ClinicalTrials.gg
RecruitingNCT06122077PROACT-LUNGUpdated Aug 5, 2025

Clinical Validation of Freenome Multiomics Blood Test for Lung Cancer Screening

An observational study in Lung Cancer Diagnosis, sponsored by Freenome Holdings Inc.. Recruiting at 36 sites in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2025-08-05.

Sponsored by Freenome Holdings Inc. · Observational

From the registry’s dates

  • Primary completion was expected by Jun 2026, 4 months ago, but the record still lists the study as recruiting.
  • Started Nov 2023; still recruiting 2 years 11 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
20,000
Ages
50 Years and older
Sex
All
01

Study summary

The PROACT LUNG study is a prospective multi-center observational study to validate a blood-based test for the early detection of lung cancer by collecting blood samples from high-risk participants who will undergo a routine, standard-of-care screening Low-Dose Computed Tomography (LDCT).

Read the detailed description

This is a prospective, multi-center, observational study to evaluate the performance of the Freenome Multiomics Blood Test in screening eligible participants for lung cancer.

Enrollment will be open to all eligible participants for screening chest CT scan as part of the Standard of Care (SOC) for lung cancer. Subjects who meet the eligibility criteria for this study and provide informed consent will be enrolled and blood sample collection must be completed within 30 days of signing the informed consent. Optimally, the screening chest CT will be completed on the same day of the study blood collection, however up to 45 days will be allowed after study blood collection to obtain a screening chest CT.

The study will also collect demographic data and relevant clinical data, such as medical history, lifestyle, occupational and environmental exposure(s), family history, and clinical laboratory data. All reports and clinical notes regarding the diagnostic tests and procedures related to lung cancer diagnosis or lung lesion assessment, such as histopathology and bronchoscopy reports, and diagnostic/follow-up images and imaging reports will be collected as part of follow up to the screening chest CT scan.

All enrolled subjects will be followed prospectively from the date of the baseline screening chest CT until a minimum of 24 months, or until a premature study endpoint inclusive of withdrawal of consent or death.

02

Conditions studied

  • Lung Cancer Diagnosis

Keywords

  • Artificial Intelligence
  • Liquid Biopsy
  • Blood Test Cancer
  • Cancer Diagnostic
  • Genomics
  • Genomics Test
  • Multiomics
  • Cancer Screening
  • Cancer Early Detection Test
  • LDCT Screening
  • Lung Cancer Screening
  • Lung Cancer
  • Freenome Test
  • Machine Learning
  • Acute respiratory distress syndrome (ARDS)
  • Chronic obstructive pulmonary disease (COPD)
  • Chronic bronchitis
  • Emphysema
  • Lung nodules
03

In context

Lung Neoplasms

5,422 studies on the registry are indexed under Lung Neoplasms; 1,346 are open to participants now.

This study's planned enrollment of 20,000 is above the median of 200 across 1,434 observational studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Freenome Holdings Inc. is the lead sponsor of 5 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Study population

The study aims to enroll a representative sample of the population across the United States including adults aged 50 years and older who have at least a 20-pack-year smoking history and who have met the eligibility criteria defined in this protocol.

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. Age 50 years or older within 30 days of enrollment
  2. Current or former smokers with a cumulative smoking history of ≥ 20 pack-year
  3. Able to comprehend and willing to sign and date the and HIPAA authorization documents

Exclusion criteria

Exclusion Criteria:

  1. Any active therapy for cancer, including but not limited to surgery, chemotherapy, biologic therapy, immunotherapy, and/or radiation therapy at the time of enrollment
  2. History of any within prior 5 years of enrollment (except for non- melanoma skin cancer)
  3. History of organ, tissue, and bone marrow transplantation
  4. Screened for lung cancer or having chest CT scan 12 months before enrollment
  5. Having signs and symptoms of lung cancer such as hemoptysis, superior vena cava syndrome, Cushing syndrome, and Pancoast syndrome
  6. Received a blood transfusion in the 30 days preceding enrollment
  7. Known to be pregnant
  8. Participated or currently participating in another Freenome-sponsored clinical study
  9. Participated or currently participating in a clinical research study in which an experimental medication has been administered during the 60 days preceding enrollment
  10. Any condition that in the opinion of the Investigator should not be enrolled in the study
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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
20,000 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Interventions

  • Diagnostic testblood draw

    Subjects who provide informed consent and meet the eligibility criteria will have 50 ml of blood collected and sent to Freenome or Freenome's designee for processing, testing, and storage, and will then complete a standard-of-care screening LDCT.

