Trial Outcomes & Findings for NBI to Detect Post-RT Mucosal Residual NPC (NCT NCT02584790)

NCT ID: NCT02584790

Last Updated: 2017-12-08

Results Overview

4 grading of NBI vessel patterns can be identified in those post-radiotherapy 8 weeks NPC patients. Grade A: normal vessel size and length, regular pattern Grade B: normal vessel size, short, regular spiderweb like pattern Grade C: irregular vessel size and length, distorted and irregular pattern Grade D: thickened vessel size, elongated, distorted, and earthworm pattern

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

55 participants

Primary outcome timeframe

Post-radiotherapy 8th week

Results posted on

2017-12-08

Participant Flow

Participant milestones

Participant milestones
Measure
Post Radiotherapy 8 Weeks NPC Patient
All post-radiotherapy 8 weeks NPC patient will routinely undergo laryngoscope examination (WL system) and NP biopsy will be taken at the same time to determine if there is any residual NPC. In this study, laryngoscope with NBI system will be used. NBI system will be turn on during the post radiotherapy 8 week laryngoscope examination in additional to routine WL system Laryngoscope with NBI system: All post-radiotherapy 8 weeks NPC patient will routinely undergo laryngoscope examination (WL system) and NP biopsy will be taken at the same time to determine if there is any residual NPC. In this study, laryngoscope with NBI system will be used. NBI system will be turn on during the post radiotherapy 8 week laryngoscope examination in additional to routine WL system
Overall Study
STARTED
55
Overall Study
COMPLETED
40
Overall Study
NOT COMPLETED
15

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Post Radiotherapy 8 Weeks NPC Patient
n=55 Participants
All post-radiotherapy 8 weeks NPC patient will routinely undergo laryngoscope examination (WL system) and NP biopsy will be taken at the same time to determine if there is any residual NPC. In this study, laryngoscope with NBI system will be used. NBI system will be turn on during the post radiotherapy 8 week laryngoscope examination in additional to routine WL system Laryngoscope with NBI system: All post-radiotherapy 8 weeks NPC patient will routinely undergo laryngoscope examination (WL system) and NP biopsy will be taken at the same time to determine if there is any residual NPC. In this study, laryngoscope with NBI system will be used. NBI system will be turn on during the post radiotherapy 8 week laryngoscope examination in additional to routine WL system
Age, Customized
< 18 years old
0 Participants
n=55 Participants
Age, Customized
>= 18 years old
55 Participants
n=55 Participants
Sex: Female, Male
Female
8 Participants
n=55 Participants
Sex: Female, Male
Male
47 Participants
n=55 Participants
Region of Enrollment
Hong Kong
55 participants
n=55 Participants
NPC patients
40 Participants
n=55 Participants

PRIMARY outcome

Timeframe: Post-radiotherapy 8th week

4 grading of NBI vessel patterns can be identified in those post-radiotherapy 8 weeks NPC patients. Grade A: normal vessel size and length, regular pattern Grade B: normal vessel size, short, regular spiderweb like pattern Grade C: irregular vessel size and length, distorted and irregular pattern Grade D: thickened vessel size, elongated, distorted, and earthworm pattern

Outcome measures

Outcome measures
Measure
Post Radiotherapy 8 Weeks NPC Patient
n=40 Participants
All post-radiotherapy 8 weeks NPC patient will routinely undergo laryngoscope examination (WL system) and NP biopsy will be taken at the same time to determine if there is any residual NPC. In this study, laryngoscope with NBI system will be used. NBI system will be turn on during the post radiotherapy 8 week laryngoscope examination in additional to routine WL system Laryngoscope with NBI system: All post-radiotherapy 8 weeks NPC patient will routinely undergo laryngoscope examination (WL system) and NP biopsy will be taken at the same time to determine if there is any residual NPC. In this study, laryngoscope with NBI system will be used. NBI system will be turn on during the post radiotherapy 8 week laryngoscope examination in additional to routine WL system
Positive Nasopharynx Biopsy Results Detected by NBI System in Those Post-radiotherapy 8th Week NPC Patient
Grade A, no residual NPC
14 participants
Positive Nasopharynx Biopsy Results Detected by NBI System in Those Post-radiotherapy 8th Week NPC Patient
Grade A, positive residual NPC
1 participants
Positive Nasopharynx Biopsy Results Detected by NBI System in Those Post-radiotherapy 8th Week NPC Patient
Grade B, no residual NPC
20 participants
Positive Nasopharynx Biopsy Results Detected by NBI System in Those Post-radiotherapy 8th Week NPC Patient
Grade B, positive residual NPC
1 participants
Positive Nasopharynx Biopsy Results Detected by NBI System in Those Post-radiotherapy 8th Week NPC Patient
Grade C, no residual NPC
1 participants
Positive Nasopharynx Biopsy Results Detected by NBI System in Those Post-radiotherapy 8th Week NPC Patient
Grade C, positive residual NPC
1 participants
Positive Nasopharynx Biopsy Results Detected by NBI System in Those Post-radiotherapy 8th Week NPC Patient
Grade D, no residual NPC
1 participants
Positive Nasopharynx Biopsy Results Detected by NBI System in Those Post-radiotherapy 8th Week NPC Patient
Grade D, positive residual NPC
1 participants

