A Combined Biomarker Model for Risk Stratification of Indeterminate Pulmonary Nodules
3 other identifiers
observational
103
1 country
4
Brief Summary
This is a prospective, multicenter observational study aim at estimating the potential clinical utility of the CBM and at establishing the SOPs and protocols for a future randomized control trial.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Mar 2024
Longer than P75 for all trials
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 19, 2023
CompletedFirst Posted
Study publicly available on registry
October 10, 2023
CompletedStudy Start
First participant enrolled
March 7, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 31, 2029
May 4, 2026
April 1, 2026
3.1 years
September 19, 2023
April 30, 2026
Conditions
Outcome Measures
Primary Outcomes (5)
The proportion of patients with benign disease who underwent invasive diagnostic procedures.
Up to approximately 2 years
The time to diagnosis (in days) for patients with cancer.
Up to approximately 2 years
Measure time needed to provide the CBM Value to clinician
Number of days
Up to approximately 2 years
Measure time needed to obtain hs CYFRA 21-1 values
Number of hours (days)
Up to approximately 2 years
Measure time needed to perform radiomics
Number of hours (days)
Up to approximately 2 years
Study Arms (1)
Indeterminate Pulmonary Nodules
A combined biomarker model (hs-CYFRA 21-1, radiomics, Mayo) score will be obtained to estimate potential clinical utility compared to the Mayo Model.
Interventions
Undergo standard of care chest Computed Tomography
Eligibility Criteria
Patients recruited from pulmonary or thoracic clinics that have indeterminate pulmonary nodules
You may qualify if:
- Adults \> 21 y/o
- IPNs 8-30mm referred for evaluation Figure 4. AUC and reclassification of Combined Biomarker Model
- Intermediate risk IPN defined as 10-70% risk after applying Mayo risk predictor model
- Solid nodules or part-solid nodules with solid component \>=8mm
- CT scan with nodule of concern performed within 60 days of enrollment
You may not qualify if:
- Pure ground glass nodule or subsolid nodule with solid component \<8mm
- Currently on therapy for any cancer
- History of primary lung cancer within the last 5 years
- Multiple nodules highly suspicious for metastatic disease
- Other malignancy within the last 2 year - Excluding skin cancer other than melanoma
- Pregnant women
- Prisoners
- Inability to provide informed consent
- Serologic evidence of active fungal infection
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Vanderbilt-Ingram Cancer Centerlead
- National Cancer Institute (NCI)collaborator
Study Sites (4)
Rocky Mountain Regional VA Medical Center
Aurora, Colorado, 80045, United States
University of Colorado
Aurora, Colorado, 80045, United States
Vanderbilt University/Ingram Cancer Center
Nashville, Tennessee, 37203, United States
VA Tennessee Valley Healthcare Center
Nashville, Tennessee, 37212, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Eric Grogan, MD
Vanderbilt University/Ingram Cancer Center
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Thoracic Surgery & Medicine
Study Record Dates
First Submitted
September 19, 2023
First Posted
October 10, 2023
Study Start
March 7, 2024
Primary Completion (Estimated)
March 31, 2027
Study Completion (Estimated)
March 31, 2029
Last Updated
May 4, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share