Leveraging Lung Cancer Screening to Optimize Screening Outcomes and COPD Management: COPD in LCS Registry

NCT ID: NCT06974981

Last Updated: 2025-05-16

Basic Information

• Recruitment Status: RECRUITING
• Total Enrollment: 420 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2025-01-02
• Study Completion Date: 2027-12-30

Brief Summary

The COPD in LCS Registry will identify and characterize individuals who have functional or radiographic evidence of COPD and are receiving lung cancer screening. Clinical information will be obtained from study participants including symptom burden, lung cancer risk, spirometry, imaging characteristics, and peripheral blood eosinophils.

Conditions

COPD - Chronic Obstructive Pulmonary Disease

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Eligibility Criteria

Inclusion Criteria

• • * Eligible for lung cancer screening by USPSTF 2021 criteria including age 50-80 years and currently or formerly smoking with at last 20 pack-years of smoking history at the time of consent

• Willingness to participate in an observational clinical trial and to be contacted about future ancillary studies that could include interventional clinical trials
• Ability to tolerate study procedures
• Ability to provide informed consent
• Clinical Lung Cancer Screening CT performed at the University of Michigan within the last year
• Meets one of the three following criteria: 1) Prior Diagnosis of COPD in the EMR 2) Prior pulmonary function meeting criteria for COPD (FEV1/FVC ≤ 0.70) or 3) LAA>1% on lung cancer screening CT scan

Exclusion Criteria

• The presence of a respiratory condition other than COPD or asthma, or of a comorbid condition that in the judgment of the investigator may be the principal cause of respiratory symptoms (e.g. dyspnea or decreased exercise tolerance)Severe asthma, which is defined as any of the following:

• Current (i.e. at the time of the visit) GINA Step 4 or higher therapy (medium dose ICS/LABA or high dose ICS or add-on LAMA; medium dose = >250 fluticasone propionate =100 fluticasone furoate, >200 beclomethasone, >400 budesonide, >220 mometasone). We will accept low-dose ICS/LABA or medium dose ICS or
• 3 or more unscheduled healthcare visits (provider/urgent care/ER) for asthma in the past 12 months or
• One asthma hospitalization in the past 12 months

• Concurrent participation in a therapeutic trial where treatment is blinded
• Active pregnancy. Documentation of birth control will be required for pre-menopausal women
• Cognitive dysfunction that prevents the participant from completing study procedures
• BMI > 35 kg/m2 at baseline, due to the effects of body weight on CT scan quality
• Current illicit substance abuse, including cannabis smoking
• Any illness expected to cause mortality in the next 3 years
• Any implanted metallic devices or prosthesis above the waist that could degrade thoracic CT scan quality
• History of thoracic radiation or thoracic surgery with resection of lung tissue
• Participants who present with an acute exacerbation of COPD, either solely participant-identified or that has been clinically treated, in the last 30 days can be rescreened for the study once the 30-day window from end of drug therapy has passed
• Participants who present with current use of acute antibiotics or steroids can be rescreened for the study >= 30 days after discontinuing acute antibiotics/steroids. This restriction does not apply to participants who are on chronic prednisone therapy of <10 mg per day or <20 mg every other day or participants who are currently on chronic, prophylactic, or suppressive antibiotic therapy

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

AstraZeneca

INDUSTRY

Sponsor Role: collaborator

Thomas Jefferson University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Julie Barta, Associate Professor

Role: CONTACT

julie.barta@jefferson.edu

215-955-5161

Yolanda Kry, Bachelor of Science

Role: CONTACT

Yolanda.Kry@jefferson.edu

215-503-6234

Facility Contacts

Julie Barta, MD

Role: primary

julie.barta@jefferson.edu

215-955-5161

Yolanda Kry, BS

Role: backup

Yolanda.Kry@jefferson.edu

215-503-6234

Related Links

https://doi.org/10.1016/j.cllc.2021.06.003

Racial Differences in Lung Cancer Screening Beliefs and Screening Adherence. Clinical lung cancer. 2021;22(6):570-8. doi:

https://doi.org/10.1016/j.cllc.2023.12.006

Nonmalignant Surgical Resection Among Individuals with Screening-Detected Versus Incidental Lung Nodules. Clinical lung cancer. 2023. doi:

Other Identifiers

iRISID-2024-1246

Identifier Type: -

Identifier Source: org_study_id