DNA Evaluation of Fragments for Early Interception - Lung Cancer Training Study (DELFI-L101 Study)

NCT ID: NCT04825834

Last Updated: 2025-08-08

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

Total Enrollment

2992 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-03-22

Study Completion Date

2025-07-15

Brief Summary

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The primary objective of this study, DELFI-L101, is to train and test classifiers for lung cancer detection using the DELFI assay and other biomarker and clinical features.

Detailed Description

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Subjects will be enrolled into the DELFI-L101 study after informed consent and eligibility is confirmed. At enrollment, subjects will have blood specimens collected (\~40 mL) and 12 months post-enrollment their medical records will be reviewed.

Conditions

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Lung Cancer Head and Neck Cancer Esophageal Cancer Bladder Cancer Kidney Cancer Stomach Cancer Colorectal Cancer Pancreas Cancer Liver Cancer Skin Cancer

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Individuals eligible for Lung Cancer screening with Lung Cancer diagnosis

Blood Sample Collection

Intervention Type OTHER

Subjects enrolled in the DELFI-L101 will have blood specimens collected (\~40 mL) at enrollment.

Individuals eligible for Lung Cancer screening with no cancer diagnosis

Blood Sample Collection

Intervention Type OTHER

Subjects enrolled in the DELFI-L101 will have blood specimens collected (\~40 mL) at enrollment.

Individuals eligible for Lung Cancer screening with Non-Lung Cancer diagnosis

Blood Sample Collection

Intervention Type OTHER

Subjects enrolled in the DELFI-L101 will have blood specimens collected (\~40 mL) at enrollment.

Interventions

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Blood Sample Collection

Subjects enrolled in the DELFI-L101 will have blood specimens collected (\~40 mL) at enrollment.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

All Participants:

1. Ability to understand and provide written informed consent
2. Age ≥ 50 years
3. Current or Former Smoker
4. ≥ 20 pack-years (pack years = number of packs per day X number of years smoked)

Inclusion Group 1: High Risk Patients that meet criteria 5 and 6 below:


AND
6. Meet one of the criteria below:

1. No suspected or confirmed lung cancer diagnosis OR
2. Suspected of lung cancer OR
3. Confirmed, untreated lung cancer

Inclusion Group 2: High Risk Patients that meet the following criteria:
7. Pathologic confirmed, invasive non-lung cancer diagnosis, originating from the esophagus (upper), colon or rectum, pancreas, stomach (including lower esophagus), head and neck, skin (excluding cutaneous basal cell and squamous cell carcinoma) kidney, or liver, with no prior systemic therapy, definitive therapy, radiation, or surgical resection.

OR Clinically confirmed invasive non-lung cancer diagnosis originating from the pancreas, kidney, or liver, based on imaging and clinical judgment with planned treatment and no prior systemic therapy, definitive therapy, radiation, or surgical resection.

OR Clinically (based on imaging and clinical judgment) or pathologically confirmed non-invasive or invasive bladder cancer with planned treatment and no prior systemic therapy, definitive therapy, radiation or surgical resection.

Exclusion Criteria

All Participants:

1. Prior systemic therapy, definitive therapy, radiation, or surgical resection for cancer within one year prior to enrollment (with the exception of organ biopsies or surgery for non-melanoma skin cancer)
2. Any history of hematologic malignancies or myelodysplasia
3. Any history of organ tissue transplantation
4. Any history of blood product transfusion
5. Current pregnancy
6. Any condition that in the opinion of the Investigator should preclude the participant's participation in the study
7. Prior systemic therapy, definitive therapy, radiation, or surgical resection for the enrollment cancer diagnosis (with the exception of organ biopsies or surgery for non-melanoma skin cancer are not exclusionary)
8. Enrollment in any DELFI sponsored study
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Delfi Diagnostics Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter Mazzone, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Luke RG Pike, MD, DPhil

