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.
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
- 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
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.
- Conditions
- Solitary Pulmonary Nodule
- 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.
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.
- First posted26 Feb 2016 (estimated)
- Study startOct 2015
- Primary completionOct 2025 (estimated)
- Study completionOct 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Solitary Pulmonary NoduleStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Chinese Alliance Against Lung Cancer
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Bai Chunxue, Chinese Alliance Against Lung Cancer
- Investigators
- Chunxue Bai, M.D, Ph.D, Study chair, Chinese Alliance Against Lung Cancer
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 26331818Gould 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
Study at a glance
From the registry record, last updated by the sponsor on 7 Aug 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Mobile Lung Nodule Observatory for Worldwide, Evidenced - Based Research
- ClinicalTrials.gov ID
- NCT02693496
- Acronym / sponsor ID
- mLOWER / CAALC-002-mLOWER
- Conditions
- Solitary Pulmonary Nodule
- Keywords
- ResearchKit, CT screening, Early Diagnosis, Lung Cancer
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 10,000 participants (estimated)
- Lead sponsor
- Chinese Alliance Against Lung CancerUniversity, hospital or other
- Study start
- Oct 2015
- Primary completion
- Oct 2025 (estimated)
- Study completion
- Oct 2025 (estimated)
- First posted
- 26 Feb 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 to 90 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Approximately 10,000 patients will participate in this research program, in 100 different medical institutions.
Key inclusion criteria (6 listed)
- 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
Key exclusion criteria (3 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Installation or registration of smartphone applicationCompleted the installation and registration of mobile terminal software online | Other | – |
Primary outcome
To compare the diagnostic accuracy among different type of lung nodules.
Time frame: 10 years
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.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Aug 2018.
- Background: PubMed 26331818Yang 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.
- Background: PubMed 23649456Gould 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.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Chunxue Bai, M.D, Ph.D study chair
Chinese Alliance Against Lung Cancer
34 sites in 1 country: see every site and its status.
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.