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NCT06426628Recruiting

Clinical Utility of Management of Patients With Pulmonary Nodules Using the Percepta Nasal Swab Classifier

Veracyte, Inc.

Start Date

7/18/2022

Completion Date

3/31/2027

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.

Eligibility Criteria

Age Range: 29 years to 85 years

Inclusion Criteria: * Able to tolerate nasal epithelial specimen collection * Signed written Informed Consent obtained * Subject clinical history available for review by sponsor and regulatory agencies * New nodule identified on imaging \< 90 days prior to nasal sample collection * CT report available for index nodule * 29 - 85 years of age * Current or former smoker (\>100 cigarettes in a lifetime) * Pulmonary nodule ≤30 mm detected by CT Exclusion Criteria: * Active cancer (other than non-melanoma skin cancer) * Prior primary lung cancer (prior non-lung cancer acceptable) * Prior participation in this study (i.e., subjects may not be enrolled more than once) * Current active treatment with an investigational device or drug * Patient enrolled or planned to be enrolled in another clinical trial that may influence management of the patient's nodule * Concurrent or planned use of tools or tests for assigning lung nodule risk of malignancy other than clinically validated risk calculators

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Conditions

Pulmonary Nodule, SolitaryLung Cancer

Locations

Trinity Health Of New England

Hartford, Connecticut 06105

United States

The Stamford Health/The Stamford Hospital

Stamford, Connecticut 06904

United States

Bay Pines VA HCS

Bay Pines, Florida 33744

United States

North Florida/South Georgia Veterans Health System

Gainesville, Florida 32608

United States

Bruce W. Carter Miami VA Medical Center

Miami, Florida 33125

United States

Orlando VA Healthcare System

Orlando, Florida 32827

United States

Northwestern University

Chicago, Illinois 60611

United States

OSF Saint Francis Medical Center

Peoria, Illinois 61637

United States

University of Kansas Medical Center

Kansas City, Kansas 66103

United States

Lexington VA Health Care System

Lexington, Kentucky 40502

United States

Robley Rex VA Medical Center

Louisville, Kentucky 40206

United States

Southeast Louisiana Veterans Health Care System

New Orleans, Louisiana 70119

United States

University of Maryland Medical Center

Baltimore, Maryland 21201

United States

Boston University Medical Center

Boston, Massachusetts 02118

United States

Saint Lukes Hospital

Kansas City, Missouri 64111

United States

Mercy Hospital

Springfield, Missouri 65804

United States

University of Rochester Medical Center

Rochester, New York 14642

United States

Good Samaritan Cancer Center

West Islip, New York 11795

United States

PulmonIx, LLC

Greensboro, North Carolina 27401

United States

University of Cincinnati

Cincinnati, Ohio 45267

United States

Mercy Health St. Vincent Medical Center

Toledo, Ohio 43608

United States

Ralph H. Johnson VA Health Care System

Charleston, South Carolina 29401

United States

VA Caribbean Healthcare

San Juan, 00921-3201

Puerto Rico