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Solitary Pulmonary NodulemLOWERNCT02693496

Mobile Lung Nodule Observatory for Worldwide, Evidenced-based Research

An observational study of Solitary Pulmonary Nodule, run by Chinese Alliance Against Lung Cancer at 34 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Patients with lung nodules may develop a variety of potentially severe symptoms. These symptoms may impact a patient's quality of life and lead to difficult treatment. Through this research program, the investigators want to understand the pathogenesis of the changes of these symptoms. Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Solitary Pulmonary Nodule
What is being tested?
Installation or registration of smartphone application
How many people
10,000 participants
Where
34 sitesChina
Study dates
Oct 2015to Oct 2025
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 18 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Approximately 10,000 patients will participate in this research program, in 100 different medical institutions.

Who may be able to join

  • Age between 18 and 90
  • There is a chest lesion less than 3cm width (examined by Thin-Section CT)
  • The patient or his family member owns a smartphone
  • Signed informed consent
  • Completed the installation and registration of mobile terminal software online
  • Willing to complete a 10-year period of follow-up

Who cannot join

  • Not equipped with a smartphone
  • Cannot complete the installation or registration of smartphone application software online
  • Received prior chemotherapy medications for lung cancer or received lung surgical removal treatment

Trial locations and contacts

34 sites in 1 country.

34 sites in 1 country

China34 sites, 34 recruiting
  • Beijing Union Hospital

    Beijing

    Li Zhang, zhanglipumch@aliyun.com

    Recruiting
  • General Hospital of PLA

    Beijing

    Liangan Chen, chenla301@263.net

    Recruiting
  • Hebei Pronvince Cangzhou City People's Hospital

    Cangzhou

    Rongjiang Xie, xrjcwh@136.com

    Recruiting
  • Xiaya Hospital Central South Unversity

    Changsha

    Chengping Hu, 1186304934@qq.com

    Recruiting
  • Anhui Province Chaoyang Hospital

    Chaoyang

    Xiaohong Li, lxh_59@126.com

    Recruiting
  • West China Hospital Sichuan University

    Chengdu

    Weimin Li, weimi003@yahoo.com

    Recruiting
  • No.1 Hospital Chongqing Medical University

    Chongqing

    Shuliang Guo, guosl999@sina.com

    Recruiting
  • Western East Hospital No. 3 PLA Medical University

    Chongqing

    Xiangdong Zhou, xiangdongzhou@126.com

    Recruiting
  • No. 2 Hospital Dalian Medical University

    Dalian

    Qi Wang, wqdlmu@163.com

    Recruiting
  • Guizhou Province People's Hospital

    Guizhou

    Xianwei Ye, yxw1205@163.com

    Recruiting
  • International Hospital Zhejiang University

    Hangzhou

    Jie Zheng, jie.zheng@shulan.com

    Recruiting
  • No. 1 Hospital Zhejiang University Medical College

    Hangzhou

    Jianying Zhou, drzjy@163.com

    Recruiting
  • Yunnan Province Cancer Hospital

    Kunming

    Yunchao Wang, huangych2001@aliyun.com

    Recruiting
  • Shandong Province Liaocheng City People's Hospital

    Liaocheng

    Peige Zhao, zhaopeige0417@163.com

    Recruiting
  • No. 2 Hospital Fujian Medical University

    Quanzhou

    Yiming Zeng, zeng_yi_ming@126.com

    Recruiting
  • Kecheng District Hospital

    Quzhou

    Weiping Liu, 228706838@qq.com

    Recruiting
  • Shanghai Zhongshan Hospital

    Shanghai, 200032

    Dawei Yang, M.D., +86 13564703813, yang_dw@hotmail.com

    Chunxue Bai, Prof.

    Recruiting
  • Minhang District Hospital Fudan University

    Shanghai

    Xiwen Gao, xiwengao@sina.com

    Recruiting
  • Putuo District Central Hospital Shanghai Chinese Medical University