06

What researchers measure

Primary outcomes

  1. Sensitivity and specificity in detecting lung cancer

    Clinical performance of the Freenome Blood Test, including sensitivity and specificity, in detecting lung cancer in subjects with positive and negative lung cancer outcomes during a 12-month follow-up period

    Time frame: 12-Months

Secondary outcomes

  1. Sensitivity and specificity in detecting lung cancer

    Clinical performance of the Freenome Blood Test, including sensitivity and specificity, in detecting lung cancer in subjects with positive and negative lung cancer outcomes during a 24-month follow-up period

    Time frame: 24-Months

07

Study locations

36 of 36 sites recruiting
  • Science 37
    Los Angeles, California 90230, United States
    Recruiting
    • Study Coordinator · Contact
  • Stamford Hospital
    Stamford, Connecticut 06902, United States
    Recruiting
    • Study Coordinator · Contact
  • Hillcrest Medical Research
    DeLand, Florida 32720, United States
    Recruiting
    • Study Coordinator · Contact
  • Universal Axon Clinical Research
    Doral, Florida 33166, United States
    Recruiting
    • Study Coordinator · Contact
  • I.H.S Health, LLC
    Kissimmee, Florida 34741, United States
    Recruiting
  • United Medical Research
    Port Orange, Florida 32127, United States
    Recruiting
    • Study Coordinator · Contact
  • Charter Research
    The Villages, Florida 32162, United States
    Recruiting
    • Study Coordinator · Contact
  • Charter Research
    Winter Park, Florida 32792, United States
    Recruiting
    • Study Coordinator · Contact
  • SpeciCare, Inc
    Gainesville, Georgia 30501, United States
    Recruiting
  • University of Chicago
    Chicago, Illinois 60637, United States
    Recruiting
    • Study Coordinator · Contact
  • Walgreens
    Deerfield, Illinois 60015, United States
    Recruiting
    • Study Coordinator · Contact
  • Springfield Clinic, LLP
    Springfield, Illinois 62702, United States
    Recruiting
  • Aton Health
    Leawood, Kansas 66211, United States
    Recruiting
    • Study Coordinator · Contact
  • Ascension Via Christi Wichita
    Wichita, Kansas 67214, United States
    Recruiting
    • Study Coordinator · Contact
  • Ascension St. Agnes Hospital
    Baltimore, Maryland 21237, United States
    Recruiting
    • Study Coordinator · Contact
  • Cape Cod Hospital
    Hyannis, Massachusetts 02601, United States
    Recruiting
    • Study Coordinator · Contact
  • Memorial Hospital at Gulfport
    Gulfport, Mississippi 39503, United States
    Recruiting
    • Study Coordinator · Contact
  • Renown Regional Medical Center
    Reno, Nevada 89502, United States
    Recruiting
    • Study Coordinator · Contact
  • Inspira Medical Center
    Mullica Hill, New Jersey 08062, United States
    Recruiting
  • Our Lady of Lourdes Hospital
    Binghamton, New York 13905, United States
    Recruiting
    • Study Coordinator · Contact
  • Wakemed
    Raleigh, North Carolina 27610, United States
    Recruiting
    • Study Coordinator · Contact
  • Altru Health System
    Grand Forks, North Dakota 58201, United States
    Recruiting
    • Study Coordinator · Contact
  • Hightower Clinical
    Oklahoma City, Oklahoma 73102, United States
    Recruiting
  • Oregon Health & Science University
    Portland, Oregon 97201, United States
    Recruiting
    • Study Coordinator · Contact
  • Clinical Research Associates of Central PA
    DuBois, Pennsylvania 15801, United States
    Recruiting
    • Study Coordinator · Contact
  • US Digestive Health at Lancaster
    Lancaster, Pennsylvania 17601, United States
    Recruiting
    • Study Coordinator · Contact
  • Temple University
    Philadelphia, Pennsylvania 19140, United States
    Recruiting
    • Study Coordinator · Contact
  • Guthrie Medical Group
    Sayre, Pennsylvania 18840, United States
    Recruiting
    • Study Coordinator · Contact
  • US Digestive Health at Wyomissing
    Wyomissing, Pennsylvania 19610, United States
    Recruiting
    • Study Coordinator · Contact
  • Medical University of South Carolina (MUSC)
    Charleston, South Carolina 29425, United States
    Recruiting
    • Study Coordinator · Contact
  • McLeod Health
    Florence, South Carolina 29506, United States
    Recruiting
    • Study Coordinator · Contact
  • Circle Clinical Research
    Pierre, South Dakota 57104, United States
    Recruiting
    • Study Coordinator · Contact
  • The Jackson Clinic, PA
    Jackson, Tennessee 38305, United States
    Recruiting
    • Study Coordinator · Contact
  • Horizon Clinical Research Group
    Houston, Texas 77008, United States
    Recruiting
    • Study Coordinator · Contact
  • CHRISTUS Trinity Mother Frances Health System
    Tyler, Texas 75701, United States
    Recruiting
    • Study Coordinator · Contact
  • Ascension Columbia St. Mary's Wisconsin
    Milwaukee, Wisconsin 53211, United States
    Recruiting
    • Study Coordinator · Contact
08

References and documents

Individual participant data

Plan to share: No

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 Aug 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06122077
Lead sponsor
Freenome Holdings Inc.
Responsible party
Sponsor
First posted
Nov 8, 2023
Start date
Nov 28, 2023
Primary completion
Jun 15, 2026 (estimated)
Completion
Jun 15, 2027 (estimated)
Last update
Aug 5, 2025

Study contacts

Harris Naemi, BS
Contact
FRNM007@freenome.com
925-322-6486
Victoria Sumner
study director · Freenome Holdings Inc.

Oversight

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

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