Diagnostic Accuracy Study for OWL-EVO1 As a Lung Cancer EVOC® Probe (Evolution Phase 2)

NCT ID: NCT06193239

Last Updated: 2024-10-15

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

Clinical Phase

PHASE2

Total Enrollment

350 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-05

Study Completion Date

2025-04-30

Brief Summary

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The Phase 2a Evolution study aims to assess the diagnostic accuracy of the OWL-EV1 Probe Breath Biopsy Test to differentiate between individuals with lung cancer and relevant contrast groups.

The contrast groups will be representative of the clinical populations in which the test is intended to be used.

Thus, Evolution Phase 2a will be designed as a cross-sectional, case-control trial that will be conducted at various sites, both in the UK and EU.

Detailed Description

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In Evolution Phase 1, Owlstone Medical demonstrated the safety and tolerability of their Exogenous Volatile Organic Compound (EVOC) Probe. This phase also demonstrated proof of mechanism for the cleavage of the EVOC Probe, D5-ethyl-βD-glucuronide (OWL-EVO1), into D5-ethanol which can be detected on breath. This makes OWL-EVO-1 a promising EVOC Probe for the detection of lung cancer.

The Evolution Phase 2a study will evaluate the diagnostic accuracy of an OWL-EVO1 based breath test for the differentiation of those with histopathologically confirmed lung cancer and relevant contrast groups with a CT-proven absence of lung cancer. These contrast groups will include those with relevant comorbidities, to truly evaluate accuracy and the robustness of test performance.

As a secondary objective, the study aims to define a test protocol that minimises healthcare worker effort, whilst maximising tolerability and diagnosed accuracy for the intended use setting.

This phase intends to recruit up to 150 cases and 200 controls. Both cohorts will be administered the probe intravenously. Multiple breath samples will be collected for up to 180 minutes post-probe infusion, with the cumulative sampling time not exceeding 60 minutes.

The study results will provide valuable insights into the expected test performance as well as optimisation of the test in a clinical pathway.

Conditions

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Lung Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Participants with and without suspicion of having lung cancer will all receive the same IMP
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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OWL-EVO1

After confirming full eligibility, individuals will all be administered the OWL-EVO1 probe intravenously.

This includes:

* Patients diagnosed with histopathologically confirmed lung cancer.
* Individuals with a CT-proven absence of lung cancer, including those with relevant comorbidities and risk factors such as smoking, COPD, asthma, extrapulmonary malignant tumours, active lung infection/inflammation and other chronic respiratory diseases.

Group Type EXPERIMENTAL

OWL-EVO1

Intervention Type DIAGNOSTIC_TEST

EVOC probe

Interventions

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OWL-EVO1

EVOC probe

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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OWL-EVO1 Breath Biopsy Test D5-ethyl-βD-glucuronide

Eligibility Criteria

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Inclusion Criteria

* Aged 45-85 years.
* Ability to provide informed consent.
* BMI 16 - \<40.
* Receiving a CT including the thoracic region, within the last 6 months.

Exclusion Criteria

1. (Anticipated) inability to complete the breath sampling procedure (e.g., inability to maintain adequate ventilation unaided or claustrophobia).
2. Potential subjects who in the opinion of the investigator lack mental capacity.
3. Received an investigational medical product in the context of a Clinical Trial (CTIMP) during the 28 days prior to administration of the (first) probe, or within 5 times the half-life of the investigational medicinal product previously received, whichever is longer.\*
4. Individuals under diagnostic investigation for a potential malignancy other than lung cancer that has not yet reached a conclusive diagnosis\*\*.
5. Individuals with an inconclusive lung abnormality (indeterminate pulmonary nodule) on CT-scan requiring CT-based monitoring rather than biopsy and/or treatment.
6. Documented history of pulmonary surgery or endobronchial interventional procedures other than biopsy, lavage, or bronchial brushings. These include surgical resection, Video Assisted Thoracic Surgery (VATS), bronchial thermoplasty and coiling, airway stenting or other interventional bronchoscopic procedures.
7. Pregnant or breastfeeding women and women of child-bearing potential not using adequate contraceptive methods (Subjects must agree to use contraception for 2 months post last dose).
8. Individuals under investigation for suspicion of lung cancer who are unlikely to receive a definitive tissue diagnosis of lung cancer prior to treatment (e.g. stereotactic ablative radiotherapy without tissue confirmation).

* Note:

In the case that the participant has taken part in a study with an investigational medicinal product please contact the Owlstone medical monitor for advice.

\*\*Note: Individuals with a confirmed cancer diagnosis ARE eligible (such as a diagnosis of prostate cancer now undergoing hormone therapy). Individual with a previous history of cancer other than lung cancer, including those under active surveillance, ARE eligible. Individuals scheduled to attend a cancer screening program; prostate, breast, lung, colon, ARE eligible.
Minimum Eligible Age

45 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Owlstone Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert Rintoul

Role: PRINCIPAL_INVESTIGATOR

Royal Papworth Hospital NHS Foundation Trust

Locations

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Thomayer Hospital

Prague, Prague, Czechia

Site Status RECRUITING

National Koranyi Institute for Pulmonology

Budapest, Budapest, Hungary

Site Status NOT_YET_RECRUITING

Department of Pulmonology, University of Debrecen

Debrecen, Debrecen, Hungary

Site Status RECRUITING

Royal Papworth Hospital NHS Foundation Trust

Cambridge, Cambridgeshire, United Kingdom

Site Status RECRUITING

Wythenshawe Hospital

Manchester, Greater Manchester, United Kingdom

Site Status RECRUITING

Glenfield Hospital

Leicester, Leicestershire, United Kingdom

Site Status RECRUITING

Barts Health NHS Trust

London, London, United Kingdom

Site Status NOT_YET_RECRUITING

Imperial Centre for Translational and Experimental Medicine, Imperial College

London, London, United Kingdom

Site Status RECRUITING

Quadram Institute

Norwich, Norfolk, United Kingdom

Site Status RECRUITING

Countries

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Czechia Hungary United Kingdom

Central Contacts

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Liz Thompson

Role: CONTACT

01223 428200

Alice Michael

Role: CONTACT

01223 428200

Facility Contacts

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Jiri Skopek

Role: primary

Dr Marie Drosslerova

Role: backup

Karolina Argay

Role: primary

36 20 5797 097

Dr Ildiko Horvath

Role: backup

Dr Ildiko Horvath

Role: primary

Amanda Stone

Role: primary

01223 638000

Zoe Armstrong

Role: backup

01223 638000

Dr Laura Succony

Role: backup

Shilpa Pushpan

Role: primary

0161 291 5388

Zara Gatt

Role: backup

0161 291 5388

Professor Philip Crosbie

Role: backup

Rebecca Boyles

Role: primary

Dr Edward Caruana

Role: backup

Maria Lapuente

Role: primary

Dr William Ricketts

Role: backup

Lisa Hurley

Role: primary

020 3313 6197

Asha Vikraman

Role: backup

Dr Susannah Bloch

Role: backup

Lisa Hudig

Role: primary

01603 286 366

Bethany Bridgwood

Role: backup

01603 286366 ext. 2366

Professor Eleanor Mishra

Role: backup

Other Identifiers

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OML-EV2-1.0

Identifier Type: -

Identifier Source: org_study_id

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