Simple spit test could spot lung cancer early
NCT ID NCT07168993
First seen Jun 27, 2026 · Last updated Jul 17, 2026 · Updated 2 times
Summary
This study is testing a new test called FlowPath Lung that looks for signs of lung cancer in sputum (phlegm). It involves over 2,000 high-risk individuals aged 50-80 who have lung nodules found on CT scans. The goal is to see if this non-invasive test can accurately detect early-stage lung cancer, potentially offering a simpler alternative to more invasive procedures.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could provide a simple, non-invasive sputum test to catch lung cancer early, potentially reducing the need for biopsies and improving survival rates.
- What could go wrong
- This is a diagnostic accuracy study, not a treatment trial. The test may not be accurate enough to replace current methods, and results may not apply to all populations.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 2,063 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2026
- Expected to finish
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Jul 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Is able to give signed informed consent and comply with study requirements. 2. Is high risk for getting lung cancer: 1. ≥50 - 80 years of age. 2. current smoker with smoking history of at least 20 pack-years or current non-smoker with smoking history of at least 20 pack-years who quit smoking within the past 15 years. 3. Has a \>6 to \<30 mm diameter lung nodule (found by lung cancer screening or found incidentally by CT scan) as determined by CT and is willing to provide a sputum sample for FlowPath Lung test within 6 weeks of the prestudy baseline CT scan. 3a) Nodule is either new, increasing, or stable for ≤ 6 months. 3b) In cases where a person has multiple nodules as determined by CT scan, the subject's most suspicious nodule is \>6 to \<30 mm in diameter. 4\) Is willing to provide contact information to the study PI or the treating physician(s) who can release required medical information related to SOC follow-up. Exclusion Criteria: 1. Is unable to cough with sufficient exertion to produce a sputum sample (e.g., due to severe obstructive lung disease). 2. The dominant nodule is ground glass or part solid as determined by CT scan. 3. Has 5 or more nodules sized \>4 mm. 4. The nodule sized \>6 to \<30 mm in diameter is a distal (subsegmental) endobronchial nodule or a perifissural nodule. 5. Is immunosuppressed. 6. Has rheumatoid arthritis. 7. Had lung cancer diagnosis in the past 5 years or any other cancer (other than non-melanoma skin cancer) in the past 2 years. A subject on long-term medications used for prevention of cancer, such as Tamoxifen for breast cancer, is not excluded. 8. Has angina with minimal exertion. 9. Is currently pregnant or planning on becoming pregnant during this study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
11 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Audie Murphy VA Medical Center
RECRUITINGSan Antonio, Texas, 78234, United States
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Bay Pines VA Healthcare System
RECRUITINGBay Pines, Florida, 33744, United States
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Brooke Army Medical Center
RECRUITINGSan Antonio, Texas, 78234, United States
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Captain James A. Lovell Federal Health Care Center
RECRUITINGNorth Chicago, Illinois, 60064, United States
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Clinical Research Associates of Central Pennsylvania
RECRUITINGDuBois, Pennsylvania, 15801, United States
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Dayton VA Medical Center
RECRUITINGDayton, Ohio, 45428, United States
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James A. Haley Veterans' Hospital
RECRUITINGTampa, Florida, 33612, United States
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Medical College of Wisconsin
RECRUITINGMilwaukee, Wisconsin, 53226, United States
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Miami VA Healthcare System
RECRUITINGMiami, Florida, 33125, United States
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VA Palo Alto Health Care System
RECRUITINGPalo Alto, California, 94304, United States
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VA Western Colorado Health Care System
RECRUITINGGrand Junction, Colorado, 81501, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Software aims to steer bronchoscopes more precisely in lung cancer checks
- Gentle exercise may revive energy in lung cancer patients
- Laser and AI join forces to spot aggressive lung cancer
- Can a tiny camera help doctors diagnose lung nodules more accurately?