Screening for Lung Cancer in Subjects With Family History of Lung Cancer

ConditionLung Cancer
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age50-75
SponsorThe University of Hong Kong

About this trial

Lung cancer can be detected via screening of high-risk individuals, i.e current or ex-heavy smokers, with low-dose computer tomography (LDCT) of thorax. The National Lung Screening Trial in US and the NELSON trial in Europe demonstrated reduction in lung cancer mortality with LDCT screening for lung cancer. In Hong Kong, however, there is a prominence of female never-smokers with lung cancer. There is no identifiable risk factors for non-smokers with lung cancer except family history of lung cancer. The hypothesis is that lung cancer screening for subjects with family history of lung cancer, can detect early lung cancer.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 50-75, men or women, smokers or non-smokers

Being first degree relatives (Siblings, children, and parents) of lung cancer subjects

Having no known lung cancer before

Disqualifiers

Non-Chinese

Mentally incompetent to give informed consent

Trial population

Subjects with lung cancer and to invite them to participate by (i) naming their first degree relatives to be further invited for the following study procedures, and (ii) provide a blood and urine sample as detailed below for archival and future analysis of relevant biomarkers. The patients' first degree relatives will be contacted by PA's research team and invited for study participation with the following study procedures.

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

  • Low dose CT thorax

    Diagnostic test

    A multi-detector row CT scanner with minimum section collimation of ≤1 mm and minimum number of data acquisition channels ≥ 16will be employed.

  • Low dose CT thorax

    Diagnostic test

    Control subjects will also proceed to CT thorax, and outcome measures be compared to subjects

Treatment groups

1,520 Participants
are divided into 2 treatment groups
Group A: First degree relatives of lung cancer patients1 intervention
Group B: Control group1 intervention

Trial outcomes

Primary outcomes

1

The rate of lung cancer detection in subjects with family history of lung cancer

The number of screening-detected lung cancer among first degree relatives of lung cancer patients.

Time frame
An average of 2.5 years

Secondary outcomes

1

The characteristics of screening detected lung cancer

Stage distribution of lung cancer detected.

Time frame
An average of 2.5 years

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

The University of Hong Kong

Lead sponsor

The Queen Elizabeth Hospital

Collaborator

Kwong Wah Hospital

Collaborator

Hong Kong Sanatorium & Hospital

Collaborator