Sputum Cytology in Screening Heavy Smokers For Lung Cancer

NCT ID: NCT00103363

Last Updated: 2014-05-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

3270 participants

Study Classification

INTERVENTIONAL

Study Start Date

1993-02-28

Study Completion Date

1994-02-28

Brief Summary

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RATIONALE: Screening tests, such as sputum cytology, may help doctors find tumor cells early and plan better treatment for lung cancer.

PURPOSE: This phase II trial is studying how well sputum cytology works in screening heavy smokers for lung cancer.

Detailed Description

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OBJECTIVES:

Primary

* Classify annual sputum samples cytologically in participants with or without airflow obstruction and a heavy smoking history.
* Correlate sputum cytological atypia (moderate atypia or worse) with lung cancer incidence in these participants.
* Correlate changes in sputum cytology (i.e., changes toward higher grades of atypia) with lung cancer incidence in these participants.

Secondary

* Determine other risk factors for lung cancer (e.g., diet, family history, smoking history, and medications) that may either confound or modify the association between sputum cytology and lung cancer risk in these participants.

OUTLINE: Two 3-day pooled sputum samples are collected for 6 consecutive days from participants by the spontaneous cough technique for cytopathological evaluation. Participants also complete a risk factor questionnaire and undergo a pulmonary function test by spirometry and a blood draw.

Participants complete a questionnaire updating smoking, vital, and lung cancer status and undergo sputum sample collection annually.

Participants are informed of sputum cytology results.

PROJECTED ACCRUAL: A total of 3,400 participants (2,900 with airflow obstruction and 500 without airflow obstruction) will be accrued for this study.

Conditions

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Lung Cancer

Study Design

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Primary Study Purpose

SCREENING

Interventions

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cytology specimen collection procedure

Intervention Type OTHER

physiologic testing

Intervention Type OTHER

annual screening

Intervention Type PROCEDURE

study of high risk factors

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Current or ex-smoker with a lifetime history of cigarette smoking of ≥ 20 pack years, meeting 1 of the following criteria:

* Airflow obstruction

* FEV\_1 \< 75% predicted for age by spirometry
* FEV\_1/FVC ≤ 75% by spirometry
* No airflow obstruction
* No history of lung cancer

PATIENT CHARACTERISTICS:

Age

* 25 and over

Performance status

* Not specified

Life expectancy

* More than 5 years

Hematopoietic

* Not specified

Hepatic

* Not specified

Renal

* Not specified

Other

* No cancer within the past 5 years except nonmelanoma skin cancer

PRIOR CONCURRENT THERAPY:

Biologic therapy

* Not specified

Chemotherapy

* Not specified

Endocrine therapy

* Not specified

Radiotherapy

* Not specified

Surgery

* Not specified
Minimum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

University of Colorado, Denver

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Timothy Kennedy

Role: PRINCIPAL_INVESTIGATOR

University of Colorado, Denver

Locations

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University of Colorado Health Sciences Center - Denver

Denver, Colorado, United States

Site Status

Countries

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United States

Other Identifiers

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UCHSC-92-392

Identifier Type: OTHER

Identifier Source: secondary_id

92-0392

Identifier Type: -

Identifier Source: org_study_id

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