Clinical trial Recruiting at 1 site Interventional Ages 50 and up

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 typeInterventional
Ages50 Years and up
SexAll
Enrollment1000 (estimated)
SponsorUniversity Hospital, Antwerp
Academic / other
Locations1 site (Antwerp, Antwerpen)
StatusRecruiting
StartedOctober 4, 2025
Main results expectedJanuary 1, 2027
Study endsJanuary 1, 2028
Registry record updatedJune 8, 2026
Trial IDNCT07631624 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.