of DNA methylation liquid biopsy in detecting lung cancer for lesions 6 mm- 20 mm in size | 24 months | |
Secondary | Validate ML classifier for predicting lung cancer | Validate a machine learning (ML) classifier for predicting lung cancer using imaging and clinical data. | 30 months |
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