ClinicalTrials.gg
Status unknownNCT03651986Updated May 24, 2023

Diagnostic and Monitoring Significance of ctDNA Methylation Analysis by NGS in Benign and Malignant Pulmonary Nodules

An observational study in Pulmonary Nodules, sponsored by AnchorDx Medical Co., Ltd.. Status unknown at 23 sites in China. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-05-24.

Sponsored by AnchorDx Medical Co., Ltd. · Observational

The sponsor has not verified this record recently (last verified May 2023), so the status shown — last known as Active, not recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
10,560
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 43 studies in Multiple Pulmonary Nodules with a site in China — 22 open to participants now, 24 under way, none of them phase 3. Multiple Pulmonary Nodules · China.

Enrollment
Largest of 22
10,560 · median 450
Started
2018
with 3 others
Observational
22 of 43
8 open now
Registered
3rd of 43
by date
Lead sponsor
2 of 43
AnchorDx Medical Co., Ltd.

Among the 43 studies in Multiple Pulmonary Nodules with a site in China, this one has the largest enrollment of the 22 observational ones that give a count, is one of 4 that started in 2018, is one of 22 observational ones, and was the 3rd registered.

Multiple Pulmonary Nodules

99 studies on the registry are indexed under Multiple Pulmonary Nodules; 42 are open to participants now.

This study's enrollment of 10,560 is above the median of 255 across 51 observational studies indexed under Multiple Pulmonary Nodules.

Browse Multiple Pulmonary Nodules studies →

Open to participants now

22 of the 43 studies in Multiple Pulmonary Nodules with a site in China are open now, in 1 country. Each count lists the studies.

All 22 open studies →

Where they have run

Who these studies take

Of the 17 Multiple Pulmonary Nodules studies recruiting now, 11 (65%) set no upper age limit and 3 (18%) stop at 75 or younger; 1 take children under 18; 3 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 43 studies in Multiple Pulmonary Nodules with a site in China, or all of them as a file.
02

Study summary

AnchorDx is using circulating tumor DNA (ctDNA) methylation analysis by next-generation sequencing (NGS) to develop a blood-based assay for differentiating benign and malignant pulmonary nodules early. The purpose of this study is to evaluate the diagnostic performance of this assay in patients with pulmonary nodules.

Read the detailed description

This is a prospective, multi-center, observational cohort study and seeks to enroll 10,560 participants with pulmonary nodules smaller than 3 cm in diameter from 21 hospitals in China. All participants will be followed up with chest CT or low-dose computed tomography (LDCT) scans for 2-3 years ( baseline, 3 months, 6 months, 12 months, 24 months and 36 months). Their blood samples, CT or LDCT scans data, and clinical data will be collected at each visit and Formalin-fixed paraffin-embedded (FFPE) tissues will be collected when participants who receive pneumonectomy or percutaneous lung biopsy.

03

Conditions studied

  • Pulmonary Nodules

Keywords

  • Circulating Tumor DNA (ctDNA)
  • DNA Methylation Analysis
  • Next-Generation Sequencing (NGS)
  • Low-Dose Computed Tomography (LDCT)
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Subjects with pulmonary nodules diagnosed by chest CT or low-dose computed tomography (LDCT) scans

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18 Years and older
  • pulmonary nodules diagnosed by chest CT or low-dose computed tomography (LDCT) scans

    • non-calcified pulmonary nodules with the diameter between 5mm to 30mm
    • including solid nodules, mixed ground-glass opacity nodules and pure ground-glass opacity lung modules
  • new cases of pulmonary nodules or diagnosed within 60 days prior to enrollment
  • agree to finish the Patient Pulmonary History Questionnaire
  • agree to be followed up for 2-3 years
  • agree to provide a written

Exclusion criteria

Exclusion Criteria:

  • pregnant or lactating women
  • received any pneumonectomy or percutaneous lung before enrollment
  • recipients of blood transfusions within 30 days prior to enrollment
  • patients with tumors identified within 2 years prior to enrollment except non-melanoma skin cancer
  • fail to understand or provide a written
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
10,560 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Prospective Cohort

    This is a prospectively enrolling cohort study and a stratified case-cohort design will be employed to select malignant pulmonary nodules cases and benign pulmonary nodules subjects who will be assayed. All participants will be followed up with chest CT or low-dose computed tomography (LDCT) scans for 2-3 years, and take the diagnostic test, ctDNA methylation analysis by NGS, at each visit.

    Diagnostic Test: ctDNA methylation analysis by NGS

Interventions

  • Diagnostic testctDNA methylation analysis by NGS

    A blood-based assay for differentiating benign and malignant pulmonary nodules early using circulating tumor DNA (ctDNA) methylation analysis by next-generation sequencing (NGS)

06

What researchers measure

Primary outcomes

  1. The diagnostic performance of the blood-based assay for differentiating benign and malignant pulmonary nodules early using circulating tumor DNA (ctDNA) methylation analysis by next-generation sequencing (NGS)

    The efficacy of the blood-based ctDNA methylation assay comparing with pathologic diagnosis, the gold standard, and CT/LDCT diagnosis, including sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV).

    Time frame: 3 Years

Secondary outcomes

  1. The diagnostic and monitoring significance of routine tests integrating with ctDNA methylation analysis by NGS in differentiating benign and malignant pulmonary nodules

    The diagnostic performance of the combination of routine tests and ctDNA methylation analysis by NGS in differentiating benign and malignant pulmonary nodules, including sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV).

