Breath Analysis in Early Stage Lung Cancer Using Infrared Spectroscopy

Study Overview
=================
Brief Summary
-----------------
The aim of this study is to sample and analyze volatile organic compounds (VOCs) from lung cancer patients and individuals without lung cancer (healthy controls). The breath sample analysis will help investigators describe and identify profiles of VOCs found in the breath of patients with lung cancer when compared to normal breath profiles using infrared spectroscopy. This work will help validate early proof of concept results conducted with prototype technology and later stage NSCLC breath samples, and inform future breath testing analysis.

Detailed Description
-----------------
Globally, lung cancer accounts for the most cancer deaths in both sexes combined. It is believed to develop slowly through progressive accumulation of genetic mutations, hence the disease allows time for diagnosis and curative surgical treatment. Five year survival rates for non-small-cell lung carcinoma (NSCLC) can range from 57-61% when detected in the early stages of disease. This is compared with a survival rate of approximately 6% once distant metastases are present. However, disease diagnosis typically occurs when it has progressed to an advanced stage when patients present with signs and symptoms. Therefore, technologies capable of asymptomatic disease detection will significantly impact lung cancer specific mortality. Metabolomic profiling of cancer measures compounds produced as a result of cellular activity including volatile organic compounds (VOCs) in exhaled breath. Infrared spectroscopy is a proven technique for breath analysis that can measure chemical concentrations in the parts per trillion range for certain VOCs. When coupled with machine learning techniques, this has the potential to be a novel approach for disease detection using exhaled breath.

Official Title
-----------------
Analysis of Volatile Chemicals in the Breath of Lung Cancer Patients Using Infrared Spectroscopy

Conditions
-----------------
Lung Cancer, Non Small Cell Lung Cancer

Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria LC Group: ≥ 18 years; Able to give informed consent; Eligible for lung cancer screening or lung cancer follow-up testing (biopsy, surgery); Clinical evidence of lung cancer (metastatic or primary), inclusive of those receiving non-curative treatment, has not yet been treated or is not currently on treatment; No history of or any other active cancer; Able to provide a breath sample; Control Group: ≥ 18 years; Able to give informed consent; Eligible for lung cancer screening or lung cancer follow-up testing (biopsy, surgery); No history of lung cancer or any other active cancer and is eligible for lung cancer screening; Able to provide a breath sample; Exclusion Criteria Has received or is currently receiving curative treatment and may no longer have lung cancer; Cannot give informed consent;

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| LC Group<br>Participants will provide two breath samples by exhaling into the breath sampling apparatus and complete the Medical Questionnaire (medications, lifestyle, demographics, smoking history) and survey (lung health). Information related to LC diagnosis (histologic sub-type, tumor stage) will be collected. | |
| Control Group<br>Participants will provide two breath samples by exhaling into the breath sampling apparatus and complete the Medical Questionnaire (medications, lifestyle, demographics, smoking history) and survey (lung health). | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| VOC spectral profile differences | VOC spectral profiles will be compared between cohorts to identify statistical differences. | 30 days after completion | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Volatile Organic Compounds, Breath Analysis, Infrared Spectroscopy