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CompletedNCT05034445Updated Sep 5, 2021

Whether Sputum Can Serve as an Alternative Source for Liquid Biopsy in Patients With Lung Cancer

An observational study in NSCLC, sponsored by Guangzhou Institute of Respiratory Disease. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-09-05.

Sponsored by Guangzhou Institute of Respiratory Disease · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
71
Ages
18 Years and older
Sex
All
01

Study summary

This study intends to use Onconscreen plus 520 Panel (Burning Rock, China) to conduct NGS testing in sputum, tissues and blood samples of patients with advanced NSCLC. In order to explore the use of sputum as a diagnosis method for NSCLC patients, we will collect relevant clinical information and follow-up treatment information. The primary endpoint will reveal the effectiveness, accuracy, and feasibility in sputum, as compared to tissues and blood samples. This study aims to study the feasibility and advantages/disadvantages of using sputum as an noval body fluid biopsy option.

Read the detailed description

With the advancements in the development of targeted therapy, the detection of actionable genes has become routine practice in diagnosing lung cancer, especially in non-small cell lung cancer (NSCLC). Due to its non-invasiveness and great accessibility, plasma-based mutation profiling, with a sensitivity of approximately 70% relative to tissue samples, is widely used in clinical settings. Profiling using other body fluids such as pleural effusion, ascites, cerebrospinal fluid have been actively explored. Circulating cell-free DNA has also been shown to be present in other bodily fluids such as sputum and urine, which have potential to serve as liquid biopsy media for comprehensive mutation profiling. In this study, we investigated the potential of sputum obtained from NSCLC patients for mutation profiling using matched tissue, plasma and sputum from more than 30 advanced-stage NSCLC patients.

Baseline tissues, plasma and sputum samples from more than 30 newly diagnosed advanced NSCLC patients with 520 Panel sequencing (tissue 1000X, sputum 1000X, plasma cfDNA 10000X), in different methods will be compared.

Primary endpoints:

1、Compare different sample types with concordence rate, sensitivity, and specificity.

02

Conditions studied

  • NSCLC
03

In context

Lead sponsor

Guangzhou Institute of Respiratory Disease is the lead sponsor of 96 studies on the registry; 17 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Planning to enroll more than 30 newly diagnosed advanced NSCLC patients, age over 18 years old following the eligibility criteria.

Inclusion criteria

  1. Patients with stage IIIB-IV NSCLC in AJCC TNM stage (8th edition) confirmed with histology or cytology;
  2. Newly diagnosed;
  3. There are sufficient samples that meet the requirements for examination;
  4. Eligible for the next anti-tumor systemic treatment;
  5. Willing to sign the consent inform, age ≥18 years;
  6. Patients willing to cooperate with the planned follow-up schedule;
  7. Permit to collect clinical data needed by the institute.

Exclusion criteria

Exclusion Criteria:

  1. Diagnosed with other malignant tumors at the same time (except for fully treated cervical carcinoma in situ, basal or squamous cell skin cancer);
  2. The patient has other serious diseases that may affect follow-up and short-term survival;
  3. Any other medical conditions and social/psychological problems that investigator evaluated is not suitable to enroll in this study;
  4. Absents of contrast-enhanced magnetic resonance imaging (MRI) or contrast-enhanced computer tomography (CT) during clinical follow-up.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
71 participants (actual)
Target follow-up
2 Years
Patient registry
Yes
Biospecimen retention
Samples with dna

Groups and cohorts

  • Sputum group

    Sputum samples from more than 30 newly diagnosed advanced NSCLC patients with 520 Panel sequencing (sputum 1000X)

    Diagnostic Test: Next generation sequencing

  • Tissue group

    Clinical data review to obtain corresponding tissue samples from more than 30 newly diagnosed advanced NSCLC patients with 520 Panel sequencing (tissue 1000X)

  • Plasma group

    Clinical data review to obtain corresponding plasma samples from more than 30 newly diagnosed advanced NSCLC patients with 520 Panel sequencing (plasma 10000X)

Interventions

  • Diagnostic testNext generation sequencing

    Extract DNA from sputum sample, minimum DNA amount should be over 50ng.

06

What researchers measure

Primary outcomes

  1. Compare different sample types with concordence rate, sensitivity, and specificity.

    1. Concordance rate was defined as the fraction of the total number of true positive and true negative patients relative to the cohort or indicated subgroup; 2. Sensitivity rate means true positive rate, true positive patients were defined as those who carried at least one genomic alteration that were detected in both matched samples. 3. Specificity rate means ture negative rate, patients were as defined true negative if no alteration was detected from either matched sample.

    Time frame: up to 2 years

07

Study locations

1 site
  • Zhou Chengzhi
    Guangzhou, Guangdong 510120, China
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 5, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05034445
Lead sponsor
Guangzhou Institute of Respiratory Disease
Responsible party
Zhou Chengzhi (Director, Guangzhou Institute of Respiratory Disease) — Principal investigator
First posted
Sep 5, 2021
Start date
Jan 30, 2020
Primary completion
Apr 20, 2021
Completion
Apr 28, 2021
Last update
Sep 5, 2021

Study contacts

Chengzhi Zhou, Dr. PhD.
principal investigator · The First Affiliated Hospital of Guangzhou Medical University

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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