A Combined Biomarker Model for Risk Stratification of Indeterminate Pulmonary Nodules

NCT ID: NCT06074133

Last Updated: 2025-08-20

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

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-03-07

Study Completion Date

2029-03-31

Brief Summary

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This is a prospective, multicenter observational study aim at estimating the potential clinical utility of the CBM and at establishing the SOPs and protocols for a future randomized control trial.

Detailed Description

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Objectives:

* To obtain the combined biomarker model (hs-CYFRA 21-1, radiomics, Mayo) score in a prospective observational trial and estimate potential clinical utility compared to the Mayo Model.
* To establish standard operating procedures (SOPs) and protocols in a prospective observational trial in anticipation of a future randomized control trial. These include the REDCAP data input protocols, the radiomic protocols, blood draws in the CLIA environment, and estimating the CBM score in a time reasonable for clinical practice (\< 2 weeks).

Conditions

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Pulmonary Nodule

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Indeterminate Pulmonary Nodules

A combined biomarker model (hs-CYFRA 21-1, radiomics, Mayo) score will be obtained to estimate potential clinical utility compared to the Mayo Model.

Blood collection

Intervention Type PROCEDURE

Undergo blood draw

Chest Computed Tomography

Intervention Type PROCEDURE

Undergo standard of care chest Computed Tomography

Interventions

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Blood collection

Undergo blood draw

Intervention Type PROCEDURE

Chest Computed Tomography

Undergo standard of care chest Computed Tomography

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Adults \> 21 y/o
* IPNs 8-30mm referred for evaluation Figure 4. AUC and reclassification of Combined Biomarker Model
* Intermediate risk IPN defined as 10-70% risk after applying Mayo risk predictor model
* Solid nodules or part-solid nodules with solid component \>=8mm
* CT scan with nodule of concern performed within 60 days of enrollment

Exclusion Criteria

Pure ground glass nodule or subsolid nodule with solid component \<8mm

* Currently on therapy for any cancer
* History of primary lung cancer within the last 5 years
* Multiple nodules highly suspicious for metastatic disease
* Other malignancy within the last 2 year - Excluding skin cancer other than melanoma
* Pregnant women
* Prisoners
* Inability to provide informed consent
* Serologic evidence of active fungal infection
Minimum Eligible Age

21 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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Eric Grogan

Professor of Thoracic Surgery & Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eric Grogan, MD

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University/Ingram Cancer Center

Locations

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Rocky Mountain Regional VA Medical Center

Aurora, Colorado, United States

Site Status NOT_YET_RECRUITING

University of Colorado

Aurora, Colorado, United States

Site Status RECRUITING

Vanderbilt University/Ingram Cancer Center

Nashville, Tennessee, United States

Site Status RECRUITING

VA Tennessee Valley Healthcare Center

Nashville, Tennessee, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Vanderbilt-Ingram Services for Timely Access

Role: CONTACT

800-811-8480

Facility Contacts

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Vanderbilt-Ingram Services for Timely Access

Role: primary

800-811-8480

Vanderbilt-Ingram Services for Timely Access

Role: primary

800-811-8480

Vanderbilt-Ingram Service Services for Timely Access

Role: primary

800-811-8480

Vanderbilt-Ingram Services for Timely Access

Role: primary

800-811-8480

Provided Documents

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Document Type: Informed Consent Form

View Document

Other Identifiers

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NCI-2023-05725

Identifier Type: REGISTRY

Identifier Source: secondary_id

5R01CA252964-02

Identifier Type: NIH

Identifier Source: secondary_id

View Link

VICC-EDTHO23230

Identifier Type: -

Identifier Source: org_study_id

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