AzTrials
AzTrials

Lung CancerLUCSONCT03562052

Lung Cancer Screening in a Population Exposed to Occupational Lung Carcinogens

An observational study of Lung Cancer, run by Centre Hospitalier Intercommunal Creteil at 8 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The good clinical practice guidelines for the surveillance of workers after occupational exposure to lung carcinogens were approved by the Haute Autorité de la Santé (French National Authority for Health) and the Institut National du Cancer (French National Cancer Institute) in December 2015 and one recommendation of… Read more about this study

Who is it for?
Ages 55 to 74 yearsHealthy volunteers can take part
Conditions the study is for
Lung Cancer
How many people
6,000 participants
Where
8 sitesFrance
Study dates
22 Jul 2021to 31 Jul 2031
How long will I take part?
5 Years
Phase
Observational
Are there results?
Not yet: the study is under way

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 55 to 74 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Subjects aged from 55 to 74 years, current smokers smoking 30 pack-years or more or ex-smokers smoking 30 pack-years or more and who have quit smoking for less than 15 years and currently or previously occupationally exposed to lung carcinogens. These subjects are known to be high-risk population for lung cancer.

Who may be able to join

  • Subjects at high risk of lung cancer: current smokers smoking 30 pack-years or more or ex-smokers smoking 30 pack-years or more and who have quit smoking for less than 15 years and currently or previously occupationally exposed to lung carcinogens. With an algorithm for determination of minimal duration of exposure to occupational carcinogens (according to the type and duration of occupational lung carcinogens)

Who cannot join

  • Presence of clinical signs of lung cancer
  • Subjects with a history of lung cancer
  • Presence of serious short-term life-threatening comorbidities
  • Absence of occupational exposure to lung carcinogens according to the predefined criteria
  • Subjects already included in another prospective cohort study
  • Subjects already assessed by chest CT scan during the previous year
  • No tobacco exposure or insufficient tobacco exposure or smoking cessation for more than 15 years.

Trial locations and contacts

8 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Jean-Claude Pairon, Pr contact

157022093 ext. 0033

JC.Pairon@chicreteil.fr

8 sites in 1 country

France8 sites, 7 recruiting
  • Centre Hospitalier Universitaire de Bordeaux

    Bordeaux, 33076

    Fleur Delva, MD, 557821684 ext. 0033, fleur.delva@chu-bordeaux.fr

    Patrick Brochard, Pr

    Recruiting
  • Université de Bordeaux

    Bordeaux, 33076

    Active, not recruiting
  • Centre Hospitalier Universitaire de Brest

    Brest, 29609

    David LUCAS, Dr

    Jean-Dominique Dewitte, MD

    Not yet recruiting
  • Centre Hospitalier Universitaire de Caen

    Caen, 14033

    Bénédicte Clin-Godart, Pr

    Bénédicte Clin-Godart, Pr

    Not yet recruiting
  • Centre Hospitalier Intercommunal de Créteil

    Créteil, 94010

    Jean-Claude Pairon, Pr, 157022093 ext. 0033, JC.Pairon@chicreteil.fr

    Nadia Abdessemed, MD

    Recruiting
  • Centre Hospitalier Universitaire de Rennes

    Rennes, 35033

    Christophe Paris, Pr

    Christophe Paris, Pr

    Not yet recruiting
  • Centre Hospitalier Universitaire de Rouen

    Rouen, 76032

    Jean-François Gehanno, Pr

    Antoine Gislard, MD

    Not yet recruiting
  • Hôpital d'Instruction des Armées Sainte-Anne

    Toulon, 83000

    Olivier Bylicki, Dr

    Olivier Bylicki, MD

    Not yet recruiting

Other trials in France

About this study

Official title: LUng Cancer Screening With Low-dose Computed Tomography in a Population Exposed to Occupational Lung Carcinogens

The good clinical practice guidelines for the surveillance of workers after occupational exposure to lung carcinogens were approved by the Haute Autorité de la Santé (French National Authority for Health) and the Institut National du Cancer (French National Cancer Institute) in December 2015 and one recommendation of these guidelines concerns the setting-up of a trial of low-dose chest computed tomography (CT) lung cancer screening in subjects occupationally exposed to lung carcinogens at high-risk of lung cancer (Expert consensus).

In LUCSO study, the investigators propose to conduct, under strictly defined conditions, a feasibility study of lung cancer screening in a population defined as being at high risk of lung cancer according to these good clinical practice guidelines. This population consists of smokers, aged from 55 to 74 years, currently or previously exposed to International Agency for Research on Cancer lung group 1 lung carcinogens.

