Bronchoscopic Sampling Techniques in Sarcoidosis

NCT ID: NCT01836822

Last Updated: 2014-02-12

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2014-05-31

Brief Summary

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The development of endobronchial ultrasound (EBUS) and EBUS-guided transbronchial needle aspiration (EBUS-TBNA) has improved the safety and diagnostic accuracy of the mediastinal lymph node (MLN) sampling. Still, in some diseases routine cytological specimens are considered insufficient and histological sampling is preferred. The aim of the study is to compare the diagnostic accuracy of EBUS-TBNA and two other, more invasive procedures to obtain histological samples from MLN in patients with clinical and radiological features of sarcoidosis.

Bronchoscopy with bronchoalveolar lavage (BAL), EBUS-TBNA, EBUS guided transbronchial forceps biopsy (EBUS-TBFB), large bore (19G) histology TBNA as well as endobronchial forceps biopsy will be performed in 90 consecutive patients with mediastinal lymph node enlargement and clinical and radiological features of sarcoidosis.

Diagnostic accuracy of each sampling technique will be calculated and compared to other techniques. Diagnostic yield of different technique combinations will also be calculated and the most efficient diagnostic approach will be defined.

Detailed Description

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Conditions

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Mediastinal Lymph Node Enlargement Sarcoidosis Tuberculosis Lymphomas

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Investigators

Study Groups

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Bronchoscopic lymph node sampling

Several different sampling techniques will be used in each patient. They include: EBUS guided transbronchial needle aspiration (EBUS-TBNA), EBUS guided transbronchial forceps biopsy (EBUS-TBFB), large bore (19G) histologic needle biopsy of the mediastinal lymph nodes, forceps biopsy of bronchial mucosa in central and peripheral bronchi

Group Type EXPERIMENTAL

EBUS guided transbronchial forceps biopsy (EBUS-TBFB)

Intervention Type PROCEDURE

EBUS guided transbronchial needle aspiration (EBUS-TBNA)

Intervention Type PROCEDURE

large bore (19G) histologic needle biopsy of the mediastinal lymph nodes

Intervention Type PROCEDURE

Bronchoalveolar lavage (BAL)

Intervention Type PROCEDURE

Endobronchial forceps biopsy

Intervention Type PROCEDURE

Interventions

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EBUS guided transbronchial forceps biopsy (EBUS-TBFB)

Intervention Type PROCEDURE

EBUS guided transbronchial needle aspiration (EBUS-TBNA)

Intervention Type PROCEDURE

large bore (19G) histologic needle biopsy of the mediastinal lymph nodes

Intervention Type PROCEDURE

Bronchoalveolar lavage (BAL)

Intervention Type PROCEDURE

Endobronchial forceps biopsy

Intervention Type PROCEDURE

Other Intervention Names

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EBUS guided miniforceps biopsy

Eligibility Criteria

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Inclusion Criteria

* provided informed consent
* mediastinal lymph node enlargement that requires bronchoscopy and transbronchial sampling
* clinical presentation that might be consistent with sarcoidosis

Exclusion Criteria

* age below 18 years
* known contraindications for bronchoscopy and/or mediastinal sampling, e.g. coagulation disorders
* lung or extrapulmonary tumors with suspicion of malignant mediastinal lymph node involvement
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Warsaw

OTHER

Sponsor Role lead

Responsible Party

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RafaƂ Krenke

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Department of Internal Medicine, Pneumonology and Allergology, Medical University of Warsaw

Warsaw, , Poland

Site Status RECRUITING

Countries

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Poland

Central Contacts

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Rafal Krenke, MD, PhD

Role: CONTACT

Piotr Korczynski, MD, PhD

Role: CONTACT

Facility Contacts

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Rafal Krenke, MD, PhD

Role: primary

+48225992562

Piotr Korczynski, MD, PhD

Role: backup

+48225992562

Other Identifiers

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IPU-DIMPA-WUM13(1)

Identifier Type: -

Identifier Source: org_study_id

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