Circulating Tumor DNA Methylation Test to Differentiate Benign and Malignant Pulmonary Nodules

NCT ID: NCT03181490

Last Updated: 2020-04-02

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Total Enrollment

1490 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-06-08

Study Completion Date

2019-05-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Current state-of-the-art lung cancer early screening utilizes low-dose CT scan to identify lung nodules smaller than 3 cm in diameter. However, it's still a clinical challenge to differentiate between malignant and benign nodules.

In previous studies, the investigators had taken the approach of methylation profiling by high throughput bisulfite DNA sequencing in tissue samples to identify specific methylation signatures. The investigators had learned methylation patterns that differentiate malignant vs. benign lesions from tissue samples by in-depth data mining, and then used pattern matching to classify plasma samples.

In this study, the investigators are going to validate the efficacy of ctDNA methylation test for diagnosing early lung cancer by comparing results of the pre-surgery ctDNA methylation test with the post-surgery pathology.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This is a prospective, multi-center, observational cohort study and seeks to enroll 1230 participants with pulmonary nodules 5-30mm in diameter.

The assay analyzes the ctDNA methylation profiles of lung cancer-specific biomarkers non-invasively using whole blood specimens collected before invasive surgery.

The performance characteristics(sensitivity and specificity) of the pre-surgery ctDNA methylation test for detection of early lung cancer is evaluated in comparison to post-surgery pathology.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Pulmonary Nodule, Solitary

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Circulating Tumor DNA Methylation Test

Methylation profiling by high-throughput bisulfite DNA sequencing in blood sample to differentiate benign and malignant pulmonary nodules

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* 18 years old or above
* single pulmonary nodule found by CT scan.
* the diameter of the pulmonary nodule is between 5mm to 30mm.
* plan to accept pneumonectomy due to the pulmonary nodule.
* without any sign of lymphatic or distant metastasis.
* agree to sign informed consent.

Exclusion Criteria

* pregnant or lactating women.
* the diameter of the pulmonary nodule is more than 30mm
* there are 2 or more pulmonary nodules in one single patient.
* any sign of lymphatic or distant metastasis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

AnchorDx Medical Co., Ltd.

INDUSTRY

Sponsor Role collaborator

First Affiliated Hospital, Sun Yat-Sen University

OTHER

Sponsor Role collaborator

Nanfang Hospital, Southern Medical University

OTHER

Sponsor Role collaborator

Central South University

OTHER

Sponsor Role collaborator

Xiangya Hospital of Central South University

OTHER

Sponsor Role collaborator

West China Hospital

OTHER

Sponsor Role collaborator

Qilu Hospital of Shandong University

OTHER

Sponsor Role collaborator

The Second Hospital University of South China

OTHER

Sponsor Role collaborator

Shenzhen People's Hospital

OTHER

Sponsor Role collaborator

The Fourth Affiliated Hospital of Harbin Medical University

OTHER

Sponsor Role collaborator

Peking University Cancer Hospital & Institute

OTHER

Sponsor Role collaborator

Xuanwu Hospital, Beijing

OTHER

Sponsor Role collaborator

Anhui Chest Hospital

OTHER

Sponsor Role collaborator

The First Affiliated Hospital with Nanjing Medical University

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Guangzhou Medical University

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Jianxing He

Principle Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Jianxing He, MD

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital of Guangzhou Medical University

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Department of Thoracic Surgery, Beijing Cancer Hospital

Beijing, , China

Site Status

Department of Thoracic Surgery, Xuanwu Hospital, Capital Medical University

Beijing, , China

Site Status

Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University

Changsha, , China

Site Status

Department of Thoracic Surgery, Xiangya Hospital, Central South University

Changsha, , China

Site Status

Department of Thoracic Surgery, West China Hospital of Sichuan University

Chengdu, , China

Site Status

Department of Thoracic Surgery, Nanfang Hospital of Southern Medical University

Guangzhou, , China

Site Status

Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, , China

Site Status

Department of Thoracic Surgery, The First Affiliated Hospital of Sun Yat-sen University

Guangzhou, , China

Site Status

Department of Thoracic Surgery, The Forth Affiliated Hospital of Harbin Medical University

Haerbin, , China

Site Status

Department of Thoracic Surgery, Anhui Chest Hospital

Hefei, , China

Site Status

Department of Thoracic Surgery, The Second Hospital,University of South China

Hengyang, , China

Site Status

Department of Thoracic Surgery, Qilu Hospital of Shandong University

Jinan, , China

Site Status

Department of Thoracic Surgery, Jiangsu Province Hospital

Nanjing, , China

Site Status

Department of Thoracic Surgery, Shenzhen People's Hospital

Shenzhen, , China

Site Status

Countries

Review the countries where the study has at least one active or historical site.

China

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

CCTC1701

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.