Methylation markers from saliva to guide lung cancer screening
Official title: Methylated Biomarkers of Smoking as a Selection Tool in Participants for Lung Cancer Screening
Run by University Hospital, Antwerp · NCT07631624 · Data updated 2026-11-12
This study tests whether DNA methylation patterns in saliva can more accurately identify people who should get a low-dose CT scan for lung cancer screening.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 50 Years and up |
| Sex | All |
| Enrollment | 1000 (estimated) |
| Sponsor | University Hospital, Antwerp Academic / other |
| Locations | 1 site (Antwerp, Antwerpen) |
| Status | Recruiting |
| Started | October 4, 2025 |
| Main results expected | January 1, 2027 |
| Study ends | January 1, 2028 |
| Registry record updated | June 8, 2026 |
| Trial ID | NCT07631624 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults over 50 (or 55–74 for ZORALCS participants) with varying smoking histories who are eligible for or already enrolled in lung cancer screening programs.
✕Probably not a fit
Individuals without a smoking history or with conditions not related to epigenetic smoking markers may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The MET-SELS study investigates DNA methylation as a stable, biological indicator of smoking exposure to improve risk-based selection for lung cancer screening. Researchers analyze saliva from about 900 participants to see if epigenetic marks in AHRR and F2RL3 correlate with long-term tobacco exposure and lung cancer risk. Unlike brief nicotine measures, these methylation changes persist and may better identify high-risk individuals than traditional pack-year criteria. The study is led by Prof. Dr. Annemiek Snoeckx and conducted at UZA and the Centre for Medical Genetics, with partners at University Hospital Antwerp and Universiteit Antwerpen.
Why it matters
Potential benefit: If successful, this approach could improve the accuracy of screening eligibility and reduce missed cases of early lung cancers.
How similar studies have gone: Epigenetic smoking markers have shown promise in reflecting cumulative exposure, but their use for screening selection is still exploratory.
Who can join: the full rules
Show full inclusion / exclusion criteria
Cohort 1: Volunteers Inclusion Criteria: * Age: Must be \> 50 years of age * Smoking History: Includes individuals with and without a smoking history Cohort 2: ZORALCS-study participants Inclusion Criteria: * Age: 55-74 years old * Smoking History: Includes individuals with a smoking history
Where it's running
-
Antwerp University Hospital
Antwerp, Antwerpen, Belgium Recruiting
Study contacts
- Principal investigator: Annemiek Snoeckx, MD, PhD — University Of Antwerp / Antwerp University Hospital
- Study coordinator: Charlotte Theuns
- Email: charlotte.theuns@uantwerpen.be
- Phone: +32470274088
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.