Read more

The primary objective of this study is to evaluate the complex organization of lung cancer screening in the target population. This evaluation will focus on the following indicators:

  • Screening activity indicator: screening coverage rate over two years
  • Test quality indicator: validity of self-administered questionnaires to target the high-risk population
  • Examination quality indicator: lung cancer detection rate, lung cancer detection rates by stage, validity of low-dose chest CT scan
  • Follow-up indicator: smoking cessation rate, mortality rate This trial will be conducted in 8 French departments, by six reference centers specialized in occupational health (SRC).

In view of the exploratory nature of this trial, it is proposed to initially test the feasibility and acceptability of lung cancer screening sequentially over the first two years (Phase 1: 2021-2023, 24 months) in only two SRC (Val-de-Marne and Gironde).

The trial will be conducted in several steps:

  1. Identification of subjects currently or previously occupationally exposed to lung carcinogens by a screening invitation letter sent by Departmental Cancer Screening Centers to subjects aged from 55 to 74 years.
  2. Evaluation of occupational exposure to lung carcinogens
  3. Evaluation of the lung cancer risk level and verification of eligibility
  4. Screening procedure: Chest CT scans will be performed by centers specialized in chest imaging
  5. Lung cancer follow-up when an abnormality suggestive of lung cancer is demonstrated.
Read the detailed description

The good clinical practice guidelines for the surveillance of workers after occupational exposure to lung carcinogens were approved by the Haute Autorité de la Santé (French National Authority for Health) and the Institut National du Cancer (French National Cancer Institute) in December 2015 and the Recommendation R12 of these guidelines concerns the setting-up of a trial of low-dose chest computed tomography (CT) lung cancer screening in subjects occupationally exposed to lung carcinogens at high-risk of lung cancer (Expert consensus).

In LUCSO study, the investigators propose to conduct, under strictly defined conditions, a feasibility study of lung cancer screening in a population defined as being at high risk of lung cancer according to these good clinical practice guidelines. This population consists of smokers, aged from 55 to 74 years, currently or previously exposed to International Agency for Research on Cancer lung group 1 lung carcinogens.

The primary objective of this study is to evaluate the organization of lung cancer screening in the target population. This evaluation will focus on the following indicators:

  • Screening activity indicator: screening coverage rate over two years
  • Test quality indicator: validity of self-administered questionnaires to target the high-risk population
  • Examination quality indicator: lung cancer detection rate, lung cancer detection rates by stage, validity of low-dose chest CT scan
  • Follow-up indicator: smoking cessation rate, mortality rate

The secondary objectives of the study are:

  • Describe the population recruited in each step of the protocol
  • Develop a tool to identify subjects exposed to pulmonary carcinogens and with high-risk of lung cancer
  • Evaluate the impact of the proposed screening programme on smoking cessation at one, two and three years.
  • Evaluate the social impact of the screening campaign
  • Conduct a cost-effectiveness analysis of the programme

The proposed study will take place in multidisciplinary and specialized reference centers (SRC) in various French districts participating in the programme, to welcome patients participating. It is organized into six workpackages (WP):

  • WP1: Methodology - Epidemiology
  • WP2: Evaluation of occupational exposure
  • WP3: Imaging
  • WP4: Lung cancer follow-up strategy
  • WP5: Smoking cessation
  • WP6: Medico-economic analysis Six specialized reference centers are proposed in four different regions in order to test a potential region effect and to allow the recruitment by each SRC of about 200 to 600 new eligible subjects per year and per department according to the population and the age pyramid of each department
  • SRC1: Centre Intercommunal de Créteil for the Val-de-Marne (94), Seine-et-Marne (77), and Essonne (91) departments
  • SRC2: Bordeaux University Hospital for the Gironde (33) department
  • SRC3: Rennes University Hospital for the Ille-et-Vilaine (35) department
  • SRC4: Brest University Hospital for the Finistère (29) department
  • SRC5: Caen University Hospital for the Calvados (14) department
  • SRC6: Rouen University Hospital for the Seine-Maritime (76) department

Each of these centers is voluntary and possesses the four essential prerequisites: an occupational health clinic - radiology team with specific skills in chest imaging - pulmonology team or network of pulmonologists specialized in lung cancer - smoking cessation team.

In view of the complexity of this organization, it is proposed to initially test the feasibility and acceptability of the screening programme sequentially for the first two years (24 months) in two SRCs (SRC1 and SRC2): "Phase 1: 2021-2023". It is expected to extend the study to the other SRCs after two years: "Phase 2: 2023-2029". Ad hoc adjustments will be decided for the creation of SRCs in the third year on the basis of the data acquired in the two pilot departments, especially on the expected target population participation rate. Mortality will be monitored at least until 2031.