SECONDARY outcome

Timeframe: Post-radiotherapy eight weeks

Population: NBI non suspicious pattern = 36 NBI suspcious pattern = 4 Total = 40

Non suspicious pattern = grade A + grade B Suspicious pattern = grade C + D The sensitivity, specificity, positive predicted valve and negative predicted valve of detecting mucosal residual NPC using NBI suspicious/ non suspicous pattern can be thus calculated.

Outcome measures

Outcome measures
Measure
Post Radiotherapy 8 Weeks NPC Patient
n=40 Participants
All post-radiotherapy 8 weeks NPC patient will routinely undergo laryngoscope examination (WL system) and NP biopsy will be taken at the same time to determine if there is any residual NPC. In this study, laryngoscope with NBI system will be used. NBI system will be turn on during the post radiotherapy 8 week laryngoscope examination in additional to routine WL system Laryngoscope with NBI system: All post-radiotherapy 8 weeks NPC patient will routinely undergo laryngoscope examination (WL system) and NP biopsy will be taken at the same time to determine if there is any residual NPC. In this study, laryngoscope with NBI system will be used. NBI system will be turn on during the post radiotherapy 8 week laryngoscope examination in additional to routine WL system
Assocication of Residual NPC With NBI Non Suspicious Pattern Group and NBI Suspicious Pattern Group
NBI suspicious pattern · without residual disease
2 Participants
Assocication of Residual NPC With NBI Non Suspicious Pattern Group and NBI Suspicious Pattern Group
NBI non suspicious pattern · without residual disease
34 Participants
Assocication of Residual NPC With NBI Non Suspicious Pattern Group and NBI Suspicious Pattern Group
NBI non suspicious pattern · with residual disease
2 Participants
Assocication of Residual NPC With NBI Non Suspicious Pattern Group and NBI Suspicious Pattern Group
NBI suspicious pattern · with residual disease
2 Participants

SECONDARY outcome

Timeframe: Post-radiotherapy eight weeks

Population: NBI non suspicious pattern = 36 NBI suspcious pattern = 4 Total = 40

Non suspicious pattern = grade A + grade B Suspicious pattern = grade C + D The sensitivity, specificity, positive predicted valve and negative predicted valve of detecting mucosal residual NPC using NBI suspicious/ non suspicous pattern can be thus calculated.

Outcome measures

Outcome measures
Measure
Post Radiotherapy 8 Weeks NPC Patient
n=40 Participants
All post-radiotherapy 8 weeks NPC patient will routinely undergo laryngoscope examination (WL system) and NP biopsy will be taken at the same time to determine if there is any residual NPC. In this study, laryngoscope with NBI system will be used. NBI system will be turn on during the post radiotherapy 8 week laryngoscope examination in additional to routine WL system Laryngoscope with NBI system: All post-radiotherapy 8 weeks NPC patient will routinely undergo laryngoscope examination (WL system) and NP biopsy will be taken at the same time to determine if there is any residual NPC. In this study, laryngoscope with NBI system will be used. NBI system will be turn on during the post radiotherapy 8 week laryngoscope examination in additional to routine WL system
The Sensitivity, Specificity, Positive Predicted Valve and Negative Predicted Valve of Detecting Mucosal Residual NPC Using NBI Suspicious/ Non Suspicous Pattern
Sensitivity
50 Percentage of participants
The Sensitivity, Specificity, Positive Predicted Valve and Negative Predicted Valve of Detecting Mucosal Residual NPC Using NBI Suspicious/ Non Suspicous Pattern
Positive Predicted Valve
50 Percentage of participants
The Sensitivity, Specificity, Positive Predicted Valve and Negative Predicted Valve of Detecting Mucosal Residual NPC Using NBI Suspicious/ Non Suspicous Pattern
Specificity
94 Percentage of participants
The Sensitivity, Specificity, Positive Predicted Valve and Negative Predicted Valve of Detecting Mucosal Residual NPC Using NBI Suspicious/ Non Suspicous Pattern
Negative Predicted Valve
94 Percentage of participants

Adverse Events

Post Radiotherapy 8 Weeks NPC Patient

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr Wong Kai Chuen

Pamela Youde Nethersole Eastern Hospital

Phone: (852) 64600771

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place