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Lung CancerNCT01540552

Natural History of Lung Nodules Seen on CT Scans From Participants at High-Risk of Developing Lung Cancer

An observational study of Lung Cancer and Precancerous Condition, run by M.D. Anderson Cancer Center at 1 site in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

RATIONALE: Comparing lung CT scans from participants with lung nodules at high-risk for lung cancer may help doctors learn more about the disease and find better methods of treatment. PURPOSE: This trial studies the natural history of lung nodules using CT scans from participants at high-risk for lung cancer. Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Lung Cancer, Precancerous Condition
What is being tested?
medical chart review, computed tomography and computer-aided detection/diagnosis
Type of treatment
Surgery or procedure
How many people
320 participants
Where
1 siteItaly
Study dates
Feb 2012to Jan 2013
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Participants previously enrolled in two trials: (1) a large scale COSMOS trial and (2) a subset of the COSMOS trial (MDA05-5-01 Budesonide study and treated for one year). Only participants enrolled in both trials will be included.

DISEASE CHARACTERISTICS:

  • Annual Computed Tomography (CT) scans obtained from participants with undetermined lung nodules detected by low-dose CT enrolled in both of the following trials:
  • A large-scale COSMOS screening trial
  • Three annual CT scans obtained as part of the COSMOS trial after budesonide study treatment completion
  • The MDA05-5-01, a subset of COSMOS trial participants, a randomized phase II trial of inhaled budesonide twice daily versus placebo
  • Two CT scans performed as part of the budesonide protocol (MDA05-5-01)
  • Only CT scans from participants enrolled in both trials will be used

PATIENT CHARACTERISTICS:

  • Not specified

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • European Institute of Oncology

    Milan, 20141

Other trials in Italy

About this study

Official title: Evolution of Undetermined Ld-CT Detected Lung Nodules Among a Randomized Phase II Trial With Inhaled Budesonide

RATIONALE: Comparing lung CT scans from participants with lung nodules at high-risk for lung cancer may help doctors learn more about the disease and find better methods of treatment.

PURPOSE: This trial studies the natural history of lung nodules using CT scans from participants at high-risk for lung cancer.

Read the detailed description

OBJECTIVES:

Primary

  • Evaluation of lung nodules (target and non-target lesions) detected during annual low-dose (ld) computed tomography (CT) scans and measured for three years after study completion in subjects enrolled in a randomized, phase IIb, placebo-controlled trial with inhaled budesonide (both person-specific and lesion-specific analyses will be performed).

Secondary

  • Lung cancer detection rate in the two arms.
  • Appearance of new nodules in the two arms.

OUTLINE: Low-dose CT scans are analyzed retrospectively for the natural progression of undetermined lung nodules. Nodule dimension will be evaluated according to maximum diameter and volume, when feasible. Volume measurements are performed using an automatic and semi-automatic computer-aided diagnosis (CAD) system. Lesion-specific and person-specific analysis are performed by measure of average change in size of the target lesions or number of lesions.

Being tested
medical chart review, computed tomography, computer-aided detection/diagnosis
Keywords
lung cancer, precancerous condition, lung nodules, CT Scan
Medical subject headings
Lung Neoplasms, Precancerous Conditions

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT01540552
Study groupRoleWhat they receive
Budesonide ArmRetrospective Medical Chart Review of low dose CT scans for participants who received Budesonide.
Receives: Other: medical chart review; Procedure: computed tomography; Procedure: computer-aided detection/diagnosis
Placebo ArmRetrospective Medical Chart Review of low dose CT scans for participants who received Placebo.
Receives: Other: medical chart review; Procedure: computed tomography; Procedure: computer-aided detection/diagnosis

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Natural evolution of lung nodules

    Measured: 5 year review period

Secondary outcomes (2)
  1. Lung cancer detection rate

    Measured: 5 year review period

  2. Appearance of new nodules

    Measured: 5 year review period

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Feb 2012 (estimated)
  2. Study startFeb 2012
  3. Primary completionJan 2013
  4. Study completionJan 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Retrospective
Enrolment
320 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01540552
Sponsor's protocol ID
PA11-1128
Other IDs
MDA-MDA05-5-03, CDR0000726610
Status last verified
Jan 2013
First submitted
22 Feb 2012
Last updated
25 Jan 2013
Results posted
No
Data monitoring committee
No

Publications

  • Veronesi G, Lazzeroni M, Szabo E, Brown PH, DeCensi A, Guerrieri-Gonzaga A, Bellomi M, Radice D, Grimaldi MC, Spaggiari L, Bonanni B. Long-term effects of inhaled budesonide on screening-detected lung nodules. Ann Oncol. 2015 May;26(5):1025-1030. doi: 10.1093/annonc/mdv064. Epub 2015 Feb 11.

    PubMed 25672894

Questions about this trial

What is this clinical trial studying?

An observational study of Lung Cancer and Precancerous Condition, run by M.D. Anderson Cancer Center at 1 site in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Jan 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Natural evolution of lung nodules (time frame: 5 year review period). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01540552, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jan 2013.

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