Molecular Predictors of Cancer in Patients at High Risk of Lung Cancer

NCT ID: NCT00898313

Last Updated: 2023-11-22

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

RECRUITING

Total Enrollment

4000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2003-12-31

Study Completion Date

2025-01-31

Brief Summary

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RATIONALE: Using samples of blood, urine, sputum, and lung tissue from patients at high risk of cancer for laboratory studies may help doctors learn more about changes that may occur in DNA and identify biomarkers related to cancer.

PURPOSE: This research study is looking at molecular predictors of cancer in patients at high risk of lung cancer.

Detailed Description

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OBJECTIVES:

* To use fixed lung tissue for histological evaluation and fresh tissue samples for molecular studies to study DNA, RNA, and protein abnormalities in lung preneoplastic and neoplastic lesions.
* To use proteomic techniques, including matrix-assisted laser desorption ionization-mass spectrometry (MALDI-MS), to develop a method of diagnosing and staging both pre-invasive and invasive lesions, using less invasive methods.

OUTLINE: Blood, urine, nasal cell, and sputum samples are collected. Lung tissue samples are also collected using fluorescence bronchoscopy and epithelial cell collection.

Samples are studied by genetic and proteomic analyses, including comparative genomic hybridization, expression microarray, and protein profiling.

Conditions

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Lung Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Sample Collection

comparative genomic hybridization

Intervention Type GENETIC

Collection of sputum, blood, urine, and a small amount of lung tissue.

gene expression microarray analysis

Intervention Type GENETIC

Collection of sputum, blood, urine, and a small amount of lung tissue.

proteomic profiling analysis

Intervention Type GENETIC

Collection of sputum, blood, urine, and a small amount of lung tissue.

biologic sample preservation procedure

Intervention Type OTHER

Collection of sputum, blood, urine, and a small amount of lung tissue.

nasal brushing

Intervention Type PROCEDURE

Using a brush, superficial cells are removed from the nose.

Blood draw

Intervention Type PROCEDURE

Venous blood will be collected

Urine collection

Intervention Type PROCEDURE

Subjects will be asked to provide a urine specimen.

sputum sample

Intervention Type PROCEDURE

Prior to their bronchoscopy, subjects will be asked for a sputum specimen. This is a collection of mucous that you cough up.

fluorescence bronchoscopy with airway biopsy

Intervention Type PROCEDURE

A flexible tube attached to a fluorescent light source will be inserted into the subject's mouth or nose to reach the airway. Samples of the lining of the airway will be taken, as well as bronchial secretions and epithelial cell from brushings of the lining of the airway.

fine needle aspiration of the lung

Intervention Type PROCEDURE

A small needle is inserted into the lung to collect tissue. This procedure will only be performed if the patient's physician orders it.

thoracentesis

Intervention Type PROCEDURE

A small needle is inserted into the patient's lung cavity and a small amount of fluid is collected. This procedure will only be performed if the patient's physician orders it.

Interventions

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comparative genomic hybridization

Collection of sputum, blood, urine, and a small amount of lung tissue.

Intervention Type GENETIC

gene expression microarray analysis

Collection of sputum, blood, urine, and a small amount of lung tissue.

Intervention Type GENETIC

proteomic profiling analysis

Collection of sputum, blood, urine, and a small amount of lung tissue.

Intervention Type GENETIC

biologic sample preservation procedure

Collection of sputum, blood, urine, and a small amount of lung tissue.

Intervention Type OTHER

nasal brushing

Using a brush, superficial cells are removed from the nose.

Intervention Type PROCEDURE

Blood draw

Venous blood will be collected

Intervention Type PROCEDURE

Urine collection

Subjects will be asked to provide a urine specimen.

Intervention Type PROCEDURE

sputum sample

Prior to their bronchoscopy, subjects will be asked for a sputum specimen. This is a collection of mucous that you cough up.

Intervention Type PROCEDURE

fluorescence bronchoscopy with airway biopsy

A flexible tube attached to a fluorescent light source will be inserted into the subject's mouth or nose to reach the airway. Samples of the lining of the airway will be taken, as well as bronchial secretions and epithelial cell from brushings of the lining of the airway.

Intervention Type PROCEDURE

fine needle aspiration of the lung

A small needle is inserted into the lung to collect tissue. This procedure will only be performed if the patient's physician orders it.

Intervention Type PROCEDURE

thoracentesis

A small needle is inserted into the patient's lung cavity and a small amount of fluid is collected. This procedure will only be performed if the patient's physician orders it.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

-All adults referred to Vanderbilt Medical Center, Veterans Administration Medical Center, St. Thomas Hospital and Meharry Medical Center for evaluation of signs or symptoms of lung cancer.

Exclusion Criteria

* Inability to provide informed consent
* Minors
* Pregnant women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Vanderbilt-Ingram Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Fabien Maldonado

Professor of Medicine and Thoracic Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Fabien Maldonado, MD

Role: STUDY_CHAIR

Vanderbilt-Ingram Cancer Center

Locations

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Vanderbilt-Ingram Cancer Center

Nashville, Tennessee, United States

Site Status RECRUITING

Veterans Affairs Medical Center - Nashville

Nashville, Tennessee, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Vanderbilt Ingram Clinical Trials Information Program

Role: CONTACT

1-800-811-8480

Facility Contacts

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VICC Clinical Trials Information Program

Role: primary

800-811-8480

Research Office

Role: primary

615-873-8066

Rena Burns, RN

Role: backup

(615) 873-7658

Related Links

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http://www.vicc.org/ct/

Vanderbilt-Ingram Cancer Center, Find a Clinical Trial

Other Identifiers

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P30CA068485

Identifier Type: NIH

Identifier Source: secondary_id

View Link

VICC THO 0398

Identifier Type: -

Identifier Source: org_study_id