International Lung Screen Trial (ILST) (ILST)
International Lung Screen Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
New South Wales
-
Sydney, New South Wales, Australia, 2010
- St Vincent's Hospital
-
-
Queensland
-
Brisbane, Queensland, Australia, 4032
- The Prince Charles Hospital
-
-
Victoria
-
Melbourne, Victoria, Australia, 3050
- Royal Melbourne Hospital
-
-
Western Australia
-
Perth, Western Australia, Australia, 6009
- Sir Charles Gairdner Hospital
-
Perth, Western Australia, Australia, 6150
- Fiona Stanley Hospital
-
-
-
-
British Columbia
-
Vancouver, British Columbia, Canada, V5Z1L3
- BC Cancer Research Centre
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
- Inclusion Criteria:
- Women or men age from 55 to 80.
- Current or former smokers. A former smoker is defined as one who has stopped smoking for one or more years.
- An estimated 6-year lung cancer risk of ≥1.51% based on the PLCOm2012 risk prediction model or ≥ 30 pack-years smoking history (pack-year is defined as number of pack of cigarettes smoked per day multiply by the number of years smoked. If a participant stopped smoking for 6 months or more and then restarted smoking again, the time will be subtracted from the total duration of smoking in 0.5 year increments)
- ECOG performance status 0 or 1.
- Capable of providing, informed consent for screening procedures (low dose spiral CT)
- Exclusion Criteria
- Clinical symptoms suspicious for lung cancer e.g. hemoptysis, chest pain, weight loss
- Any medical condition, such as severe heart disease (e.g. unstable angina, chronic congestive heart failure), acute or chronic respiratory failure, home oxygen therapy, bleeding disorder, that in the opinion of the investigator could jeopardize the subject's safety during participation in the study or unlikely to benefit from screening due to shortened life-expectancy from the co-morbidities
- Have been previously diagnosed with lung cancer
- Have had other non-curatively treated cancer outside the lung.
- Pregnancy
- Pneumonia or bronchitis requiring antibiotic treatment within the last 12 weeks
- Unwilling to have a spiral chest CT
- Chest CT within 2 years
- Does not fit into CT scanner table due to gross obesity
- Cannot lie on CT scanning table on the back with arms over the head
- Received chemotherapy or cytotoxic drugs within the last 6 months
- Unwilling to sign a consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Screening
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Single
Single arm only, CT screening of lung
|
low-dose screening CT of chest for lung cancer detection
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The number of Lung cancers
Time Frame: 5 years
|
5 years
|
|
Number of nodules
Time Frame: 5 years
|
5 years
|
|
Change in quality of life
Time Frame: 5 Years
|
5 Years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Cancer detection rate
Time Frame: 5 years
|
5 years
|
|
Types and number of investigations
Time Frame: 5 Years
|
5 Years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Kwun M Fong, UQTRC at TPCH
- Principal Investigator: Steven Lam, British Columbia Cancer Agency
Publications and helpful links
General Publications
- Tammemagi MC, Ruparel M, Tremblay A, Myers R, Mayo J, Yee J, Atkar-Khattra S, Yuan R, Cressman S, English J, Bedard E, MacEachern P, Burrowes P, Quaife SL, Marshall H, Yang I, Bowman R, Passmore L, McWilliams A, Brims F, Lim KP, Mo L, Melsom S, Saffar B, Teh M, Sheehan R, Kuok Y, Manser R, Irving L, Steinfort D, McCusker M, Pascoe D, Fogarty P, Stone E, Lam DCL, Ng MY, Vardhanabhuti V, Berg CD, Hung RJ, Janes SM, Fong K, Lam S. USPSTF2013 versus PLCOm2012 lung cancer screening eligibility criteria (International Lung Screening Trial): interim analysis of a prospective cohort study. Lancet Oncol. 2022 Jan;23(1):138-148. doi: 10.1016/S1470-2045(21)00590-8. Epub 2021 Dec 11.
- Lim KP, Marshall H, Tammemagi M, Brims F, McWilliams A, Stone E, Manser R, Canfell K, Weber M, Connelly L, Bowman RV, Yang IA, Fogarty P, Mayo J, Yee J, Myers R, Atkar-Khattra S, Lam DCL, Rosell A, Berg CD, Fong KM, Lam S; ILST (International Lung Screening Trial) Investigator Consortium. Protocol and Rationale for the International Lung Screening Trial. Ann Am Thorac Soc. 2020 Apr;17(4):503-512. doi: 10.1513/AnnalsATS.201902-102OC.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- HREC/16/QPCH/181
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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