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CTRI Number  CTRI/2023/04/051702 [Registered on: 18/04/2023] Trial Registered Prospectively
Last Modified On: 19/09/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Clinical study to measure the impact of using AI in patients with lung nodule.  
Scientific Title of Study   A Prospective Real-world Cohort Study to Validate Effectiveness of an Artificial Intelligence defined Lung Nodule Malignancy Score in Patients With Pulmonary Nodule 
Trial Acronym  CREATE 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Akshay Mahale 
Designation  Study Delivery Associate 
Affiliation  Qure ai Technologies Private Limited  
Address  Qure ai Technologies Private Limited Address- level 7, Commerz II, International Business Park, Oberoi Garden City, OFF. W.E. Highway, Goregaon (E) Mumbai-400063

Mumbai (Suburban)
MAHARASHTRA
400063
India 
Phone  9975320085  
Fax    
Email  akshay.mahale@qure.ai  
 
Details of Contact Person
Scientific Query
 
Name  Akshay Mahale 
Designation  Study Delivery Associate 
Affiliation  Qure ai Technologies Private Limited  
Address  Qure ai Technologies Private Limited Address- level 7, Commerz II, International Business Park, Oberoi Garden City, OFF. W.E. Highway, Goregaon (E) Mumbai-400063


MAHARASHTRA
400063
India 
Phone  9975320085  
Fax    
Email  akshay.mahale@qure.ai  
 
Details of Contact Person
Public Query
 
Name  Akshay Mahale 
Designation  Study Delivery Associate 
Affiliation  Qure ai Technologies Private Limited  
Address  Qure ai Technologies Private Limited Address- level 7, Commerz II, International Business Park, Oberoi Garden City, OFF. W.E. Highway, Goregaon (E) Mumbai-400063


MAHARASHTRA
400063
India 
Phone  9975320085  
Fax    
Email  akshay.mahale@qure.ai  
 
Source of Monetary or Material Support  
AstraZeneca 
QURE AI 
 
Primary Sponsor  
Name  AstraZenca 
Address  1 Francis Crick Avenue, Cambridge Biomedical Campus, Cambridge CB2 0AA, England 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India
Mexico
Turkey  
Sites of Study
Modification(s)  
No of Sites = 16  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Priyanka Vijay Kesarkar  AARTHI SCANS & LABS  X-ray room no_06, SHOP NO 1, 2 AND OFFICE NO. 7, ON GROUND FLOOR, Audumber Haritage, 430/1, Mangalwar Peth Rd, Mangalwar Peth, Kasba Peth, Pune, Maharashtra 411011.
Pune
MAHARASHTRA 
7506312393

kesarkar.priyanka1121@yahoo.com 
Dr Leena Balusamy Krishnakumar  Aarthi Scans & Labs Ambattur  520/3, MTH Road, Ambattur OT, near SHAH Electronics, West Krishnapuram, Chennai, Tamil Nadu 600053
Chennai
TAMIL NADU 
9790825232

leenakandeeban@gmail.com 
Dr Anil R  Aarthi Scans & Labs Andheri  ECO Heights,Shop No.2 Nityanand nagar, Sahar road Next to Sanjeevani Hospital Near Western railway colony Near Flyover bridge, Andheri East, Andheri, Maharashtra 400069
Mumbai
MAHARASHTRA 
9739004123

dranilsmg@gmail.com 
Dr Hema Devi  Aarthi Scans & Labs Anna Nagar  2107, 13th Main Rd, L Block, Anna Nagar West, Anna Nagar, Chennai, Tamil Nadu 600040
Chennai
TAMIL NADU 
9842673834

drhemadevy@gmail.com 
Dr Kusum Pathania  Aarthi Scans & Labs Bhawanipore  6, Sambhunath Pandit St, behind SSKM Hospital, opposite Gurudwara, Bhowanipore, Kolkata, West Bengal 700025, India
Kolkata
WEST BENGAL 
9717656118

kusumpathania20@gmail.com 
Dr Monica Sampath Kumar  Aarthi Scans & Labs Indiranagar  499, Chinmaya Mission Hospital Rd, Indira Nagar 1st Stage, Stage 1, Indiranagar, Bengaluru, Karnataka 560038
Bangalore
KARNATAKA 
7397476087

monz.moonica@gmail.com 
Dr Varsha Tyagi  Aarthi Scans & Labs Jaya Nagar  156, 9th Main Rd, Jaya Nagar 1st Block, Jayanagar 3rd Block, Jayanagar, Bengaluru, Karnataka 560011, India
Bangalore
KARNATAKA 
7838490954

tyagivarsha410.vt@gmail.com 
Dr Anandhi Ramamurthy   Aarthi Scans & Labs Porur  4, 10, Arcot Rd, Lakshmi Nagar, Porur, Chennai, Tamil Nadu 600116
Chennai
TAMIL NADU 
9841974220

dranandhikgmch@gmail.com 
Dr Jayanth Murugan  Aarthi Scans & Labs Tambaram  116, Elumalai St, Tambaram West, Tambaram, Chennai, Tamil Nadu 600045
Chennai
TAMIL NADU 
9884433262

