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Chest Imaging, Breath, and Biomarkers in a Screening Trial

2017年5月17日 更新者：Moulay Meziane, MD、The Cleveland Clinic

A Clinical Trial to Develop Chest Imaging, Breath, and Biomarkers in a Screening Trial

The investigators would like to see if lung cancer screening with chest x-rays,computer aided detection (CAD)and a lose dose CT scan can detect lung cancer in early stages when it is more responsive to treatment. The investigators would also like to see if early detection will reduce the incidence of symptomatic advanced lung cancer compared to no screening in former and current smokers with or without a family history of lung cancer who are 40-75 years old.

研究概览

地位

完全的

条件

干预/治疗

详细说明

The fight against lung cancer is waged on three major fronts: prevention, detection and treatment. Our goal is to determine if chest x-rays,computer aided detection (CAD)and a CT scan can detect disease earlier when treatment is more effective. If we improve the detection of disease, we will see if screening reduces the incidence of symptomatic advanced lung cancer relative to no screening in people at high risk to develop lung cancer.

研究类型

观察性的

注册 (实际的)

1424

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 美国
    • Ohio
      • Cleveland、Ohio、美国、44195
        • Cleveland Clinic

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

40年 至 75年 (成人、年长者)

接受健康志愿者

是的

有资格学习的性别

全部

取样方法

概率样本

研究人群

Primary care physicians or any other physician may refer potential candidates. Additionally, subjects may see marketing materials and contact the research team directly. There is no restriction to the area of residence of subjects.

描述

Inclusion Criteria:

  • ages 40-75 years

  • If ages 40-59, then one of the following criteria needs to be met:

    • Current or ex-smoker with >25 pack years and a family history of lung cancer(parent or sibling) OR
    • current or ex-smoker with > 25 pack years and COPD OR
    • current or ex-smoker with a > 35 pack year history

  • If ages 60-75, then one of the following additional criteria needs to be met:

    • Current or ex-smoker with >25 pack years and a family history of lung cancer (parent or sibling) OR
    • Current or ex-smoker with >25 pack years and COPD OR
    • Current or ex-smoker with a >30 pack year history
  • Subject is able to return to Cleveland Clinic for annual follow-up screening
  • Subject is willing to sign a medical release form

Exclusion Criteria:

  • Current health requires oxygen
  • Have had a chest x-ray or CT of the chest within the last 6 months
  • Previous pneumonectomy
  • Lobectomy of the lung within the last 5 years
  • Diagnosed malignancy within the last 5 years, excluding non-melanoma skin cancer, carcinoma in situ of the cervix and localized prostate cancer
  • A medical condition that would prevent treatment for lung cancer

  • Within the last 6 weeks, one of the following has occured:

    • A new cough or chronic cough that has gotten worse
    • Either new shortness of breath, or any worsening of shortness of breath
    • A cough producing blood
    • Constant chest pain
    • Respiratory infection, pneumonia, or cold
    • Unintentional and unexplained weight loss greater than 5% of total body weight

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

队列和干预

团体/队列
干预/治疗
all enrolled subjects
Intervention is chest x-ray and CT scan. The chest x-ray image is read first without computer aided detection (CAD) and then a second time with computer aided detection (CAD) the CT scan is read by one reader. Subjects are asked to contribute breath and blood samples.
设备：chest x-ray with or without CAD, lose dose CT scan
PA view, low dose CT scan
其他名称：
  • 卡德
  • computer aided detection

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
The sensitivities of chest x-ray with CAD and chest CT
大体时间：One year after scan
The false positive rates of chest x-ray with CAD and chest CT will be compared. The analysis will be based on the study subjects from this prospective study who test positive with chest x-ray and/or CT and who are determined not to have lung cancer during the follow-up period.
One year after scan

次要结果测量

结果测量
措施说明
大体时间
Disease-specific mortality between screening with chest x-ray and CAD versus no screening
大体时间：One year after scan
Mortality rate in screening x-ray vs CAD
One year after scan
All-cause mortality rate between screening with chest x-ray and CAD versus no screening
大体时间：One year after scan
All cause mortality rate
One year after scan
Length of time between randomization and the incidence of symptomatic advanced lung cancer for screened subjects versus controls
大体时间：One year after scan
Time between randomization and symptom
One year after scan
Does lung cancer screening with chest x-rays and computer aided detection (CAD) reduce the incidence of symptomatic advanced lung cancer in a high risk population
大体时间：One year after scan
Cancer detection rate between chest x-ray and CAD
One year after scan
The quality of life between screening with chest x-ray and CAD versus no screening.
大体时间：One year after scan
Quality of life between the chest x-ray group and the CAD group
One year after scan

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

The Cleveland Clinic

调查人员

  • 学习椅：Micheal Phillips, M.D.、The Cleveland Clinic
  • 首席研究员：Moulay Meziane, MD、Chair of Thoracic Imaging

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

一般刊物

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2008年9月1日

初级完成 (实际的)

2014年5月1日

研究完成 (实际的)

2014年5月1日

研究注册日期

首次提交

2008年11月10日

首先提交符合 QC 标准的

2012年8月9日

首次发布 (估计)

2012年8月13日

研究记录更新

最后更新发布 (实际的)

2017年5月18日

上次提交的符合 QC 标准的更新

2017年5月17日

最后验证

2017年5月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • 07-455
  • State of Ohio grant (其他赠款/资助编号：06-055)
  • 06-055 (其他赠款/资助编号：State of Ohio)

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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