The Role of Endobronchial Needle Aspiration With Rapid On-site Evaluation in the Diagnosis of Central Malignant Lesions

NCT ID: NCT01456741

Last Updated: 2014-05-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

134 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2012-04-30

Brief Summary

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Endobronchial lung cancer tend to manifest in three different patterns. It can present as a bulky, exophytic mass lesion, submucosal infiltration or extrinsic compression from peribronchial disease. Bronchoscopy with differents techniques as forceps biopsy, bronchial brushing and bronchial washing is recognized as the gold standard to diagnose central airways lung neoplasms. Some authors suggested that the addition of endobronchial needle aspiration (EBNA) to these conventional diagnostic methods may increase the sensitivity of bronchoscopy in submucosal and peribronchial disease but few prospective trials have been performed and this procedure is still underutilized in many centers. Rapid on-site evaluation (ROSE) showed to improve yield of transbronchial needle aspiration (TBNA) of mediastinal nodes and pulmonary peripheral lesions, reducing the number of inadequate specimens and costs. However, its utility during endobronchial needle aspiration has not been substantiated.

This prospective study has two primary objectives: to compare the sensitivity of ROSE-EBNA with that of the conventional technique and to investigate the diagnostic yield of endobronchial needle aspiration and its contribution to CDM in the evaluation of patients with endobronchial lesions.

Detailed Description

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Conditions

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Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Participants

Study Groups

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1-EBNA with ROSE

Group Type EXPERIMENTAL

EBNA with ROSE

Intervention Type PROCEDURE

The patients in this arm will undergo:

A) bronchoscopy, endobronchial needle aspiration (EBNA) with a cytologic needle (21 gauge), at least three forceps biopsies, bronchial brushing and bronchial washing in this procedural sequence with rapid on-site evaluation

B) if A will be negative transthoracic needle aspiration or surgical biopsy will be performed

C) if A and B will be negative follow-up with computed tomography or positron emission tomography and computed tomography

1-EBNA without ROSE

Group Type EXPERIMENTAL

standard EBNA

Intervention Type PROCEDURE

The patients in this arm will undergo:

A) bronchoscopy, endobronchial needle aspiration (EBNA) with a cytologic needle (21 gauge), at least three forceps biopsies, bronchial brushing and bronchial washing in this procedural sequence.

B)if A will be negative transthoracic needle aspiration or surgical biopsy will be performed

C) if A and B will be negative follow-up with computed tomography or positron emission tomography and computed tomography

Interventions

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EBNA with ROSE

The patients in this arm will undergo:

A) bronchoscopy, endobronchial needle aspiration (EBNA) with a cytologic needle (21 gauge), at least three forceps biopsies, bronchial brushing and bronchial washing in this procedural sequence with rapid on-site evaluation

B) if A will be negative transthoracic needle aspiration or surgical biopsy will be performed

C) if A and B will be negative follow-up with computed tomography or positron emission tomography and computed tomography

Intervention Type PROCEDURE

standard EBNA

The patients in this arm will undergo:

A) bronchoscopy, endobronchial needle aspiration (EBNA) with a cytologic needle (21 gauge), at least three forceps biopsies, bronchial brushing and bronchial washing in this procedural sequence.

B)if A will be negative transthoracic needle aspiration or surgical biopsy will be performed

C) if A and B will be negative follow-up with computed tomography or positron emission tomography and computed tomography

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* consecutive adult patients with a suspected central lung cancer at a chest CT scan who need a bronchoscopy for diagnostic purposes

Exclusion Criteria

* presence of uncontrolled coagulopathy, preexisting known malignancies, and the refusal to sign an informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Milan

OTHER

Sponsor Role lead

Responsible Party

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Fabiano Di Marco

M.D., Ph.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Michele Mondoni, MD

Role: STUDY_DIRECTOR

Clinica di Malattie dell'Apparato Respiratorio, Ospedale San Paolo, Università degli Studi di Milano, Milan, Italy

Paolo Carlucci, MD

Role: STUDY_CHAIR

Clinica di Malattie dell'Apparato Respiratorio, Ospedale San Paolo, Università degli Studi di Milano, Milan, Italy

Stefano Centanni, MD

Role: PRINCIPAL_INVESTIGATOR

Clinica di Malattie dell'Apparato Respiratorio, Ospedale San Paolo, Università degli Studi di Milano, Milan, Italy

Locations

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Clinica di Malattie dell'Apparato Respiratorio, Ospedale San Paolo, Università degli Studi di Milano

Milan, Milan, Italy

Site Status

Countries

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Italy

Other Identifiers

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EBNA08091976

Identifier Type: -

Identifier Source: org_study_id

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