ClinicalTrials.gg
Active, not recruitingNCT04171492ALTITUDEUpdated Sep 19, 2025

Nodify XL2 Classifier Clinical Utility Study in Low to Moderate Risk Lung Nodules

An observational study in Nodule Solitary Pulmonary and Non-small Cell Carcinoma, sponsored by Biodesix, Inc.. Active, not recruiting at 25 sites in 2 countries. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2025-09-19.

Sponsored by Biodesix, Inc. · Observational

From the registry’s dates

  • Primary completion was expected by Dec 2025, 11 months ago, but the record still lists the study as active, not recruiting.

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
2,000
Ages
40 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 27 studies in Solitary Pulmonary Nodule with a site in United States — 4 open to participants now, 8 under way, none of them phase 3. Solitary Pulmonary Nodule · United States.

Planned enrollment
2nd of 15
2,000 · median 187
Started
2020
with 2 others
Observational
15 of 27
3 open now
Registered
18th of 27
by date
Lead sponsor
2 of 27
Biodesix, Inc.

Among the 27 studies in Solitary Pulmonary Nodule with a site in United States, this one is the 2nd largest by planned enrollment of the 15 observational ones that give a count, is one of 3 that started in 2020, is one of 15 observational ones, and was the 18th registered.

Solitary Pulmonary Nodule

93 studies on the registry are indexed under Solitary Pulmonary Nodule; 20 are open to participants now.

Browse Solitary Pulmonary Nodule studies →

Open to participants now

4 of the 27 studies in Solitary Pulmonary Nodule with a site in United States are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 12 Solitary Pulmonary Nodule studies recruiting now, 6 (50%) set no upper age limit and 1 (8%) stops at 75 or younger; 2 take children under 18; 2 take healthy volunteers.

This study: 40 Years and older · all sexes.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 27 studies in Solitary Pulmonary Nodule with a site in United States, or all of them as a file.
02

Study summary

This study evaluates the how addition of the Nodify XL2 test result impacts the clinical management of newly identified solid lung nodules assessed as low to moderate risk of cancer.

Read the detailed description

A multicenter, randomized controlled study with a blinded control arm. Open label arm is observational for lung nodule management. The clinical trial will evaluate the clinical utility of the Nodify XL2 integrated classifier when used in the clinical management of newly identified solid lung nodules assessed as \< 50% risk of cancer by Mayo risk prediction algorithm.

03

Conditions studied

  • Nodule Solitary Pulmonary
  • Non-small Cell Carcinoma
04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Sampling method
Probability sample

Study population

Subjects with newly identified, solid lung nodule determined to be low-moderate risk of cancer.

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

  1. Subject has provided to participate in the study and agrees to comply with all protocol requirements
  2. Subject is > 40 years of age at the time of the discovery of the lung nodule of concern
  3. Subject's lung nodule of concern meets the following:

    • Was incidentally identified or detected during lung cancer screening
    • Is a solid nodule
    • Has maximal dimension of > 8mm and \< 30mm
  4. The first CT scan identifying the lung nodule of concern was performed within 60 days of subject enrollment
  5. The pre-test risk of cancer as determined by the Mayo risk prediction algorithm is 65% or less

Exclusion criteria

Exclusion Criteria:

  1. Nodule work-up at the time of subject enrollment indicating any prior attempted or completed diagnostic procedure or blood-based testing for the lung nodule of concern
  2. Nodule of concern is part-solid or Ground Glass Opacity (GGO)
  3. Prior diagnosis of lung cancer
  4. Any active cancer within 5-years of nodule detection, with the exception of non-melanoma skin cancer
  5. Administration of blood products (i.e. packed red blood cells, fresh frozen plasma, or ) within 30 days of subject enrollment
  6. Concurrent participation in any unrelated clinical trial that may impact or alter the management of the subject's nodule of concern
  7. Any illness or factor that will inhibit compliance with study participation
Terms in these criteria, in plain language(3)

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
2,000 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Open Label

    Nodify XL2 results will be reported to the investigator and available to the subject.

  • Blinded

    Nodify XL2 results will not be available to the investigative site or subject.

06

What researchers measure

Primary outcomes

  1. Lung Nodule Diagnosis

    Malignant diagnosis through histology/pathology or benign diagnosis through histology/pathology, radiologic stability or radiologic confirmation of nodule resolution

    Time frame: Up to 24 months

07

Study locations

25 sites
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Dec 2020 (actual). Primary completion is estimated for Dec 2025, 60 months after the start.

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

Registered
Nov 19, 2019
First posted
Nov 21, 2019
StartActual
Dec 18, 2020
Primary completionEst.
Dec 2025
CompletionEst.
Dec 2026
Last update
Sep 19, 2025
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 Sep 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04171492
Lead sponsor
Biodesix, Inc.
Responsible party
Sponsor
First posted
Nov 21, 2019
Start date
Dec 18, 2020
Primary completion
Dec 2025 (estimated)
Completion
Dec 2026 (estimated)
Last update
Sep 19, 2025

Study contacts

Steven Springmeyer
principal investigator · Biodesix, Inc.
Gerard Silvestri, MD
principal investigator · Medical University of South Carolina

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 active, not recruiting, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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