Nodify XL2 Classifier Clinical Utility Study in Low to Moderate Risk Lung Nodules

NCT ID: NCT04171492

Last Updated: 2025-09-19

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

ACTIVE_NOT_RECRUITING

Total Enrollment

2000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-12-18

Study Completion Date

2026-12-31

Brief Summary

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This study evaluates the how addition of the Nodify XL2 test result impacts the clinical management of newly identified solid lung nodules assessed as low to moderate risk of cancer.

Detailed Description

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A multicenter, randomized controlled study with a blinded control arm. Open label arm is observational for lung nodule management. The clinical trial will evaluate the clinical utility of the Nodify XL2 integrated classifier when used in the clinical management of newly identified solid lung nodules assessed as \< 50% risk of cancer by Mayo risk prediction algorithm.

Conditions

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Nodule Solitary Pulmonary Non-small Cell Carcinoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Open Label

Nodify XL2 results will be reported to the investigator and available to the subject.

No interventions assigned to this group

Blinded

Nodify XL2 results will not be available to the investigative site or subject.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. Subject has provided informed consent to participate in the study and agrees to comply with all protocol requirements
2. Subject is \> 40 years of age at the time of the discovery of the lung nodule of concern
3. Subject's lung nodule of concern meets the following:

* Was incidentally identified or detected during lung cancer screening
* Is a solid nodule
* Has maximal dimension of \> 8mm and \< 30mm
4. The first CT scan identifying the lung nodule of concern was performed within 60 days of subject enrollment
5. The pre-test risk of cancer as determined by the Mayo risk prediction algorithm is 65% or less

Exclusion Criteria

1. Nodule work-up at the time of subject enrollment indicating any prior attempted or completed diagnostic biopsy procedure or blood-based testing for the lung nodule of concern
2. Nodule of concern is part-solid or Ground Glass Opacity (GGO)
3. Prior diagnosis of lung cancer
4. Any active cancer within 5-years of nodule detection, with the exception of non-melanoma skin cancer
5. Administration of blood products (i.e. packed red blood cells, fresh frozen plasma, or platelets) within 30 days of subject enrollment
6. Concurrent participation in any unrelated clinical trial that may impact or alter the management of the subject's nodule of concern
7. Any illness or factor that will inhibit compliance with study participation
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biodesix, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Steven Springmeyer

Role: PRINCIPAL_INVESTIGATOR

Biodesix, Inc.

Gerard Silvestri, MD

Role: PRINCIPAL_INVESTIGATOR

Medical University of South Carolina

Locations

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University of Colorado

Aurora, Colorado, United States

Site Status

Massachusetts General Hospital

Boston, Connecticut, United States

Site Status

Beth Israel Deaconess

Boston, Connecticut, United States

Site Status

MedStar

Washington D.C., District of Columbia, United States

Site Status

Indiana University

Indianapolis, Indiana, United States

Site Status

The Johns Hopkins University

Baltimore, Maryland, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

The Washington University

St Louis, Missouri, United States

Site Status

Mount Sinai Health System

New York, New York, United States

Site Status

Northwell Health

New York, New York, United States

Site Status

The University of North Carolina

Chapel Hill, North Carolina, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

Southeastern Research Center

Winston-Salem, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

The Ohio State University

Coulmbus, Ohio, United States

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The Oregon Clinic

Portland, Oregon, United States

Site Status

Ralph H Johnson VA Medical Center

Charleston, South Carolina, United States

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Medical University of South Carolina

Charleston, South Carolina, United States

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Prisma Health

Greenville, South Carolina, United States

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University of Texas Southwestern

Dallas, Texas, United States

Site Status

University of Texas Medical Branch

Galveston, Texas, United States

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Virginia Commonwealth University

Richmond, Virginia, United States

Site Status

University of Calgary

Calgary, Alberta, Canada

Site Status

McGill University Health Centre

Montreal, Quebec, Canada

Site Status

Countries

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United States Canada

Other Identifiers

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BDX-CD-003

Identifier Type: -

Identifier Source: org_study_id

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