[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT07287085":3,"trial-entities:NCT07287085":98,"trial-summary:NCT07287085":102},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":6,"overall_status":7,"completion_date":8,"status_verified_date":9,"last_update_date":10,"start_date":11,"sponsor_name":12,"lead_sponsor_class":13,"has_dmc":14,"brief_summary":15,"detailed_description":16,"conditions":17,"keywords":22,"study_type":26,"primary_purpose":27,"phases":28,"enrollment_info":30,"interventions":33,"primary_outcomes":44,"secondary_outcomes":49,"sex":50,"minimum_age":51,"maximum_age":52,"healthy_volunteers":53,"eligibility_criteria":54,"std_ages":67,"locations":70,"central_contacts":93,"overall_officials":95,"references":96,"see_also_links":97},"NCT07287085","FP 9214","Increasing Lung Cancer Screening Uptake Among Emergency Department Patients","RECRUITING","2028-11","2026-04","2026-05-04","2026-03-18","University of Rochester","OTHER",false,"The objective of the proposed clinical trial is to determine if we can increase LCS among ED patients using a combination of facilitated referral to an LCS program plus text message reminders to get screened. Step 1 of the approach is to identify participants that are eligible for LCS. Step 2 is to randomize eligible study participants between two study arms: (1) basic referral for LCS (i.e.\n\nverbal referral with written materials), and (2) facilitated referral for LCS (i.e. submission of a requisition to LCS program by staff) plus a subsequent series of text messages aimed at generating intention and motivation to get screened. The investigators' preliminary work showed this approach was feasible in the ED setting. The proposed study will build on this preliminary work with the goal of having a significant positive impact on LCS uptake.\n\nA total of 300 individuals eligible for LCS will be recruited from a high-volume urban ED, randomized between study arms, and followed-up at 120 days to assess interval LCS uptake. The Specific Aims of the proposed project are, (1) Compare LCS uptake between the two study arms, (2) Identify predictors of individuals that are not up-to-date with LCS at the time of enrollment, and (3) Evaluate study participant feedback on (a) barriers and facilitators to getting screened and (b) acceptability and appropriateness of ED-based promotion of LCS. The study team is at the forefront of developing ED-based interventions to promote cancer screening. This project leverages the universal access setting of the ED to identify individuals at greatest risk for lung cancer and get them screened. A scalable ED-based intervention that increases LCS uptake would save lives.",null,[18,19,20,21],"Screening Compliance","Lung Cancer (Diagnosis)","Lung Cancer Diagnosis","Lung Cancer",[23,24,25],"screening","lung cancer","screening compliance","INTERVENTIONAL","SCREENING",[29],"NA",{"count":31,"type":32},349,"ESTIMATED",[34,40],{"type":35,"name":36,"description":37,"armGroupLabels":38},"BEHAVIORAL","Facilitated referral and text messaging","Participants randomized to the experimental arm will be instructed that the LCS program will reach out to them to discuss LCS and, if decided upon, schedule screening. An LCS Program Navigator will call the participant by phone, conduct a shared decision-making discussion, and schedule the screening CT scan (assuming eligibility is confirmed and the discussion results in the participant's decision to schedule screening). In addition, participants in Arm 2 will receive a series of text messages, grounded in the TPB, SDT, and HBM aimed at generating intention and motivation to get LCS.",[39],"Facilitated Referral + Text Messaging",{"type":35,"name":41,"description":42,"armGroupLabels":43},"Basic Referral (enhanced control arm)","They will also be provided with written materials that include telephone contact information for the LCS Program Navigator. If contacted, the LCS Program Navigator will conduct a shared decision-making (SDM) discussion, schedule the screening CT scan at one of the 8 regional American College of Radiology-designated LCS centers and arrange follow-up as needed. Since determination of LCS needs is not routine during an ED visit, this \"control arm\" reflects an enhancement over usual care. It would not be ethical to identify a patient with screening needs without providing a referral.",[41],[45],{"measure":46,"description":47,"timeFrame":48},"Assessment for LCS Uptake and Downstream Care","The primary outcome, LCS uptake, will be assessed via telephone follow-up and EHR review.","From enrollment through participation with first assessment at ~ 120 days of participation.",[],"ALL","50 Years","80 Years",true,{"inclusion":55,"exclusion":61,"raw_text":66},[56,57,58,59,60],"Age 50 - 80","≥ 20 pack-year smoking history","current smoker or quit within 15 years","English speaking","Current patient in URMC involved Emergency Department",[62,63,64,65],"Non-English","Inability to provide consent (e.g. high clinical acuity, cognitive deficit)","Lack of text-capable mobile phone and\u002For inability to use text function","Not being a patient in URMC involved Emergency Department There are no restrictions for gender, racial and ethnic origins.","Inclusion Criteria:\n\n* Age 50 - 80\n* ≥ 20 pack-year smoking history\n* current smoker or quit within 15 years\n* English speaking\n* Current patient in URMC involved Emergency Department\n\nExclusion Criteria:\n\n* Non-English\n* Inability to provide consent (e.g. high clinical acuity, cognitive deficit)\n* Lack of text-capable mobile phone and\u002For inability to use text function\n* Not being a patient in URMC involved Emergency Department There are no restrictions for gender, racial and ethnic origins.",[68,69],"ADULT","OLDER_ADULT",[71],{"facility":12,"status":7,"city":72,"state":73,"zip":74,"country":75,"contacts":76,"geoPoint":90},"Rochester","New York","14642","United States",[77,82,84,87],{"name":78,"role":79,"phone":80,"email":81},"Peter MacDowell","CONTACT","585-274-1509","peter_macdowell@urmc.rochester.edu",{"name":83,"role":79},"Nancy Wood",{"name":85,"role":86},"David Adler","PRINCIPAL_INVESTIGATOR",{"name":88,"role":89},"Beau Abar","SUB_INVESTIGATOR",{"lat":91,"lon":92},43.15478,-77.61556,[94],{"name":78,"role":79,"phone":80,"email":81},[],[],[],{"nct_id":4,"conditions":99,"biomarkers":101},[100],"Lung Carcinoma",[],{"nct_id":4,"found":53,"summary":103,"prompt_version":113},{"design":104,"status":105,"heading":106,"summary":107,"follow_up":108,"word_count":109,"commitments":110,"compensation":111,"drugs_mentioned":112},"This is an interventional study that plans to enroll 349 participants. Participants will be randomly assigned to one of two groups.","completed","Increasing Lung Cancer Screening in the Emergency Department","This study is looking at ways to help more people get screened for lung cancer, especially those who visit the emergency department (ED). It's testing two approaches: a \"Basic Referral\" where you get written information and a phone number for a lung cancer screening (LCS) program, and a \"Facilitated Referral and Text Messaging\" approach. In the second approach, the LCS program will contact you directly to discuss screening and schedule it, plus you'll receive text message reminders. The study wants to see if these methods can increase the number of people who get screened for lung cancer. You might be able to join if you are 50-80 years old, have a significant smoking history, speak English, and are a current patient in a URMC-involved ED. The study's status is unclear.","The study will assess lung cancer screening uptake and downstream care from enrollment through participation, with the first assessment around 120 days.",130,"If you join, you will either receive written materials and a phone number for the LCS program, or the LCS program will contact you directly and you will receive text messages to encourage screening.","Not stated in the trial record.",[36],"v2"]