    Shanghai

    Xiongbiao Wang, xiongbiao6@hotmail.com

    Recruiting
  • Ruici Clinic

    Shanghai

    Xiaoli Wang, wangxiaoli@rich-healthcare.com

    Recruiting
  • No. 2 Hospital Tianjin Chinese Medical University

    Tianjin

    Hong Zhang, xiwengao@sina.com

    Recruiting
  • Weifang City No.2 People's Hospital

    Weifang

    Guoru Yang, yangguoru@163.com

    Recruiting
  • Wudang Hospital Guiyang Medical College

    Wudang

    Chunyan Wang, wangchunyan1965@163.com

    Recruiting
  • Wuhu City No. 2 Hopsital

    Wuhu

    Gang Yang, 13855306767@163.com

    Recruiting
  • No. 5 Wuxi People's Hospital

    Wuxi

    Xinguo Zhao, 18361607@qq.com

    Recruiting
  • Xining Hospital No.4 PLA University

    Xi'an

    Jian Zhang, 13991802890@163.com

    Recruiting
  • Xiamen City No.3 People's Hospital

    Xiamen

    Ye Lu, xmsyly@163.com

    Recruiting
  • Yantai City Taishan Hopsital

    Yantai

    Enning Zhang, Zhang6700096@163.com

    Recruiting
  • Henan Province People's Hospital

    Zhengzhou

    Xiaoju Zhang, zhangxiaoju1010@hotmail.com

    Recruiting
  • No. 1 Hospital Zhengzhou University

    Zhengzhou

    Jing Wang, wangjing2886@aliyun.com

    Recruiting
  • Shandong Pronvince Zibo City Official Hospital

    Zibo

    Rongxu Li, 13853322700@139.com

    Recruiting
  • Shandong Province Linzi District Hospital

    Zibo

    Lixin Fang, 1090356746@qq.com

    Recruiting
  • Sichuan Province Zigong City No. 1 Hospital

    Zigong

    Zhi Deng, 13608158051@163.com

    Recruiting
  • Guizhou Province Zunyi Medical College Hospital

    Zunyi

    Jianyong Zhang, zjy9453@sina.com

    Recruiting

Other trials in China

About this study

Official title: Mobile Lung Nodule Observatory for Worldwide, Evidenced - Based Research

Patients with lung nodules may develop a variety of potentially severe symptoms. These symptoms may impact a patient's quality of life and lead to difficult treatment. Through this research program, the investigators want to understand the pathogenesis of the changes of these symptoms.

Read the detailed description

Lung nodules can manifest as single or multiple independent lung consolidation shadow in form of quasi-circular. These lung nodules are surrounded by normal lung tissues, and will not cause pulmonary atelectasis. In some early standards, all the quasi-circular shadows within 6cm found in lung are categorized as lung nodules. However, according to current standards, the lesion within 3cm can be identified as lung nodules. With widespread use of lung cancer CT screening, lung nodules were identified more and more frequently.

What is the optimal way to manage this CT finding? Should we adopt surgical removal or just observation? An optimal solution is to determine a clearly defined standard of care that is easy to learn. We propose a method called "three plus two". The 'Three' is a three-step testing method, and the 'Two' means two alternative solutions. Three-step testing method includes collecting medical history, non-invasive examination, and invasive examination. The two alternative solutions are surgical removal and follow-up observation. We have independently developed an application based on a smartphone platform. This platform will provide a novel evidence-based research method for observing the dynamic evolution of the lung nodules in patients. There have been no prior studies about managing this CT scan finding, either in China or internationally.

Being tested
Installation or registration of smartphone application
Keywords
ResearchKit, CT screening, Early Diagnosis, Lung Cancer
Medical subject headings
Solitary Pulmonary Nodule, Disease, Lung Neoplasms

What participants receive

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

  • Installation or registration of smartphone applicationOther

    Completed the installation and registration of mobile terminal software online

What is being measured

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

  1. To compare the diagnostic accuracy among different type of lung nodules.

    Utilizing the professional statistical software (SPSS 15.0), through T-test, Mann-Whitney U test, and analyzing the receiver operating characteristic (ROC) curve, to compare the diagnostic accuracy among different type of lung nodules. A p<0.05 cutoff will be the standard used to determine statistical significance.

    Measured: 10 years

Timeline

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

  1. First posted26 Feb 2016 (estimated)
  2. Study startOct 2015
  3. Primary completionOct 2025 (estimated)
  4. Study completionOct 2025 (estimated)

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
Cohort
Time perspective
Prospective
Enrolment
10,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02693496
Sponsor's protocol ID
CAALC-002-mLOWER
Acronym
mLOWER
Status last verified
Aug 2018
First submitted
27 Oct 2015
Last updated
7 Aug 2018
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Yang DW, Zhang Y, Hong QY, Hu J, Li C, Pan BS, Wang Q, Ding FH, Ou JX, Liu FL, Zhang D, Zhou JB, Song YL, Bai CX. Role of a serum-based biomarker panel in the early diagnosis of lung cancer for a cohort of high-risk patients. Cancer. 2015 Sep 1;121 Suppl 17:3113-21. doi: 10.1002/cncr.29551.

    PubMed 26331818
  • Gould MK, Donington J, Lynch WR, Mazzone PJ, Midthun DE, Naidich DP, Wiener RS. Evaluation of individuals with pulmonary nodules: when is it lung cancer? Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013 May;143(5 Suppl):e93S-e120S. doi: 10.1378/chest.12-2351.

    PubMed 23649456

Questions about this trial

What is this clinical trial studying?

An observational study of Solitary Pulmonary Nodule, run by Chinese Alliance Against Lung Cancer at 34 sites in China.

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

Who may be eligible to take part?

The sponsor lists 6 inclusion and 3 exclusion criteria. 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: status not confirmed, as of the sponsor's last update on 7 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in China. 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?

Results are not available in the source record.

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

Contact Chunxue Bai, M.D, Ph.D (+86 186-2117-0011, bai.chunxue@zs-hospital.sh.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To compare the diagnostic accuracy among different type of lung nodules. (time frame: 10 years). 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 NCT02693496, which also lists 2 linked publications.

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 7 Aug 2018.

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