DECAMP 1 PLUS: Prediction of Lung Cancer Using Noninvasive Biomarkers
- Conditions
- Pulmonary Disease
- Interventions
- Other: Institutional standard of careOther: Biosamples of airway and blood
- Registration Number
- NCT04165564
- Lead Sponsor
- Boston University
- Brief Summary
DECAMP 1 PLUS aims to improve the efficiency of the diagnostic evaluation of patients with indeterminate pulmonary nodules (8-25 mm). Molecular biomarkers for lung cancer diagnosis measured in minimally invasive and non-invasive biospecimens may be able to distinguish between malignant or benign indeterminate pulmonary nodules in high-risk smokers. Ultimately, this study aims to validate molecular as well as clinical and imaging biomarkers of lung cancer in individuals with indeterminate lung nodules.
- Detailed Description
The Detection of Early lung Cancer Among Military Personnel (DECAMP) consortium is a multidisciplinary and translational research program that previously initiated the DECAMP-1 and DECAMP-2 studies for lung cancer early detection. Now, with the support of Johnson and Johnson, 3 Veterans Administration Hospitals (VAH), 3 Military Treatment Facilities (MTF) and 12 academic hospitals as clinical study sites, several molecular biomarker laboratories, along with Biostatics, Bioinformatics, Pathology and Biorepository cores, we are expanding our work in lung cancer early detection.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 85
- Radiologic diagnosis of solid indeterminate pulmonary nodule (0.8 to 2.5 cm) identified in the past 3 months OR semi-solid (mixed density) nodule with solid component of at least 0.6 cm identified in the past 12 months; must be of appropriate size at enrollment.
- CT scan completed within 3 months prior to enrollment
- Able to tolerate all biospecimen collection as required by protocol
- Able to comply with standard of care follow up visits including clinical exams, diagnostic work-ups, and imaging for approximately three years from enrollment
- Able to complete the Patient Lung History questionnaire with study staff
Arm 1 - Screening
- Age 55-77 years old
- Current and former smokers with 30 pack-years or more(and quit less than 15 years ago)
Arm 2 - Incidental
- Age > 45 years old
- Current and former smokers with 10 pack-years or more(and quit less than 15 years ago)
- History or previous diagnosis of primary lung cancer, metastatic lung cancer, or any other non-lung cancer within 5 years (not including non-melanoma skin cancer)
- Symptoms of lung cancer (unexplained weight loss 10 lbs or more in 3 months, recent hemoptysis)
- Diagnosis of pure ground glass opacities for the target lesion on chest CT within the last 12 months (i.e., mixed features on the target lesion and pure ground glass opacity on non-target lesions are acceptable as mentioned above)
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Group 1 - Screening Institutional standard of care Participants in this group will be 55-77 years old and currently smoke or were former smokers with 30 pack-years or more (and quit less than 15 years ago) Group 1 - Screening Biosamples of airway and blood Participants in this group will be 55-77 years old and currently smoke or were former smokers with 30 pack-years or more (and quit less than 15 years ago) Group 2 - Incidental Biosamples of airway and blood Participants in this group will be \> 45 years old and currently smoke or were former smokers with 10 pack-years or more (and quit less than 15 years ago) Group 2 - Incidental Institutional standard of care Participants in this group will be \> 45 years old and currently smoke or were former smokers with 10 pack-years or more (and quit less than 15 years ago)
- Primary Outcome Measures
Name Time Method Incidence of lung cancer 3 years The number of new cases of lung cancer that developed divided by the population at risk.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (19)
American College of Radiology [Administrative Site]
🇺🇸Philadelphia, Pennsylvania, United States
Temple University
🇺🇸Philadelphia, Pennsylvania, United States
Naval Medical Center Portsmouth
🇺🇸Portsmouth, Virginia, United States
Cleveland Clinic
🇺🇸Cleveland, Ohio, United States
Naval Medical Center San Diego
🇺🇸San Diego, California, United States
University of California Los Angeles
🇺🇸Los Angeles, California, United States
University of Pennsylvania School of Medicine
🇺🇸Philadelphia, Pennsylvania, United States
University of Pittsburgh Medical Center
🇺🇸Pittsburgh, Pennsylvania, United States
West Virginia University
🇺🇸Morgantown, West Virginia, United States
VA Tennessee Valley Healthcare System
🇺🇸Nashville, Tennessee, United States
University of Iowa
🇺🇸Iowa City, Iowa, United States
VA Greater LA Healthcare System
🇺🇸Los Angeles, California, United States
MD Anderson Cancer Center [Administrative Site]
🇺🇸Houston, Texas, United States
Brown University [Administrative Site]
🇺🇸Providence, Rhode Island, United States
University of Alabama, Birmingham
🇺🇸Birmingham, Alabama, United States
Mayo Clinic
🇺🇸Rochester, Minnesota, United States
VA Boston Healthcare System
🇺🇸Boston, Massachusetts, United States
Walter Reed Army Medical Center
🇺🇸Bethesda, Maryland, United States
University of Michigan
🇺🇸Ann Arbor, Michigan, United States