    Time frame: 3 Years

07

Study locations

23 sites
  • Department of Respiratory and Critical Care Medicine, Beijing Chaoyang Hospital
    Beijing, China
  • Xiangya Hospital of Central South University
    Changsha, China
  • Department of Respiratory Medicine, West China Hospital of Sichuan University
    Chengdu, China
  • Department of Pulmonary Medicine, The First Affiliated Hospital of Sun Yat-Sen University
    Guangzhou, China
  • The First Affiliated Hospital of Guangzhou Medical University
    Guangzhou, China
  • Department of Respiration and Critical Care Medicine, Guizhou Provincial People's Hospital
    Guiyang, China
  • Department of Pulmonary and Critical Care Medicine, Inner Mongolia Autonomous Region People's Hospital
    Hohhot, China
  • Department of Respiratory, QILU Hospital, Shandong University
    Jinan, China
  • Department of Respiratory Medicine, The First People's Hospital of Yunnan Province
    Kunming, China
  • Department of Gerontal Respiratory Medicine, The Frist Hospital of Lanzhou University
    Lanzhou, China
  • Department of Respiration, The First Affiliated Hospital of Nanchang University
    Nanchang, China
  • Department of Pulmonary & Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
    Shanghai, China
  • Department of Pulmonary Medicine, Shanghai Chest Hospital, Shanghai Jiaotong University
    Shanghai, China
  • Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University
    Shanghai, China
  • Department of Respiratory Medicine, Shanghai Pulmonary Hospital, Tongji University School of Medicine
    Shanghai, China
  • Department of Respiratory Medicine, Shantou Central Hospital
    Shantou, China
  • Department of Respiratory Medicine, The First Hospital of China Medical University
    Shenyang, China
  • Department of Respiratory Medicine, Shenzhen People's Hospital
    Shenzhen, China
  • Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, China
  • Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital, Xi'an Jiaotong University
    Xi'an, China
  • Department of Pulmonary Medicine, Xijing Hospital, Air Force Medical University of PLA
    Xi'an, China
  • Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Xiamen Medical College
    Xiamen, China
  • Department of Respiratory Medicine, Henan Provincial People's Hospital
    Zhengzhou, China
08

References and documents

Publications

  • Zeng F, Wang B, Peng M, Tao J, Tu X, Lu H, Qiu X, Yang Y, Wang W, Zeng M, Fan JB, Zeng Q, Liu Q. Comparison of clinical-radiological and radiomics features for predicting pulmonary nodule malignancy in a multicenter study of mixed clinical and surveillance populations. Eur Radiol. 2026 Jul;36(7):6179-6192. doi: 10.1007/s00330-026-12437-3. Epub 2026 Mar 14. PubMed 41831027 ↗
  • Liang W, Tao J, Cheng C, Sun H, Ye Z, Wu S, Guo Y, Zhang J, Chen Q, Liu D, Liu L, Tian H, Teng L, Zhong N, Fan JB, He J. A clinically effective model based on cell-free DNA methylation and low-dose CT for risk stratification of pulmonary nodules. Cell Rep Med. 2024 Oct 15;5(10):101750. doi: 10.1016/j.xcrm.2024.101750. Epub 2024 Sep 27. PubMed 39341207 ↗
  • Liang W, Liu D, Li M, Wang W, Qin Z, Zhang J, Zhang Y, Hu Y, Bao H, Xiang Y, Wang B, Wu J, Sun J, Hu C, Ye X, Zhang X, Xiao W, Yun C, Sun D, Wang W, Chang N, Zhang Y, Zhao J, Zhang X, Xu J, Wu D, Liu X, Guo Y, Zhang Q, Zhang W, Yang L, Li Z, Zhang X, Han B, Tong Z, He J, Qu J, Fan JB, Zhong N. Evaluating the diagnostic accuracy of a ctDNA methylation classifier for incidental lung nodules: protocol for a prospective, observational, and multicenter clinical trial of 10,560 cases. Transl Lung Cancer Res. 2020 Oct;9(5):2016-2026. doi: 10.21037/tlcr-20-701. PubMed 33209621 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2018 (actual). Primary completion is estimated for Sep 2024, 70 months after the start.

Of 24 observational studies under Multiple Pulmonary Nodules, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 62. This study's planned 70 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 27, 2018
First posted
Aug 29, 2018
StartActual
Nov 26, 2018
Primary completionEst.
Sep 2024
CompletionEst.
Jun 2025
Last update
May 24, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 24, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03651986
Lead sponsor
AnchorDx Medical Co., Ltd.
Collaborators
Xiangya Hospital of Central South University, West China Hospital, Shanghai Zhongshan Hospital, Shanghai Pulmonary Hospital, Shanghai, China, First Hospital of China Medical University, Guizhou Provincial People's Hospital, Shanghai Chest Hospital, First Affiliated Hospital, Sun Yat-Sen University, First Affiliated Hospital Xi'an Jiaotong University, Qilu Hospital of Shandong University, Inner Mongolia People's Hospital, The First Affiliated Hospital with Nanjing Medical University, The First Affiliated Hospital of Zhengzhou University, Second Hospital of Jilin University, LanZhou University, Peking University Third Hospital, The First People's Hospital of Yunnan, Shantou Affiliated Hospital of Sun Yat-Sen University, Ruijin Hospital, Tongji Hospital, The First Affiliated Hospital of Guangzhou Medical University, The First Affiliated Hospital of Air Force Medicial University, Shenzhen People's Hospital, Henan Provincial People's Hospital, Beijing Chao Yang Hospital, Xiamen Second Hospital, The First Affiliated Hospital of Nanchang University
Responsible party
Sponsor
First posted
Aug 29, 2018
Start date
Nov 26, 2018
Primary completion
Sep 2024 (estimated)
Completion
Jun 2025 (estimated)
Last update
May 24, 2023

Study contacts

Nanshan ZHONG, MD
study chair · The First Affiliated Hospital of Guangzhou Medical University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in May 2023. You cannot join it, but the record below documents what was studied.

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