The trial will be conducted in several steps:

  1. Identification of subjects currently or previously occupationally exposed to lung carcinogens by a screening invitation letter sent by Departmental Cancer Screening Centers to subjects aged from 55 to 74 years.
  2. Evaluation of occupational exposure to lung carcinogens
  3. Evaluation of the lung cancer risk level and verification of eligibility
  4. Screening procedure: Chest CT scans will be performed by centers specialized in chest imaging
  5. Lung cancer follow-up when an abnormality suggestive of lung cancer is demonstrated.
Conditions
Lung Cancer
Keywords
Cancer, Lung, Occupational carcinogens, Tobacco smoking, Screening, Chest CT Scan, Asbestos
Medical subject headings
Lung Neoplasms, Neoplasms, Tobacco Smoking

What is being measured

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

  1. Rate of detected lung cancer

    The proportion of subjects with lung cancer detected among the subjects performing the low-dose chest CT scan

    Measured: Year 1

Secondary outcomes (67)
  1. Rate of detected lung cancer

    The proportion of subjects with lung cancer detected among the subjects performing the low-dose chest CT scan

    Measured: Year 2

  2. Rate of detected lung cancer

    The proportion of subjects with lung cancer detected among the subjects performing the low-dose chest CT scan

    Measured: Day 0

  3. Participation rate

    The proportion of subjects performing the low-dose chest CT scan among eligible responders during the first phase of the study

    Measured: Day 0

  4. Rate of detected lung cancer in subjects exposed to occupational carcinogens

    The proportion of subjects with lung cancer detected among the subjects exposed to occupational carcinogens and performing the low-dose chest CT scan

    Measured: Day 0

  5. Rate of detected lung cancer in subjects exposed to occupational carcinogens

    The proportion of subjects with lung cancer detected among the subjects exposed to occupational carcinogens and performing the low-dose chest CT scan

    Measured: Year 1

  6. Rate of detected lung cancer in subjects exposed to occupational carcinogens

    The proportion of subjects with lung cancer detected among the subjects exposed to occupational carcinogens and performing the low-dose chest CT scan

    Measured: Year 2

  7. Stage of detected lung cancers

    Measured: Day 0

  8. Stage of detected lung cancers

    Measured: Year 1

  9. Stage of detected lung cancers

    Measured: Year 2

  10. Smoking cessation rate obtained in smokers in the sreened population

    The proportion of subjects with smoking cessation among smokers

    Measured: Year 3

  11. Mortality rate in the sreened population

    Measured: Year 3

  12. Mortality rate in the sreened population

    Measured: Year 5

  13. Mortality rate in the sreened population

    Measured: Year 7

  14. Mortality rate in the non-screened population

    Measured: Year 3

  15. Mortality rate in the non-screened population

    Measured: Year 5

  16. Lung cancer rate in non-screened subjects but met at the Occupational Disease Consultation Center

    Measured: Year 3

  17. Mortality rate in the non-screened population

    Measured: Year 7

  18. Lung cancer rate in non-screened subjects but met at the Occupational Disease Consultation Center

    Measured: Year 5

  19. Lung cancer rate in non-screened subjects but met at the Occupational Disease Consultation Center

    Measured: Year 7

  20. Rate of detected lung cancer and stage of detected lung cancer in the non-screened population

    Measured: Year 3

  21. Rate of detected lung cancer and stage of detected lung cancer in the non-screened population

    Measured: Year 5

  22. Rate of detected lung cancer and stage of detected lung cancer in the non-screened population

    Measured: Year 7

  23. Percentage of subjects participating in all screening (over the three years)

    Measured: Year 3

  24. Percentage of subjects participating in all screening (over the three years)

    Measured: Year 4

  25. Percentage of the subjects lost during follow-up in the screened population (follow-up at one year, two years, completion of other complementary exams)

    Measured: Year 1

  26. Percentage of the subjects lost during follow-up in the screened population (follow-up at one year, two years, completion of other complementary exams)

