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RecruitingObservational

Clinical Utility of Management of Patients With CT and LDCT Identified Pulmonary Nodules Using the Percepta Nasal Swab Classifier

NCT ID: NCT06426628Sponsor: Veracyte, Inc.Last updated: 2024-11-13

Summary

The goal of this observational study is to learn how a physician uses the results of the Percepta® Nasal Swab test to manage people with a newly identified pulmonary nodule. The main questions it aims to answer are: * Does the use of the Percepta Nasal swab test reduce the number of invasive procedures in people with a low-risk result and whose nodule is benign? * Does the use of the Percepta Nasal swab test decrease the time to treatment in people with a high-risk result and whose nodule is cancer? Participants will be randomly assigned to either a group where the test result is provided to the physician (test arm) or to a group where the test result is not provided (control arm). Researchers will compare management of participants in the two groups.

Detailed description

This is a prospective, multicenter, randomized study to evaluate the clinical utility of the Percepta® Nasal Swab classifier in managing patients with pulmonary nodules identified incidentally or by lung cancer screening. Patients will be randomized to either the test group, where the test result will be returned to the physician to incorporate into decision-making on how to manage the patient's nodule, or the control group which will represent the standard of care where the result will not be returned to the physician. The study will observe and evaluate how the addition of the Percepta Nasal Swab classifier result impacts current management of newly identified lung nodules. The study will enroll approximately 2400 participants meeting eligibility criteria at up to 100 centers in the US. Enrollment is expected to take approximately 24 months and participants will be followed for 24 to 30 months or until a diagnosis of lung cancer.

Arms & interventions

Outcome measures

Primary

  • Number of invasive diagnostic procedures

    Invasive diagnostic procedures performed in the diagnostic workup of newly identified nodules that are benign.

    Time frame: From date of randomization until the date the nodule is diagnosed as benign or demonstrates up to 24 months radiographic stability or resolution, assessed up to a total of 30 months.

Secondary

  • Time to treatment

    Time frame: From date of randomization until the date of first documented treatment for lung cancer, assessed up to a total of 30 months.

Eligibility criteria

Sex: AllAge: 29 Years to 85 YearsHealthy volunteers: No
Inclusion Criteria: * Able to tolerate nasal epithelial specimen collection * Signed written Informed Consent obtained * Subject clinical history available for review by sponsor and regulatory agencies * New nodule identified on imaging \< 90 days prior to nasal sample collection * CT report available for index nodule * 29 - 85 years of age * Current or former smoker (\>100 cigarettes in a lifetime) * Pulmonary nodule ≤30 mm detected by CT Exclusion Criteria: * Active cancer (other than non-melanoma skin cancer) * Prior primary lung cancer (prior non-lung cancer acceptable) * Prior participation in this study (i.e., subjects may not be enrolled more than once) * Current active treatment with an investigational device or drug * Patient enrolled or planned to be enrolled in another clinical trial that may influence management of the patient's nodule * Concurrent or planned use of tools or tests for assigning lung nodule risk of malignancy other than clinically validated risk calculators

Study locations (22)

Trinity Health Of New England

Hartford, Connecticut, 06105

Recruiting
Anil Magge, MD · Principal Investigator

The Stamford Health/The Stamford Hospital

Stamford, Connecticut, 06904

Recruiting
Majed Albache, MD, MPH · Contact
Adrienne S Scott, MS, CCRC · Contact
Michael A Bernstein, MD · Principal Investigator

Bay Pines VA HCS

Bay Pines, Florida, 33744

Recruiting
Stephen R Clum, MD PhD · Contact
Stephen R Clum, MD PhD · Principal Investigator

North Florida/South Georgia Veterans Health System

Gainesville, Florida, 32608

Recruiting
Juliana Venetucci · Contact
Peruvemba S Sriram, MD · Principal Investigator

Bruce W. Carter Miami VA Medical Center

Miami, Florida, 33125

Recruiting
Jalima Quintero, RN · Contact
Gregory E Holt, MD · Principal Investigator

Orlando VA Healthcare System

Orlando, Florida, 32827

Recruiting
Nazia Sultana, MD · Contact
Nazia Sultana, MD · Principal Investigator

Northwestern University

Chicago, Illinois, 60611

Recruiting
Phillip Cooper · Contact
Momen M Wahidi, MD · Principal Investigator

OSF Saint Francis Medical Center

Peoria, Illinois, 61637

Recruiting
Kimberly Hartwig, RN, BSN · Contact
Patrick E Whitten, MD · Principal Investigator

University of Kansas Medical Center

Kansas City, Kansas, 66103

Recruiting
Vianca Williams, MCR, CCRP · Contact
Maykol R Postigo, MD · Principal Investigator

Lexington VA Health Care System

Lexington, Kentucky, 40502

Recruiting
Rebekah Evans, N, BSN, CCRP · Contact
Mouna Abouamara, MD · Principal Investigator

Robley Rex VA Medical Center

Louisville, Kentucky, 40206

Recruiting
Fred Hendler, MD, PhD · Contact
Fred Hendler, MD, PhD · Principal Investigator

Southeast Louisiana Veterans Health Care System

New Orleans, Louisiana, 70119

Recruiting
Sarah Savaski · Contact
David Becnel, MD · Principal Investigator

University of Maryland Medical Center

Baltimore, Maryland, 21201

Recruiting
Van Holden, MD · Contact
Van Holden, MD · Principal Investigator

Boston University Medical Center

Boston, Massachusetts, 02118

Recruiting
Ehab Billatos, MD · Contact
Ehab Billatos, MD · Principal Investigator

Saint Lukes Hospital

Kansas City, Missouri, 64111

Recruiting
Matthew Aboudara, MD · Contact
Matthew Aboudara, MD · Principal Investigator

Mercy Hospital

Springfield, Missouri, 65804

Recruiting
Madhu Kalyan Pendurthi, MD MPH · Contact
Madhu Kalyan Pendurthi, MD MPH · Principal Investigator

University of Rochester Medical Center

Rochester, New York, 14642

Recruiting
Michael Nead, MD, PhD · Contact
Michael Nead, MD, PhD · Principal Investigator

Good Samaritan Cancer Center

West Islip, New York, 11795

Not Yet Recruiting
Stephanie E Solito, MBA, CCRC · Contact
Sharad Chandrika, MD · Principal Investigator

PulmonIx, LLC

Greensboro, North Carolina, 27401

Recruiting
Bradley L Icard, DO · Contact
Bradley L Icard, DO · Principal Investigator

University of Cincinnati

Cincinnati, Ohio, 45267

Recruiting
Christopher C Radchenko, MD · Contact
Christopher C Radchenko, MD · Principal Investigator

Mercy Health St. Vincent Medical Center

Toledo, Ohio, 43608

Recruiting
Dee Tilley, RN, CCRC · Contact
Vinod Khatri, MD · Principal Investigator

Ralph H. Johnson VA Health Care System

Charleston, South Carolina, 29401

Recruiting
Abby Wenzel, PhD · Contact
Nichole T Tanner, MD · Principal Investigator