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COPDRECAPNCT06800586

Tumors and Respiratory System Diseases Due to Air Pollution: New Biomarkers of Exposure and Effects

An observational study of COPD and Lung Cancer (NSCLC), run by IRCCS Azienda Ospedaliero-Universitaria di Bologna at 3 sites in Italy.

Recruiting

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

Sites and contacts
Official record
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Trial summary

This study aims to examine the exposure to atmospheric pollutants in a group of non-smoking patients suffering from lung cancer, chronic obstructive pulmonary disease (COPD), and leukemia. The exposure to atmospheric pollutants will be assessed simultaneously in a group of healthy volunteers. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
COPD, Lung Cancer (NSCLC), Leukemia
How many people
300 participants
Where
3 sitesItaly
Study dates
15 Sep 2025to 31 Aug 2026
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The study population consists of patients affected by COPD, lung cancer, and leukemia, attending the Department of Pneumology and Respiratory Intensive Care, IRCCS AOU of Bologna, the Department of Medical Oncology, IRCCS AOU of Bologna, and the Hematology Department, Hospital-University Company, Policlinico Riuniti di Foggia. Healthy controls will also be recruited as volunteers from the pool of employees of the participating healthcare facilities, excluding the participating operating units.

Who may be able to join

  • Patient Cohort to be Recruited at the Department of Pneumology and Respiratory Intensive Care, IRCCS AOU of Bologna:
  • Age ≥ 18 years
  • Patients with a diagnosis of COPD of any severity (FEV1/FVC < 0.7 after bronchodilation test)
  • Non-smokers according to ISS definition: patients who declare having smoked less than 100 cigarettes (5 packs of 20) in their lifetime and are not currently smokers
  • Signature of informed consent
  • Healthy Volunteer Cohort to be Recruited at the Department of Pneumology and Respiratory Intensive Care, IRCCS AOU of Bologna:
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  • Age ≥ 18 years
  • Non-smokers according to ISS definition: subjects who declare having smoked less than 100 cigarettes (5 packs of 20) in their lifetime and are not currently smokers
  • Absence of comorbidities related to the study (COPD, solid tumors, leukemia) in medical history
  • Workers of the IRCCS AOU of Bologna, S. Orsola Polyclinic
  • Signature of informed consent
  • Patient Cohort to be Recruited at the Department of Medical Oncology, IRCCS AOU of Bologna:
  • Age ≥ 18 years
  • Patients with a diagnosis of lung neoplasm of any histotype and stage
  • Non-smokers according to ISS definition: patients who declare having smoked less than 100 cigarettes (5 packs of 20) in their lifetime and are not currently smokers
  • Signature of informed consent
  • Healthy Volunteer Cohort to be Recruited at the Department of Medical Oncology, IRCCS AOU of Bologna:
  • Age ≥ 18 years
  • Non-smokers according to ISS definition: subjects who declare having smoked less than 100 cigarettes (5 packs of 20) in their lifetime and are not currently smokers
  • Absence of comorbidities related to the study (COPD, solid tumors, leukemia) in medical history
  • Workers of the IRCCS AOU of Bologna, S. Orsola Polyclinic
  • Signature of informed consent
  • Patient Cohort to be Recruited at the Hematology Department (Hospital-University Company, Policlinico Riuniti di Foggia):
  • Age ≥ 18 years
  • Non-smokers according to ISS definition: patients who declare having smoked less than 100 cigarettes (5 packs of 20) in their lifetime and are not currently smokers
  • Patients with a diagnosis of leukemia of any type
  • Signature of informed consent
  • Healthy Volunteer Cohort to be Recruited at the Hematology Department (Hospital-University Company, Policlinico Riuniti di Foggia):
  • Age ≥ 18 years
  • Non-smokers according to ISS definition: subjects who declare having smoked less than 100 cigarettes (5 packs of 20) in their lifetime and are not currently smokers
  • Absence of comorbidities related to the study (COPD, solid tumors, leukemia) in medical history
  • Workers of the Hospital-University Company, Policlinico Riuniti di Foggia
  • Signature of informed consent

Who cannot join

  • Patient Cohort to be Recruited at the Department of Pneumology and Respiratory Intensive Care, IRCCS AOU of Bologna:
  • Deficiency of alpha-1 antitrypsin (A1AT)
  • Healthy Volunteer Cohort to be Recruited at the Department of Pneumology and Respiratory Intensive Care, IRCCS AOU of Bologna:
  • Workers from the Department of Pneumology and Respiratory Intensive Care, IRCCS AOU of Bologna, S. Orsola Polyclinic
  • Patient Cohort to be Recruited at the Department of Medical Oncology, IRCCS AOU of Bologna:
  • Previous and/or current diagnosis of solid tumors, myelodysplastic syndromes, myeloproliferative neoplasms
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  • Previous and/or current treatment with antineoplastic agents
  • Healthy Volunteer Cohort to be Recruited at the Department of Medical Oncology, IRCCS AOU of Bologna:
  • Workers from the Department of Medical Oncology, IRCCS AOU of Bologna, S. Orsola Polyclinic
  • Patient Cohort to be Recruited at the Hematology Department (Hospital-University Company, Policlinico Riuniti di Foggia):
  • Previous diagnosis of solid tumors, myelodysplastic syndromes, myeloproliferative neoplasms
  • Previous treatment with antineoplastic agents (alkylating agents, hydroxyurea, topoisomerase II inhibitors, lenalidomide) -Presence of pre-existing genetic conditions (Fanconi anemia, ataxia- telangiectasia, Down syndrome, xeroderma pigmentosum, Li-Fraumeni syndrome)
  • Infection with human immunodeficiency virus (HIV), human T-lymphotropic virus types 1 or 2, or Epstein-Barr virus
  • Healthy Volunteer Cohort to be Recruited at the Hematology Department (Hospital-University Company, Policlinico Riuniti di Foggia):
  • Workers from the Hematology Department, Hospital-University Company, Policlinico Riuniti di Foggia

