Mobile Lung Cancer Screening

NCT ID: NCT07015151

Last Updated: 2025-09-09

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

4312 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-06-12

Study Completion Date

2028-09-30

Brief Summary

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Lung cancer screening using low-dose CT (LDCT) has been shown to reduce mortality in high-risk populations. In 2022, the French National Cancer Institute (INCa) issued guidelines recommending screening for individuals aged 50-74 with a history of heavy smoking, including current smokers or those who quit less than 15 years ago. A national pilot program (IMPULSION) will be launched in 2025.

Lung cancer incidence is strongly correlated with socioeconomic status, yet underserved populations remain difficult to engage in screening programs. Mobile health units using a "reach-out" strategy have demonstrated effectiveness in other countries (UK, Brazil, USA). In France, this approach has been used for breast cancer screening via mobile mammography units.

The MobILYAD project aims to compare two screening modalities- a mobile demedicalized unit (CT-equipped van with trained nurses) and a conventional hospital-based unit- to assess the effectiveness of mobile screening in reaching socially disadvantaged populations.

Detailed Description

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Conditions

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Lung Cancer Prevention

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Mobile Screening Group

Participants receiving lung cancer screening via a mobile unit (truck) operated by trained nurses. This includes spirometry, blood pressure measurement, blood cholesterol testing, low-dose CT scan, and optional biospecimen collection.

Low-dose Chest CT Screening

Intervention Type DIAGNOSTIC_TEST

Participants undergo a low-dose chest CT scan to screen for early lung cancer and assess associated conditions (emphysema, coronary calcifications, osteoporosis).

Spirometry

Intervention Type DIAGNOSTIC_TEST

Assessment of lung function through spirometry, with optional plethysmography and diffusion testing to detect COPD and PRISM patterns.

Cardiovascular Risk Assessment

Intervention Type DIAGNOSTIC_TEST

Cardiovascular risk is evaluated using SCORE2/SCORE2-OP tools, based on blood pressure and cholesterol levels.

Smoking Cessation Support

Intervention Type BEHAVIORAL

Active smokers receive a structured smoking cessation intervention, including a baseline consultation and up to two follow-up sessions (which may be remote).

Optional Biospecimen Collection (Bio-ILYAD)

Intervention Type OTHER

Optional collection of blood and exhaled breath condensate for future analysis of biomarkers in lung cancer detection.

Non-Mobile Screening Group

Participants receiving the same screening procedures at a fixed hospital-based site (Lyon Sud), with possible involvement of medical or non-medical staff depending on availability.

Low-dose Chest CT Screening

Intervention Type DIAGNOSTIC_TEST

Participants undergo a low-dose chest CT scan to screen for early lung cancer and assess associated conditions (emphysema, coronary calcifications, osteoporosis).

Spirometry

Intervention Type DIAGNOSTIC_TEST

Assessment of lung function through spirometry, with optional plethysmography and diffusion testing to detect COPD and PRISM patterns.

Cardiovascular Risk Assessment

Intervention Type DIAGNOSTIC_TEST

Cardiovascular risk is evaluated using SCORE2/SCORE2-OP tools, based on blood pressure and cholesterol levels.

Smoking Cessation Support

Intervention Type BEHAVIORAL

Active smokers receive a structured smoking cessation intervention, including a baseline consultation and up to two follow-up sessions (which may be remote).

Optional Biospecimen Collection (Bio-ILYAD)

Intervention Type OTHER

Optional collection of blood and exhaled breath condensate for future analysis of biomarkers in lung cancer detection.

Interventions

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Low-dose Chest CT Screening

Participants undergo a low-dose chest CT scan to screen for early lung cancer and assess associated conditions (emphysema, coronary calcifications, osteoporosis).

Intervention Type DIAGNOSTIC_TEST

Spirometry

Assessment of lung function through spirometry, with optional plethysmography and diffusion testing to detect COPD and PRISM patterns.

Intervention Type DIAGNOSTIC_TEST

Cardiovascular Risk Assessment

Cardiovascular risk is evaluated using SCORE2/SCORE2-OP tools, based on blood pressure and cholesterol levels.

Intervention Type DIAGNOSTIC_TEST

Smoking Cessation Support

Active smokers receive a structured smoking cessation intervention, including a baseline consultation and up to two follow-up sessions (which may be remote).

Intervention Type BEHAVIORAL

Optional Biospecimen Collection (Bio-ILYAD)

Optional collection of blood and exhaled breath condensate for future analysis of biomarkers in lung cancer detection.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Persons aged over 50 and under 75 (74 years of age or older).
* Active smokers or former smokers who quit less than 15 years ago.
* Persons whose consumption is estimated at 20 packs/year or more, down to ≥15 cigarettes/day for a duration of consumption of ≥25 years and up to ≥10 cigarettes/day for ≥30 years, which takes into account the predominance of duration of consumption over quantity consumed in the risk of lung cancer. A pack-year corresponds to the consumption of one pack of 20 manufactured cigarettes per day for one year. A multiplier coefficient will be taken into account depending on the mode of consumption: Rolled cigarettes: 2; Cigarillos: 3; Cigars: 4; Pipes: 2.5; Hookahs: 25.
* Persons affiliated with social security. - Person having signed their consent to participate in the study after having received full information about it, including the risks associated with participation.

Exclusion Criteria

* Individuals with severe comorbidities contraindicating lung cancer investigations and/or treatment (including surgery or stereotactic radiotherapy);
* Individuals with impaired general condition (PS 2 and above);
* Individuals with dyspnea at rest (mMRC4);
* Individuals with a history of cancer undergoing active surveillance by chest computed tomography (CT or PET scan); personal history of lung cancer (lifetime);
* Individuals with symptoms suggestive of lung cancer (hemoptysis, unexplained weight loss, recent onset or change in respiratory symptoms, etc.);
* Individuals refusing to participate in the study
* Individuals withdrawing their consent.
Minimum Eligible Age

50 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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" Centre de dépistage mobile " - Hôpital Lyon Sud

Pierre-Bénite, , France

Site Status RECRUITING

Service de Pneumologie " Centre de dépistage non mobile " - Hôpital Lyon Sud

Pierre-Bénite, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Sébastien COURAUD, Pr

Role: CONTACT

04 78 86 44 01 ext. +33

Julie DE-BELMONT

Role: CONTACT

0478866698 ext. +33

Facility Contacts

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Sébastien COURAUD, Pr

Role: primary

00334 78 86 44 01

COURAUD Sébastien, Pr

Role: primary

0033 4 78 86 44 01

Other Identifiers

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2025-A00673-46

Identifier Type: OTHER

Identifier Source: secondary_id

69HCL22_0467

Identifier Type: -

Identifier Source: org_study_id

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