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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Mrs Georgina Gardner
None available
quicdna@cardiff.ac.uk


Dr Magda Meissner
+44 29 20615888
meissnerm1@cardiff.ac.uk


More information about this study, what is involved and how to take part can be found on the study website.

Study Location:

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Be Part of Research - Trial Details - Liquid biopsy testing in the diagnosis of lung cancer

Liquid biopsy testing in the diagnosis of lung cancer

Recruiting

Open to: All Genders

Age: Adult

Medical Conditions

Patients with suspected stage III (excluding radical treatment) and IV lung cancer based on computer tomography (CT scan) and have tissue biopsy (SOC) diagnostic testing planned


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Lung Cancer is the third most common cancer in Wales and the majority of patients are diagnosed at an advanced stage. In the current diagnostic pathway, a patient, who is referred to the Rapid Access Lung Clinic by their GP for suspicion of lung cancer from a CT scan, undergoes a biopsy for the collection of a small sample of tissue that is tested in an NHS laboratory. The results of the tissue biopsy are reviewed by clinicians for planning the patient’s treatment. In some cases, it can take up to 8 weeks or even longer for the patient to receive their targeted therapy after their GP referral. There is a critical need to improve and shorten the current diagnostic pathway so that patients at an advanced stage of lung cancer can start their treatment before their cancer grows further.
When cancer cells die, they get broken down and their contents, including small pieces of DNA, are released into the blood. This is called circulating tumour DNA (ctDNA). Researchers have developed a new test that looks for ctDNA in the blood and detects the multiple genetic changes leading to tumour development. Finding DNA with genetic differences aids in diagnosing the type of tumour and helps doctors determine which treatment will be most effective.
The results of the ctDNA testing are available in a timely manner. Moreover, taking a blood sample – “liquid biopsy”– is less invasive than a solid tissue biopsy which for some patients is difficult or impossible. In the QuicDNA study, we propose to introduce ctDNA testing to patients with high clinical cancer suspicion with the aim to improve the current lung cancer diagnostic pathway by shortening the timelines between GP referral and treatment allocation and helping clinicians in planning patients’ personalised treatments without delay.

• Can ctDNA be used to deliver genomic results to inform treatment decisions sooner than tissue biopsy-based approaches?
• Can we start appropriate, personalised treatment sooner in patients diagnosed with lung cancer in the ctDNA pathway than the standard pathway?
• Can we improve survival in patients with lung cancer by improving access to personalised therapy at an earlier time?

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 Jul 2023 30 Jun 2025

What does the study involve?
• Whole blood samples will be collected from patients with a high suspicion of lung cancer.
• The blood samples will be sent to a laboratory in Cardiff and Vale University Health Board (Cardiff), where we will detect any cancer cells in the blood.
• The Genomic results from the ctDNA test will be made available to the lung cancer multidisciplinary team meeting(MDT), where cancer diagnosis and treatment decisions are made.
• Patients will be followed up for data about their treatment plan and disease progression, if any.

What are the possible benefits and risks of taking part?
We think that the liquid biopsy test identifies cancer and the most appropriate treatment more effectively than the current tissue biopsy. By taking part in this research you are helping us to build confidence in this test so that it can be used in the NHS and help future patients to access a more effective (personalised) therapy as early as possible.
In QuicDNA we are asking you to take one blood test at the same time as your appointment at the Respiratory Clinic. This means that there should not be any extra risk from participating in this study.

Where is the study run from?
The study will be conducted in the Health Boards in Wales. It is coordinated by the Centre for Trials Research, Cardiff University (UK)

When is the study starting and how long is it expected to run for?
February 2023 to January 2026

Who is funding the study?
1. Health and Care Research Wales (HCRW) (UK)
2. Moondance Cancer Initiative (UK)
3. Illumina (USA)
4. Bayer (Germany)
5. Amgen (USA)

Who is the main contact?
Study team, quicdna@cardiff.ac.uk

Public involvement
Patients have been involved in the study's design from the outset and will participate in the management of the project. In addition, ctDNA testing was presented to the Genomic Partnership Wales Patient Sounding Board 2021 and was widely supported.


Patients will be identified by NHS Respiratory Consultants (RC) at Health Boards (HB), who are responsible for the patient’s care. Patients will be approached about the study by their RC during rapid access lung NHS clinic. We will recruit patients with suspected stage III and IV lung cancer based on computer tomography (CT scan): patients who have planned to receive radical treatment such as surgery, radical radiotherapy or chemoradiotherapy will be excluded.

You can take part if:



You may not be able to take part if:


1. Is unable or unwilling to comply with study procedures2. Stage I, II, or III suspected lung cancer that qualifies for radical treatment (surgery, radical radiotherapy or chemoradiotherapy)3. Have any known concurrent malignancy


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Cardiff and Vale NHS Trust
    Cardigan House University Hospital of Wales Heath Park
    Cardiff
    CF14 4XW
  • Cwm Taf Morgannwg University Local Health Board
    Dewi Sant Hospital Albert Road
    Pontypridd
    CF37 1LB
  • Hywel Dda NHS Trust
    Hafan Derwen Jobs Well Road
    Carmarthen
    SA31 3BB
  • Aneurin Bevan University Health Board
    Ysbyty Ystrad Fawr Ystrad Fawr Way, Ystrad Mynach, Hengoed
    Caerphilly
    CF82 7GP
  • Swansea Bay University Local Health Board
    Tonna Hospital Tonna Uchaf Tonna
    Neath
    SA11 3LX
  • Betsi Cadwaladr University Lhb Mold Office
    Preswylfa Hendy Road
    Mold
    CH7 1PZ

We think that the liquid biopsy test identifies cancer and the most appropriate treatment more effectively than the current tissue biopsy. By taking part in this research you are helping us to build confidence in this test so that it can be used in the NHS and help future patients to access a more effective (personalised) therapy as early as possible.
In QuicDNA we are asking you to take one blood test at the same time as your appointment at the Respiratory Clinic. This means that there should not be any extra risk from participating in this study.

Dr Magda Meissner
+44 29 20615888
meissnerm1@cardiff.ac.uk


Mrs Georgina Gardner
None available
quicdna@cardiff.ac.uk



More information about this study, what is involved and how to take part can be found on the study website.


The study is sponsored by Aneurin Bevan University Health Board and funded by Health and Care Research Wales; Amgen; Moondance; Eli Lilly and Company; Illumina; AstraZeneca; Bayer.




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Read full details for Trial ID: ISRCTN22734699
Last updated 03 February 2025

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