    Measured: Year 2

  27. Validity of the detailed personalised self-administered questionnaire for the evaluation of occupational exposures

    Measured: Day 0

  28. Number of cases recognized as occupational disease (for lung cancer or other occupational diseases)

    Measured: Year 2

  29. Proportion of invasive diagnostic procedures

    Measured: Day 0

  30. Proportion of invasive diagnostic procedures

    Measured: Year 1

  31. Proportion of invasive diagnostic procedures

    Measured: Year 2

  32. Proportion of non-invasive diagnostic procedures

    Measured: Day 0

  33. Proportion of non-invasive diagnostic procedures

    Measured: Year 1

  34. Proportion of non-invasive diagnostic procedures

    Measured: Year 2

  35. Proportion of serious and non-serious adverse events related to screening

    Measured: Day 0

  36. Proportion of serious and non-serious adverse events related to screening

    Measured: Year 1

  37. Proportion of serious and non-serious adverse events related to screening

    Measured: Year 2

  38. Proportion of subjects stopping smoking at each stage of screening

    Measured: Day 0

  39. Proportion of subjects stopping smoking at each stage of screening

    Measured: Year 1

  40. Proportion of subjects stopping smoking at each stage of screening

    Measured: Year 2

  41. The time period between each step of the screening (evaluation of the exposure, addressing in consultation of occupational diseases, inclusion, different exams of the follow-up)

    Measured: Day 0

  42. The time period between each step of the screening (evaluation of the exposure, addressing in consultation of occupational diseases, inclusion, different exams of the follow-up)

    Measured: Year 1

  43. The time period between each step of the screening (evaluation of the exposure, addressing in consultation of occupational diseases, inclusion, different exams of the follow-up)

    Measured: Year 3

  44. Number of additional radiological examinations performed besides the prescribed CT scans of the protocol

    Measured: Subject inclusion

  45. Number of additional radiological examinations performed besides the prescribed CT scans of the protocol

    Measured: Year 1

  46. Number of additional radiological examinations performed besides the prescribed CT scans of the protocol

    Measured: Year 2

  47. Number of additional radiological examinations performed besides the prescribed CT scans of the protocol

    Measured: Year 3

  48. Number of additional radiological examinations performed besides the prescribed CT scans of the protocol

    Measured: Year 4

  49. Number of additional radiological examinations performed besides the prescribed CT scans of the protocol

    Measured: Year 5

  50. Number of hospitalizations

    Measured: Subject inclusion

  51. Number of hospitalizations

    Measured: Year 1

  52. Number of hospitalizations

    Measured: Year 2

  53. Number of hospitalizations

    Measured: Year 3

  54. Number of hospitalizations

    Measured: Year 4

  55. Number of hospitalizations

    Measured: Year 5

  56. Number of lung surgery

    Measured: Subject inclusion

  57. Number of lung surgery

    Measured: Year 1

  58. Number of lung surgery

    Measured: Year 2

  59. Number of lung surgery

    Measured: Year 3

  60. Number of lung surgery

    Measured: Year 4

  61. Number of lung surgery

    Measured: Year 5

  62. Number of chemotherapy

    Measured: Day 0

  63. Number of chemotherapy

    Measured: Year 1

  64. Number of chemotherapy

    Measured: Year 2

  65. Number of chemotherapy

    Measured: Year 3

  66. Number of chemotherapy

    Measured: Year 4

  67. Number of chemotherapy

    Measured: Year 5

Timeline

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

  1. First posted19 Jun 2018
  2. Study start22 Jul 2021
  3. Primary completionJul 2026 (estimated)
  4. Study completion31 Jul 2031 (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
6,000 participants (estimated)
Target duration
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT03562052
Sponsor's protocol ID
LUCSO
Acronym
LUCSO
Status last verified
Jul 2024
First submitted
16 Apr 2018
Last updated
9 Jul 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Delva F, Laurent F, Paris C, Belacel M, Brochard P, Bylicki O, Chouaid C, Clin B, Dewitte JD, Le Denmat V, Gehanno JF, Lacourt A, Margery J, Verdun-Esquer C, Mathoulin-Pelissier S, Pairon JC. LUCSO-1-French pilot study of LUng Cancer Screening with low-dose computed tomography in a smokers population exposed to Occupational lung carcinogens: study protocol. BMJ Open. 2019 Mar 23;9(3):e025026. doi: 10.1136/bmjopen-2018-025026.

    PubMed 30904859

Questions about this trial

What is this clinical trial studying?

An observational study of Lung Cancer, run by Centre Hospitalier Intercommunal Creteil at 8 sites in France.

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 1 inclusion and 7 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: looking for participants now, as of the sponsor's last update on 9 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in France. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Jean-Claude Pairon, Pr (157022093 ext. 0033, JC.Pairon@chicreteil.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rate of detected lung cancer (time frame: Year 1). 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 NCT03562052, 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 9 Jul 2024; AzTrials last refreshed its copy on 7 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in