Trial locations and contacts

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

Francesco Saverio Violante, MD contact

francesco.violante@unibo.it

Italy3 sites, 3 recruiting
  • Medical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna

    Bologna, Bologna, 40138

    Andrea Ardizzoni, MD, andrea.ardizzoni@aosp.bo.it

    Andrea Ardizzoni, MD

    Recruiting
  • Respiratory and Critical Care Unit, IRCCS Azienda Ospedaliera-Universitaria di Bologna

    Bologna, Bologna, 40138

    Stefano Nava, MD, stefano.nava@aosp.bo.it

    Stefano Nava, MD

    Recruiting
  • Ematology Unit, Azienda Ospedaliero-Universitaria, Policlinico Riuniti di Foggia

    Foggia, Foggia, 71122

    Francesco Bellanti, MD, francesco.bellanti@unifg.it

    Francesco Bellanti, MD

    Recruiting

Other trials in Italy

About this study

This study aims to examine the exposure to atmospheric pollutants in a group of non-smoking patients suffering from lung cancer, chronic obstructive pulmonary disease (COPD), and leukemia. The exposure to atmospheric pollutants will be assessed simultaneously in a group of healthy volunteers. The ultimate goal of the study is to enhance the understanding of the mechanisms by which atmospheric pollutants act, in order to develop new tools that can help halt or at least delay the development of diseases associated with pollution.

Read the detailed description

Atmospheric pollution represents a global issue today. A significant portion of the population in Italy lives in areas where air quality standards are very low, both due to global warming and human-caused pollution. This not only poses a serious risk to human health but also has a tremendous economic and social impact on the National Health System. Atmospheric pollution is associated with a variety of diseases affecting nearly all organs and systems.

In almost all currently available studies on atmospheric pollution and its effects on humans, the population's exposure to pollutants is not measured at the individual level; instead, it is estimated using various environmental sampling techniques based on geographical areas and then applied to individuals based on their residence. There is also a lack of information regarding the effects of confounding risk factors, especially concerning cigarette smoking.

This study aims to acquire more information on the individual exposure to pollutants in a group of non-smoking patients suffering from lung cancer, COPD, and leukemia. The decision to evaluate only never-smokers ensures that there are no confounding factors in the association study between health and environmental pollution.

During a scheduled visit at the Department of Pneumology and Respiratory Intensive Care, IRCCS AOU of Bologna, the Department of Medical Oncology, IRCCS AOU of Bologna, and the Department of Hematology, Hospital-University Company, Policlinico Riuniti di Foggia, and after obtaining informed consent, the following biological samples will be collected in a non-invasive manner and in small aliquots: exhalate, respiratory condensate, sputum, blood, and urine. The collected samples will then be analyzed by the laboratories of the Occupational Medicine Department (IRCCS - AOU of Bologna) and the Messina Institute of Technology (MeIT) of the Department of Chemical, Biological, Pharmaceutical, and Environmental Sciences (CHIBIOFARAM) of the University of Messina using advanced techniques such as electron microscopy, mass spectrometry chromatography, and for the determination of pollutants such as particulate matter and volatile compounds. Furthermore, the project also aims to identify effect biomarkers involved in the response to such agents.

Keywords
COPD, Lung cancer, leukemia, Air pollution, Never smoker
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Lung Neoplasms, Carcinoma, Non-Small-Cell Lung, Leukemia

What participants receive

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

Study groups in NCT06800586
Study groupRoleWhat they receive
Healthy Controls150 healthy controls will be recruited as volunteers in the pool of employees of the participating healthcare companies, excluding the participating operational units
Partecipant* 50 patients with a histological diagnosis of lung cancer of any histotype and grade according to the World Health Organization (WHO) classification. * 50 patients with a diagnosis of COPD according to the ERS/ATS guidelines and GOLD recommendations. The current guidelines define COPD as a chronic lung disease characterized by debilitating symptoms (such as dyspnea, chronic cough with sputum) and caused by exposure to toxic substances such as cigarette smoke and environmental pollutants. The diagnosis is based on the presence of airflow obstruction that is not completely reversible, identified by an FEV1/FVC ratio of <0.7 after bronchodilation testing in subjects with a compatible history. * 50 patients with a histological diagnosis of leukemia according to the WHO classification.

