Blood-based test to better target lung cancer screening

Improving risk stratification for lung cancer screening using peripheral blood leukocyte DNA methylation: an investigation in the National Lung Screening Trial (NLST)

NIH-funded research Tufts University Boston · NIH-11285180

This project uses DNA changes in white blood cells from blood tests to help identify which older current or former smokers should get low-dose CT lung screening.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionTufts University Boston NIH-funded
Lab location1 site (Boston, United States)
Project IDNIH-11285180 on NIH RePORTER

What this research studies

We will measure DNA methylation (a type of chemical change to DNA) in white blood cells from blood samples that were collected before screening and at later time points from participants in the National Lung Screening Trial. Using those measurements and the participants' screening results, we will create a risk tool to sort people into higher- and lower-risk groups to try to reduce unnecessary CT scans. We will also compare methylation patterns in people who had positive CT screens and later developed lung cancer with those who had false-positive scans but did not develop cancer. The work uses stored blood samples and existing NLST data, so it focuses on lab analysis and data modeling rather than new patient visits.

Who could benefit from this research

Good fit: The approach is aimed at older adults with a significant smoking history who are eligible or borderline eligible for low-dose CT lung cancer screening (current or former smokers with substantial pack-year history).

Not a fit: People without a history of smoking or those not eligible for lung CT screening are unlikely to benefit from this research.

Why it matters

Potential benefit: If successful, this could reduce unnecessary CT scans, radiation exposure, and false positives by better identifying who truly needs screening.

How similar studies have performed: Previous research on blood DNA methylation markers for lung cancer risk is promising but remains experimental and is not yet part of routine clinical screening.

Where this research is happening

Boston, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.