mappy49@gmail.com 
Dr Stevie Edwards Mohan Edwards  Aarthi Scans & Labs Vadapalani  60, 100 Feet Rd, Vadapalani, Chennai, Tamil Nadu 600026
Chennai
TAMIL NADU 
9940110502

stevieedwards2007@gmail.com 
Dr Prem Kumar Ganesan  DR B L KAPUR MEMORIAL HOSPITAL  Pusa Rd, Rajendra Place, New Delhi, Delhi, 110005
New Delhi
DELHI 
7409382830

drgpremkumar@blkhospital.com 
Dr Vandana Khandelwal  Max Smart Super Speciality Hospital  Mandir Marg, Press Enclave Road, Saket, New Delhi – 110017
New Delhi
DELHI 
7409382830

vandana.khandelwal@maxhealthcare.com 
Dr Bharat Aggarwal  Max Super Speciality Hospital, Saket (West block), (A Unit of Max Healthcare Institute Limited )  1, Press Enclave Road, Saket, New Delhi – 110017
New Delhi
DELHI 
7409382830

bharat.aggarwal@maxhealthcare.com 
Dr Anuradha Sural   Max Super Speciality Hospital, Vaishali (A Unit of Crosslay Remedies Limited )  W-3, Sector-1 Vaishali, Ghaziabad, 201012
New Delhi
DELHI 
9899104002

anuradha.sural@gmail.com 
Dr Randeep Guleria  Medanta–The Medicity  Medanta- The Medicity, CH Baktawar Singh Rd, Medicity, Islampur Colony, Sector 38, Gurugram, Haryana 122001, India
Gurgaon
HARYANA 
8287838953

randeep.guleria@medanta.org 
Akhil Kumar  Yashoda Hospital, Secunderabad  Alexander Rd, Kummari Guda, Shivaji Nagar, Secunderabad, Telangana 500003
Hyderabad
TELANGANA 
9966166070

akhil.kumar0595@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 16  
Name of Committee  Approval Status 
ACE Independent Ethics Committee  Approved 
ACE Independent Ethics Committee  Approved 
DR B L KAPUR MEMORIAL HOSPITAL ETHICS COMMITTEE ACADEMIC AFFAIRS RESEARCH AND CONTINUING EDUCATION  Approved 
Indira Ivf hospital ethics committee  Approved 
Indira Ivf hospital ethics committee  Approved 
Institutional Ethics Committee Max Super Speciality Hospital Vaishali  Approved 
Institutional Ethics Committee Yashoda Academy of Medical Education and Research  Approved 
Max Healthcare Ethics Committee  Approved 
Max Healthcare Ethics Committee - Protocol Version 1.1 dated 24 Feb 2025  Approved 
Medanta Institutional Ethics Committee  Approved 
RIPON INDEPENDENT ETHICS COMMITTEE  Approved 
RIPON INDEPENDENT ETHICS COMMITTEE  Approved 
RIPON INDEPENDENT ETHICS COMMITTEE  Approved 
RIPON INDEPENDENT ETHICS COMMITTEE  Approved 
RIPON INDEPENDENT ETHICS COMMITTEE  Approved 
ROYAL PUNE INDEPENDENT ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Lung Nodule Incidental Screening  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Patients diagnosed with incidental pulmonary nodules on CXR by qXR and confirmed by the radiologist at the site with nodule size ≥8 and ≤30 mm.  
 
ExclusionCriteria 
Details  1. Any medical or other contraindications for a CT scan
2. Nondigital CXR
3. CT scan is done more than 6 months after CXR
4. Patients with already diagnosed LC
5. The patients referred for an X-Ray for a suspicious LC
6. A patient who already participated in the study. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. PPV of qXR-LNMS using a panel of radiologists assigning high-risk based on CT (done
within 180 days from Xray) as the reference standard
2. NPV of qXR-LNMS using panel of radiologists assigning low-risk based on CT (done
within 180days from Xray) as reference standard 
One year  
 
Secondary Outcome  
Outcome  TimePoints 
1. PPV of qXR-LNMS using panel of radiologists assigning Lung-RADS4A based on CT as reference standard
2. PPV of qXR-LNMS using panel of radiologists assigning Lung-RADS4A based on CT as reference standard
3. To assess the correlation of qXR-LNMS and the Mayo clinic model
4. Clinically (2yr Follow Up) proven based 
1,2,3 - In one year.

4 - Three years. 
 
Target Sample Size   Total Sample Size="700"
Sample Size from India="300" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/04/2023 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  20/09/2023 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Closed to Recruitment of Participants 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study is an observational multi-center study to analyze the effectiveness of using Artificial Intelligence (AI) on Chest X-rays to identify lung nodules. The study will be conducted in 3 countries India, Turkey, and a country in South America. The primary outcome measure will be the Positive Predictive Value (PPV) and Negative Predictive Value (NPV) of the AI algorithm in identifying high and low-risk nodules. The secondary outcomes will be PPV and NPV subclassified based on Lung-RADS score (4A), comparison of AI result with Mayo Clinic Score & 2-year follow-up data provided by the patient.   
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