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Central Alabama Research

Homewood, Alabama, United States

Site Status

Phoenix Medical Group

Peoria, Arizona, United States

Site Status

Highlands Oncology Group - Fayetteville

Fayetteville, Arkansas, United States

Site Status

Pulmonary Associates of Burlingame

Burlingame, California, United States

Site Status

Kaiser Permanente Los Angeles Medical Center

Los Angeles, California, United States

Site Status

Torrance Memorial Physician Network - Cancer Care

Torrance, California, United States

Site Status

Centura Health

Colorado Springs, Colorado, United States

Site Status

National Jewish Health

Denver, Colorado, United States

Site Status

St. Mary's Hospital and Regional Medical

Grand Junction, Colorado, United States

Site Status

Starling Physicians

New Britain, Connecticut, United States

Site Status

Stamford Health

Stamford, Connecticut, United States

Site Status

Baycare

Clearwater, Florida, United States

Site Status

Oncology & Hematology Associates of West Broward

Coral Springs, Florida, United States

Site Status

Holy Cross Hospital Cancer Center

Fort Lauderdale, Florida, United States

Site Status

Miami Cancer Institute

Miami, Florida, United States

Site Status

Charter Research - The Villages

Orlando, Florida, United States

Site Status

Millennium Physicians Group, LLC

Port Charlotte, Florida, United States

Site Status

Charter Research - The Villages

The Villages, Florida, United States

Site Status

Pulmonary and Sleep Specialists of Northeast Georgia - Dacula

Dacula, Georgia, United States

Site Status

Christie Clinic

Champaign, Illinois, United States

Site Status

Duly Health and Care

Joliet, Illinois, United States

Site Status

Edward-Elmhurst Healthcare

Naperville, Illinois, United States

Site Status

The Iowa Clinic

West Des Moines, Iowa, United States

Site Status

Hutchinson Clinic

Hutchinson, Kansas, United States

Site Status

Louisville Pulmonary Care, PLLC

Louisville, Kentucky, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Memorial Gulfport

Gulfport, Mississippi, United States

Site Status

Washington University at St. Louis

St Louis, Missouri, United States

Site Status

Missouri Baptist Medical Center

St Louis, Missouri, United States

Site Status

Holy Name Pulmonary Associates

Englewood, New Jersey, United States

Site Status

Atlantic Digestive Health Institute

Morristown, New Jersey, United States

Site Status

Oncology Hematology Specialists

Mountain Lakes, New Jersey, United States

Site Status

MedCorps Asthma and Pulmonary Specialists - Sewell

Sewell, New Jersey, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Northwell Health

New York, New York, United States

Site Status

CHEAR Center LLC

The Bronx, New York, United States

Site Status

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

East Carolina University

Greenville, North Carolina, United States

Site Status

Piedmont Healthcare

Statesville, North Carolina, United States

Site Status

Wilmington Health

Wilmington, North Carolina, United States

Site Status

University of Cincinnati

Cincinnati, Ohio, United States

Site Status

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Allegheny Health Network

Pittsburgh, Pennsylvania, United States

Site Status

Respiratory Specialists, Ltd.

Wyomissing, Pennsylvania, United States

Site Status

Cancer Care Associates of York

York, Pennsylvania, United States

Site Status

Ralph H. Johnson Veterans Affairs Medical Center

Charleston, South Carolina, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Baptist Cancer Center

Memphis, Tennessee, United States

Site Status

Austin Regional Clinic ARC Clinical Research at Wilson Parke

Austin, Texas, United States

Site Status

Premier Family Physicians

Austin, Texas, United States

Site Status

Pulmonary Critical Care & Sleep Associates, P.A.

Conroe, Texas, United States

Site Status

Huntsville Research Institute, LLC

Huntsville, Texas, United States

Site Status

ProHealth Care

Waukesha, Wisconsin, United States

Site Status

Pan American Center for Oncology Trials

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

References

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Mazzone PJ, Bach PB, Carey J, Schonewolf CA, Bognar K, Ahluwalia MS, Cruz-Correa M, Gierada D, Kotagiri S, Lloyd K, Maldonado F, Ortendahl JD, Sequist LV, Silvestri GA, Tanner N, Thompson JC, Vachani A, Wong KK, Zaidi AH, Catallini J, Gershman A, Lumbard K, Millberg LK, Nawrocki J, Portwood C, Rangnekar A, Sheridan CC, Trivedi N, Wu T, Zong Y, Cotton L, Ryan A, Cisar C, Leal A, Dracopoli N, Scharpf RB, Velculescu VE, Pike LRG. Clinical Validation of a Cell-Free DNA Fragmentome Assay for Augmentation of Lung Cancer Early Detection. Cancer Discov. 2024 Nov 1;14(11):2224-2242. doi: 10.1158/2159-8290.CD-24-0519.

Reference Type BACKGROUND
PMID: 38829053 (View on PubMed)

Other Identifiers

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DELFI-L101 Study

Identifier Type: -

Identifier Source: org_study_id

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