About this trial
RATIONALE: Using samples of blood, urine, sputum, and lung tissue from patients at high risk of cancer for laboratory studies may help doctors learn more about changes that may occur in DNA and identify biomarkers related to cancer.
PURPOSE: This research study is looking at molecular predictors of cancer in patients at high risk of lung cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
Inability to provide informed consent
Minors
Pregnant women
Trial population
People who may have lung cancer.
Trial design
Cohort
Prospective
Treatments tested in this trial
comparative genomic hybridization
GeneticCollection of sputum, blood, urine, and a small amount of lung tissue.
gene expression microarray analysis
GeneticCollection of sputum, blood, urine, and a small amount of lung tissue.
proteomic profiling analysis
GeneticCollection of sputum, blood, urine, and a small amount of lung tissue.
biologic sample preservation procedure
Other interventionCollection of sputum, blood, urine, and a small amount of lung tissue.
nasal brushing
Procedure/SurgeryUsing a brush, superficial cells are removed from the nose.
Blood draw
Procedure/SurgeryVenous blood will be collected
Urine collection
Procedure/SurgerySubjects will be asked to provide a urine specimen.
sputum sample
Procedure/SurgeryPrior to their bronchoscopy, subjects will be asked for a sputum specimen. This is a collection of mucous that you cough up.
fluorescence bronchoscopy with airway biopsy
Procedure/SurgeryA flexible tube attached to a fluorescent light source will be inserted into the subject's mouth or nose to reach the airway. Samples of the lining of the airway will be taken, as well as bronchial secretions and epithelial cell from brushings of the lining of the airway.
fine needle aspiration of the lung
Procedure/SurgeryA small needle is inserted into the lung to collect tissue. This procedure will only be performed if the patient's physician orders it.
thoracentesis
Procedure/SurgeryA small needle is inserted into the patient's lung cavity and a small amount of fluid is collected. This procedure will only be performed if the patient's physician orders it.
Treatment groups
Trial outcomes
Primary outcomes
To quantitate the molecular changes during lung cancer development
As a part of the study nasal brushing specimens, sputum, blood, urine, and a small amount of other tissue will be collected during standard of care procedures (bronchial epithelial, trans-thoracic fine needle aspiration (FNA) and thoracentesis as part of patient work up. Clinical diagnosis is the primary goal of the procedure. All the research specimens are collected after the primary goal of the procedure is met.
Secondary outcomes
Develop a method to diagnose and stage pre-invasive and invasive lesions
Use of proteomic techniques in the laboratory to find a method of diagnosing lung tissue as benign or malignant rather than relying on invasive open-chest surgery for a diagnosis
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Vanderbilt-Ingram Cancer Center
Lead sponsor
National Cancer Institute (NCI)
Collaborator