What is being measured

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

  1. Identification of pollutants in biological samples

    -Scanning Electron Microscopy (SEM): presence of inorganic and organic particulate matter

    Measured: The collection of biological samples will be conducted during the enrollment visit, and the analyses will be carried out over the following 18 months."

  2. Identification of pollutants in biological samples

    -Transmission Electron Microscopy (TEM): presence of inorganic and organic particulate matter

    Measured: The collection of biological samples will be conducted during the enrollment visit, and the analyses will be carried out over the following 18 months."

  3. Identification of pollutants in biological samples

    -Atomic Force Microscopy (AFM): presence of inorganic and organic particulate matter

    Measured: The collection of biological samples will be conducted during the enrollment visit, and the analyses will be carried out over the following 18 months."

  4. Identification of pollutants in biological samples

    -Infrared (IR) and Raman Spectroscopy: presence of inorganic and organic particulate matter

    Measured: The collection of biological samples will be conducted during the enrollment visit, and the analyses will be carried out over the following 18 months."

  5. Identification of pollutants in biological samples

    -Inductively Coupled Plasma Mass Spectrometry (ICP-MS): presence of metals

    Measured: The collection of biological samples will be conducted during the enrollment visit, and the analyses will be carried out over the following 18 months."

  6. Identification of pollutants in biological samples

    -Gas Chromatography-Mass Spectrometry (GC-MS): presence of volatile compounds (e.g., VOCs) and semi-volatile compounds

    Measured: The collection of biological samples will be conducted during the enrollment visit, and the analyses will be carried out over the following 18 months."

Secondary outcomes (2)
  1. Evaluation of the association between the identified pollutants and the development of COPD, lung cancer, and leukemia in a population of patients who have never smoked.

    The objective will be measured by comparing the concentration (units/volume) of the identified pollutants within the biological samples of patients affected by lung cancer, COPD, and leukemia with those identified in the biological samples of healthy subjects, collected through:

    • Scanning Electron Microscopy (SEM): presence of inorganic and organic -particulate matter
    • Transmission Electron Microscopy (TEM): presence of inorganic and organic particulate matter
    • Atomic Force Microscopy (AFM): presence of inorganic and organic particulate matter
    • Infrared (IR) and Raman Spectroscopy: presence of inorganic and organic particulate matter
    • Inductively Coupled Plasma Mass Spectrometry (ICP-MS): presence of metals Gas Chromatography-Mass Spectrometry (GC-MS): presence of volatile compounds (e.g., VOCs) and semi-volatile compounds

    Measured: The collection of biological samples will be conducted during the enrollment visit, and the analyses will be carried out over the following 18 months.

  2. Identification of potential effect biomarkers involved in the response to pollutants.

    The objective will be measured by evaluating the alteration of endogenous molecule content (biomarkers) in the presence of the identified pollutants through the conduction of dose-response curves.

    High-Performance Liquid Chromatography/Mass Spectrometry (HPLC-MS) Gas Chromatography-Mass Spectrometry (GC-MS)

    Measured: The collection of biological samples will be conducted during the enrollment visit, and the analyses will be carried out over the following 18 months

Timeline

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

  1. First posted30 Jan 2025
  2. Study start15 Sep 2025
  3. Primary completionJul 2026 (estimated)
  4. Study completion31 Aug 2026 (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
Other
Time perspective
Prospective
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06800586
Sponsor's protocol ID
RECAP
Other IDs
PNRR-MCNT1-2023-12378402
Acronym
RECAP
Status last verified
Dec 2025
First submitted
28 Nov 2024
Last updated
19 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Sun Q, Wang B, Xu S, Cong X, Pu Y, Zhang J. Research development and trends of benzene-induced leukemia from 1990 to 2019-A bibliometric analysis. Environ Sci Pollut Res Int. 2022 Feb;29(7):9626-9639. doi: 10.1007/s11356-021-17432-3. Epub 2022 Jan 8.

    PubMed 34997503
  • Wang X, Chen L, Cai M, Tian F, Zou H, Qian ZM, Zhang Z, Li H, Wang C, Howard SW, Peng Y, Zhang L, Bingheim E, Lin H, Zou Y. Air pollution associated with incidence and progression trajectory of chronic lung diseases: a population-based cohort study. Thorax. 2023 Jul;78(7):698-705. doi: 10.1136/thorax-2022-219489. Epub 2023 Feb 2.

    PubMed 36732083

Questions about this trial

What is this clinical trial studying?

An observational study of COPD and Lung Cancer (NSCLC), run by IRCCS Azienda Ospedaliero-Universitaria di Bologna at 3 sites in Italy.

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 33 inclusion and 15 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 19 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Italy. 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 Stefano Nava, MD (+39 0512143253, stefano.nava@aosp.bo.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Identification of pollutants in biological samples (time frame: The collection of biological samples will be conducted during the enrollment visit, and the analyses will be carried out over the following 18 months."). The study lists 6 primary outcomes in all. 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 NCT06800586, 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 19 Dec 2025.

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