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Trial Title: Assessment of Novel Biomarkers in Participants Undergoing Targeted Lung Health Checks

NCT ID: NCT05902559

Condition: Lung Cancer

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Summary: Low-dose CT (LDCT) screening for lung cancer (LCS) has been shown to reduce lung cancer specific mortality in multiple randomised controlled trials. However, although LDCT screening has been demonstrated to reduce cancer- specific mortality, there remain outstanding questions regarding how screening can be implemented. In particular, indeterminate nodules are common, and can be challenging to distinguish from benign nodules on CT appearances alone. Furthermore, distinguishing cancers which are likely to become clinically significant from those that will remain indolent is challenging, but essential to prevent over-treatment and overdiagnosis. There is significant interest in using a multi-modal approach to LCS, incorporating biomarkers obtained from minimally-invasive samples alongside LDCT to improve ability to recognise clinically-significant lung cancers at an early stage. The Targeted Lung Health Check (TLHC) programme is an NHS programme with the aim of using LDCT screening in appropriately high-risk individuals to improve early diagnosis and survival in lung cancer. The North Central London TLHC programme started in December 2022. The purpose of the ALPINE study is to develop a platform to allow collection of minimally-invasive samples from participants undergoing screening within the North Central London TLHC programme. The use of such biomarkers in the diagnosis of lung cancer is a rapidly developing field and novel techniques and technologies are continuously under development. The ALPINE study will generate a cohort with matched biosamples, CT scans and clinical data which will be uniquely well placed to serve to develop or validate biomarkers in lung cancer screening and risk prediction.

Criteria for eligibility:

Study pop:
Participants eligible for Low Dose CT scan screening in the North Central London Targeted Lung Health Check programme

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - Attended one of more visits as part of the NCL NHS TLHC programme - Adults aged between 55 years and 74 years and 364 days - Have capacity and can provide written consent Exclusion Criteria: - Declines participation in ALPINE - Lacking capacity and unable to provide written consent - Patients who are considered by the clinician to be unfit/not suitable for enrolment in ALPINE

Gender: All

Minimum age: 55 Years

Maximum age: 74 Years

Locations:

Facility:
Name: University College London Hospitals NHS Foundation Trust

Address:
City: London
Country: United Kingdom

Status: Recruiting

Contact:
Last name: Chuen Ryan Khaw

Phone: 02034479005
Email: c.khaw@ucl.ac.uk

Contact backup:
Last name: Amyn Bhamani
Email: a.bhamani@ucl.ac.uk

Investigator:
Last name: Samuel Janes
Email: Principal Investigator

Start date: August 1, 2023

Completion date: November 20, 2028

Lead sponsor:
Agency: University College, London
Agency class: Other

Collaborator:
Agency: Gustave Roussy, Cancer Campus, Grand Paris
Agency class: Other

Source: University College, London

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05902559

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