RecruitingNot ApplicableNCT06387017

Prospective Multicenter Cohort Study to Validate Four Groups of Biomarkers for Assessing Lung Cancer Risk Among Patients With Atheromatous Cardiovascular Disease in a Screening Pathway


Sponsor

Assistance Publique Hopitaux De Marseille

Enrollment

750 participants

Start Date

Apr 2, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Interventional study with minimal risks and constraints, with evaluation of the incidence of lung cancers by low-dose thoracic CT scan without injection of contrast medium, of the immunological, inflammatory and metabolic blood profile and of the microbiota; systematic proposal of smoking cessation for active smokers or assistance in maintaining cessation.


Eligibility

Min Age: 45 YearsMax Age: 80 Years

Inclusion Criteria24

  • All PREVALUNG or PREVALUNG ETOILE participants
  • Active or former smokers who have smoked daily for at least 10 years and have either atheromatous disease (coronary, lower limb, supra-aortic trunk, aortic, visceral or upper limb arteries) or a moderate or high coronary calcium score\*, \*\*.
  • Age 45- 75 years and
  • Medical follow-up for smoking-related atheromatous pathology and
  • daily smoking for at least 10 years prior to disease (for smoking, there are no quantitative criteria or withdrawal times)
  • visual coronary calcium score quantified by a radiologist on a chest CT scan.
  • Age 45- 75 and
  • Medical follow-up for a smoking-related pathology:
  • chronic obstructive pulmonary disease / emphysema, or
  • history of non-progressive cancer \> 5 years, including ENT, lung, breast, cervix, excreto-urinary tract, bladder, esophagus, stomach, pancreas, liver, kidney, chronic myeloid leukemia.
  • and
  • \- daily smoking for at least 10 years prior to the disease (for smoking, there are no quantitative criteria or withdrawal periods).
  • Or
  • Age 55 - 74
  • Cumulative smoking ≥ 30 pack-years
  • active or weaned for less than 15 years Or
  • Age 50-75
  • Smoking :
  • \> 15 cigarettes /D for more than 25 years or
  • \> 10 cigarettes /D for more than 30 years
  • active smoking or cessation \< 10 years Or
  • American recommendations :
  • Age 50 - 80
  • Smoking ≥20 PA

Exclusion Criteria11

  • cancer history \< 5 years (except carcinoma in situ of the uterine cervix, basal cell carcinoma of the skin, non-invasive urothelial carcinoma treated for curative purposes without CT lung surveillance, prostate cancer with unmeasurable PSA)
  • symptoms of lung cancer (involuntary weight loss \> 7 kg in 1 year, hemoptysis)
  • known history of pulmonary nodule requiring specialized follow-up
  • history of pulmonary fibrosis or pulmonary hypertension
  • active pulmonary parenchymal infection
  • severe cardiac or respiratory insufficiency (rest dyspnea)
  • performance status (WHO) 2, 3 or 4
  • patient not affiliated to the social security system (beneficiary or beneficiary's beneficiary)
  • patient deprived of liberty
  • patients under guardianship or trusteeship
  • pregnant or breast-feeding women

Interventions

DIAGNOSTIC_TESTblood sampling

blood collection

DIAGNOSTIC_TESTstool collection

stool collection

RADIATIONlow dose CT scan

low dose CT scan evaluation


Locations(1)

Assistance Publique Hopitaux de Marseille

Marseille, France

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NCT06387017


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