Addition of microRNA Blood Test to Lung Cancer Screening Low Dose CT

This is a prospective, longitudinal, blinded, observational diagnostic study on 400
individuals undergoing lung cancer screening with low-dose computed tomography (LDCT).

There will be two patient cohorts: Cohort 1: individuals undergoing their first or subsequent
annual LDCT screening study; and Cohort 2: individuals referred for a follow-up diagnostic
chest CT scan due to a lung-RADS category 3 or 4 result on a previous LDCT scan.

At study enrollment a blood sample will be drawn prior to the LDCT scan. On this blood sample
a novel lung cancer test relying on microRNA signatures will be evaluated. The results will
be compared with the CT scan results and follow-up tests including pathology. Histologic
results and follow-up data will be collected on all patients for a minimum of 12 months
post-enrollment. During the follow-up period, the results of all diagnostic chest CT scans,
lung biopsies or lung resections will be captured from the Partners electronic medical record
and entered into the case report form (CRF).

Inclusion Criteria:

1. Subject is undergoing LDCT screening for lung cancer.

2. Subject is 55 to 80 years of age.

3. Subject has a minimum 30 pack-year smoking history.

4. Subject has not quit smoking more than 15 years ago.

5. Subject is without symptoms attributable to lung cancer.

6. Subject is able and willing to provide informed consent.

Exclusion Criteria:

1. Subject has a history of lung, gastrointestinal, hematological, breast, thyroid, or
genitourinary cancers within the past ten years.

2. Subject is known to be infected with HIV, HBV, HCV, or tuberculosis or any other
Biosafety Level 3 (BSL III) pathogen infections.