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NCT06122077ClinicalTrials.gov

Clinical Validation of Freenome Multiomics Blood Test for Lung Cancer Screening

The PROACT LUNG Study: A Prospective, Observational,Clinical Validation Study of the Freenome Multiomics Blood Test for Lung Cancer Screening (FRNM-007)

RecruitingTaking participants now, according to the registry record.
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In brief

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).

Observational20,000 participants sought36 sites1 country

Categories

Registered in 1 registry

One study can be registered in several registries. We show it once and link every record we hold.

Trial information is shown as published by the registry, in its original language.

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How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2023-11-08; recorded start 2023-11-28
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Not stated: Whether participants are randomly assigned is not stated in the registry recordNo allocation method is recorded
  • Not stated: Whether there is a comparison group is not stated in the registry recordThe record does not describe the study arms
  • Not stated: Whether the study is blinded is not stated in the registry recordNo masking information is recorded
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 1 other study in this databaseCounted from the lead sponsor named in the record (Freenome Holdings Inc.)
  • Not stated: No posted results from this sponsor are in this database yetBased on the sponsor’s studies in this database
  • The record lists 1 condition.
  • Lead sponsor type recorded as: industry.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourEXPLORATORY

An exploratory-stage design for a study of this type, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation0/20

    Allocation not stated in the record

  • Blinding0/20

    Masking not stated in the record

  • Control arm0/15

    No comparator arm stated in the record

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type3/10

    Surrogate or intermediate endpoint (conservative default)

  • Multi-centre8/8

    Multi-centre: 36 sites

  • Data monitoring committee7/7

    A data monitoring committee is in place

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleMEGA

A very large study: 20,000 participants (target), run at 36 sites.

How this score is built
  • Enrolment40/40

    20,000 participants (target)

  • Site count18/25

    36 sites

  • Country count0/15

    Single country

  • Planned duration9/10

    Planned over about 43 months

  • Sponsor scale1/10

    Freenome Holdings Inc. has led 2 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

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).

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.

Conditions

  • Lung Cancer Diagnosis

Eligibility

Eligibility
SexAll
Ages50 YearsNo maximum
Healthy volunteersNo
Sampling methodPROBABILITY_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.

Eligibility as written in the registry

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 informed consent and HIPAA authorization documents 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 malignancy 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

Eligibility in plain statements

This record's criteria have not been broken into separate statements yet. The registry text above is complete and is the authoritative version.

Study design

Study design
Study typeObservational
PhaseNot stated in the registry record
AllocationNot stated in the registry record
Intervention modelNot stated in the registry record
Primary purposeNot stated in the registry record
MaskingNot stated in the registry record
Enrolment20,000 participants sought

Sponsor and collaborators

  • Freenome Holdings Inc. Sponsor

Interventions

  • Diagnostic test blood 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.

Outcome measures

  1. Primary outcome

    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

  2. Secondary outcome

    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

Dates

Dates
Start dateNovember 28, 2023 (actual)
Primary completionJune 15, 2026 (estimated)
CompletionJune 15, 2027 (estimated)
First postedNovember 8, 2023 (actual)
Last updatedAugust 5, 2025
Results postedNot stated in the registry record
Status last verifiedAugust 2025

Actual means the event happened. Estimated means the sponsor expects it. The two mean different things.

Locations

36 sites are recruiting

United States

United States
FacilityCityState or regionStatus
Ascension St. Agnes HospitalBaltimoreMarylandRecruiting
Our Lady of Lourdes HospitalBinghamtonNew YorkRecruiting
Medical University of South Carolina (MUSC)CharlestonSouth CarolinaRecruiting
University of ChicagoChicagoIllinoisRecruiting
Hillcrest Medical ResearchDeLandFloridaRecruiting
WalgreensDeerfieldIllinoisRecruiting
Universal Axon Clinical ResearchDoralFloridaRecruiting
Clinical Research Associates of Central PADuBoisPennsylvaniaRecruiting
McLeod HealthFlorenceSouth CarolinaRecruiting
SpeciCare, IncGainesvilleGeorgiaRecruiting
Altru Health SystemGrand ForksNorth DakotaRecruiting
Memorial Hospital at GulfportGulfportMississippiRecruiting
Horizon Clinical Research GroupHoustonTexasRecruiting
Cape Cod HospitalHyannisMassachusettsRecruiting
The Jackson Clinic, PAJacksonTennesseeRecruiting
I.H.S Health, LLCKissimmeeFloridaRecruiting
US Digestive Health at LancasterLancasterPennsylvaniaRecruiting
Aton HealthLeawoodKansasRecruiting
Science 37Los AngelesCaliforniaRecruiting
Ascension Columbia St. Mary's WisconsinMilwaukeeWisconsinRecruiting
Inspira Medical CenterMullica HillNew JerseyRecruiting
Hightower ClinicalOklahoma CityOklahomaRecruiting
Temple UniversityPhiladelphiaPennsylvaniaRecruiting
Circle Clinical ResearchPierreSouth DakotaRecruiting
United Medical ResearchPort OrangeFloridaRecruiting
Oregon Health & Science UniversityPortlandOregonRecruiting
WakemedRaleighNorth CarolinaRecruiting
Renown Regional Medical CenterRenoNevadaRecruiting
Guthrie Medical GroupSayrePennsylvaniaRecruiting
Springfield Clinic, LLPSpringfieldIllinoisRecruiting
Stamford HospitalStamfordConnecticutRecruiting
Charter ResearchThe VillagesFloridaRecruiting
CHRISTUS Trinity Mother Frances Health SystemTylerTexasRecruiting
Ascension Via Christi WichitaWichitaKansasRecruiting
Charter ResearchWinter ParkFloridaRecruiting
US Digestive Health at WyomissingWyomissingPennsylvaniaRecruiting

Study documents

No documents are linked in this registry record.

Changes over time

No changes have been recorded since we first ingested this record.

A change is recorded each time the sponsor updates the registry record. Status, dates, enrolment and sites appear here as they move.