Lung Cancer Screening in High-risk Black Individuals

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50-80
SponsorMassachusetts General Hospital

About this trial

The goal of this research study is to study U.S. Black individuals with a history of smoking to examine the feasibility, acceptability, and performance of low-dose computed tomography (LDCT) screening among this population.

The name of the intervention used in this research study is:

Low-dose computed tomography (radiologic scan) chest scan

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Self-identified Black individual.

Have a self-reported history of smoking. No restriction will be placed on the number of smoking pack years participants must have nor the number of years former smokers must have quit smoking.

Aged 50-80 years.

Disqualifiers

Individuals with a history of lung cancer.

Individuals with symptoms suggestive of lung cancer. We will evaluate whether individuals have symptoms suggestive of lung cancer by administering an online screening questionnaire, which will ask whether they have experienced shortness of breath, whether they become easily winded, and whether they have had a chronic cough within the last 12 weeks that has not improved. Individuals who select that they have any one of these symptoms will be advised to follow up with their primary doctor and will not be eligible to participate in the study.

Individuals with pneumonia or acute respiratory infection within 12 weeks prior to enrollment that was treated with antibiotics.

Trial design

Design model

Single group

Treatments tested in this trial

  • Low-dose Computed Tomography

    Procedure/Surgery

    Per standard care

Treatment groups

900 Participants
are divided into 1 treatment group
Group A: Screening: Low-Dose Computed Tomography ScreeningExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Proportion of Enrolled Participants

Primary endpoint is feasibility. Feasibility is defined as the percentage of individuals invited to participate in the trial who enroll.

Time frame
At enrollment
2

Proportion of Participants with Positive Low-dose Computed Tomography Test

The percentage of participants who have a positive low-dose computed tomography test will be evaluated. This percentage will be compared to the Black individuals randomized to the low-dose computed tomography screening arm in the National Lung Screening Trial (historical control).

Time frame
At 3 months
3

Proportion of Participants Diagnosed with Invasive Lung Cancer

The proportion of participants with a lung cancer diagnosis post-low-dose computed tomography screening test will be compared to Black individuals randomized to the LDCT screening arm in the National Lung Screening Trial (historical control).

Time frame
At 6 months
4

Distribution of Lung Imaging Reporting and Data System (Lung-RADS) Scores

The distribution of Lung-RADS scores among participants will be evaluated and compared to the distribution of Lung-RADS scores among Black individuals randomized to the LDCT screening arm in the National Lung Screening Trial (historical control).

Time frame
At 3 months

Secondary outcomes

1

Proportion of Participants Who Undergo Invasive Diagnostic Procedures

The proportion of participants who undergo invasive diagnostic procedures will be evaluated and compared to the proportion of Black individuals randomized to the LDCT screening arm in the National Lung Screening Trial (historical control) who underwent invasive diagnostic procedures.

Time frame
At 6 months
2

Proportion of Participants Who Have a Complication Resulting from an Invasive Diagnostic Procedure Performed for a Positive Low-dose Computed Tomography Scan

The proportion of participants who have a complication resulting from an invasive diagnostic procedure performed for a positive low-dose computed tomography scan will be evaluated. This proportion will be compared to the proportion of Black individuals randomized to the low-dose computed tomography screening arm in the National Lung Screening Trial (historical control) who had a complication resulting from an invasive diagnostic procedure performed for a positive low-dose computed tomography scan.

Time frame
At 6 months

Other outcomes

Sponsors and contacts

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Massachusetts General Hospital

Lead sponsor

Agency for Healthcare Research and Quality (AHRQ)

Collaborator