Clinical Utility of Management of Patients With CT and LDCT Identified Pulmonary Nodules Using the Percepta Nasal Swab Classifier
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
Study locations (22)
Trinity Health Of New England
Hartford, Connecticut, 06105
The Stamford Health/The Stamford Hospital
Stamford, Connecticut, 06904
Bay Pines VA HCS
Bay Pines, Florida, 33744
North Florida/South Georgia Veterans Health System
Gainesville, Florida, 32608
Bruce W. Carter Miami VA Medical Center
Miami, Florida, 33125
Orlando VA Healthcare System
Orlando, Florida, 32827
Northwestern University
Chicago, Illinois, 60611
OSF Saint Francis Medical Center
Peoria, Illinois, 61637
University of Kansas Medical Center
Kansas City, Kansas, 66103
Lexington VA Health Care System
Lexington, Kentucky, 40502
Robley Rex VA Medical Center
Louisville, Kentucky, 40206
Southeast Louisiana Veterans Health Care System
New Orleans, Louisiana, 70119
University of Maryland Medical Center
Baltimore, Maryland, 21201
Boston University Medical Center
Boston, Massachusetts, 02118
Saint Lukes Hospital
Kansas City, Missouri, 64111
Mercy Hospital
Springfield, Missouri, 65804
University of Rochester Medical Center
Rochester, New York, 14642
Good Samaritan Cancer Center
West Islip, New York, 11795
PulmonIx, LLC
Greensboro, North Carolina, 27401
University of Cincinnati
Cincinnati, Ohio, 45267
Mercy Health St. Vincent Medical Center
Toledo, Ohio, 43608
Ralph H. Johnson VA Health Care System
Charleston, South Carolina, 29401