Trial Outcomes & Findings for NEUWAVE Flex Microwave Ablation System in the Ablation of Primary Soft Tissue Lesions of the Lung (NCT NCT03603652)

NCT ID: NCT03603652

Last Updated: 2020-12-21

Results Overview

Ablation of the target lesion according to the protocol and covered completely, with an adequate margin, as defined by the performing physician (that is, the ablation zone completely overlaps or encompasses the target lesion plus an ablative margin), as assessed by CBCT imaging, immediately following the procedure.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

10 participants

Primary outcome timeframe

Immediately post-ablation (day 0)

Results posted on

2020-12-21

Participant Flow

Participant milestones

Participant milestones
Measure
Microwave Ablation
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
Overall Study
STARTED
10
Overall Study
COMPLETED
8
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Microwave Ablation
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
Overall Study
Death
2

Baseline Characteristics

NEUWAVE Flex Microwave Ablation System in the Ablation of Primary Soft Tissue Lesions of the Lung

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Microwave Ablation
n=10 Participants
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
Age, Continuous
69.3 Years
STANDARD_DEVIATION 7.689 • n=93 Participants
Sex: Female, Male
Female
6 Participants
n=93 Participants
Sex: Female, Male
Male
4 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=93 Participants
Race (NIH/OMB)
White
9 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
BMI
26.8 kg/m^2
STANDARD_DEVIATION 4.469 • n=93 Participants
Smoking Status
Current Smoker
3 Participants
n=93 Participants
Smoking Status
Former Smoker
6 Participants
n=93 Participants
Smoking Status
Non-Smoker
1 Participants
n=93 Participants
Radiation History
Yes, radiation history
1 Participants
n=93 Participants
Radiation History
No, radiation history
9 Participants
n=93 Participants

PRIMARY outcome

Timeframe: Immediately post-ablation (day 0)

Population: All treated patients.

Ablation of the target lesion according to the protocol and covered completely, with an adequate margin, as defined by the performing physician (that is, the ablation zone completely overlaps or encompasses the target lesion plus an ablative margin), as assessed by CBCT imaging, immediately following the procedure.

Outcome measures

Outcome measures
Measure
Microwave Ablation
n=10 Participants
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
Number of Patients Whose Ablation Resulted in Technical Success
10
10 Participants

PRIMARY outcome

Timeframe: 30 days post-ablation

Population: Patients analyzed at 30 days post-ablation.

Ablation of the target lesion according to the protocol and covered completely, with an adequate margin, as defined by the performing physician (that is, the ablation zone completely overlaps or encompasses the target lesion plus an ablative margin), as assessed by CT imaging, 30 days (+/- 7 days) after the first ablation procedure.

Outcome measures

Outcome measures
Measure
Microwave Ablation
n=9 Participants
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
Number of Patients Whose Ablation Resulted in Technique Efficacy
9 Participants

PRIMARY outcome

Timeframe: Immediately post-ablation

A Sponsor-created survey completed by the treating physician immediately post-ablation. Questions were all YES/NO.

Outcome measures

Outcome measures
Measure
Microwave Ablation
n=10 Participants
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
User Experience Survey (Part I)
Probe through channel as expected · YES
10 Participants
User Experience Survey (Part I)
Probe repositioned after first ablation · YES
6 Participants
User Experience Survey (Part I)
Ablation with NeuWave is predictable · YES
10 Participants
User Experience Survey (Part I)
Ablation with FLEX is simple to use · YES
10 Participants
User Experience Survey (Part I)
Success achieved similar to perc. · YES
10 Participants
User Experience Survey (Part I)
Locate probe/lesion with imaging · YES
10 Participants
User Experience Survey (Part I)
Locate ablation zone created · YES
7 Participants

PRIMARY outcome

Timeframe: Immediately post-ablation

A Sponsor-created survey completed by the treating physician immediately post-ablation. This question asked the time it took to place the probe in a position that was ready for ablation.

Outcome measures

Outcome measures
Measure
Microwave Ablation
n=10 Participants
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
User Experience Survey (Part II)
18.2 Minutes
Standard Deviation 11.25

PRIMARY outcome

Timeframe: Immediately post-ablation

A Sponsor-created survey completed by the treating physician immediately post-ablation. This question asked how many cone-beam CT (CBCT) scans were taken to place the probe such that it was ready for ablation.

Outcome measures

Outcome measures
Measure
Microwave Ablation
n=10 Participants
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
User Experience Survey (Part III)
4.4 Count of Scans
Standard Deviation 3.44

PRIMARY outcome

Timeframe: Immediately post-ablation

A Sponsor-created survey completed by the treating physician immediately post-ablation. This question asked the distance of the tip of the probe to the center of the soft-tissue lesion (in mm) just before the ablation procedure was initiated.

Outcome measures

Outcome measures
Measure
Microwave Ablation
n=10 Participants
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
User Experience Survey (Part IV)
4.1 Millimeters
Standard Deviation 2.23

PRIMARY outcome

Timeframe: Immediately post-ablation

A Sponsor-created survey completed by the treating physician immediately post-ablation. This question asked how many times the probe had to be repositioned to complete the ablation procedure.

Outcome measures

Outcome measures
Measure
Microwave Ablation
n=10 Participants
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
User Experience Survey (Part V)
0.9 Count of Probe Repositions
Standard Deviation 0.93

SECONDARY outcome

Timeframe: measured at 6 months and 1 year post-ablation

Population: Only 9 patients were analyzed at 6 months post-ablation as 1 patient passed away before the 6 month study visit.

Analyzed at 6 months and 1 year post-ablation via CT imaging

Outcome measures

Outcome measures
Measure
Microwave Ablation
n=9 Participants
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
Number of Patients Who Experienced Target Lesion Recurrence
0 Participants

SECONDARY outcome

Timeframe: Within 30 days post-ablation

Any readmission to the hospital within 30 days of the ablation procedure.

Outcome measures

Outcome measures
Measure
Microwave Ablation
n=10 Participants
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
Number of Patients Who Were Readmitted to the Hospital
1 Participants

Adverse Events

Microwave Ablation

Serious events: 3 serious events
Other events: 9 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Microwave Ablation
n=10 participants at risk
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
Nervous system disorders
Ataxia
10.0%
1/10 • Number of events 1 • 1 year following the initial ablation procedure.
Participants were evaluated for AEs and SAEs at every study visit starting with the ablation procedure through the end-of-study (1 year following the initial ablation procedure).
Respiratory, thoracic and mediastinal disorders
Chronic Obstructive Pulmonary Disease
10.0%
1/10 • Number of events 5 • 1 year following the initial ablation procedure.
Participants were evaluated for AEs and SAEs at every study visit starting with the ablation procedure through the end-of-study (1 year following the initial ablation procedure).
Infections and infestations
Infected Bite
10.0%
1/10 • Number of events 1 • 1 year following the initial ablation procedure.
Participants were evaluated for AEs and SAEs at every study visit starting with the ablation procedure through the end-of-study (1 year following the initial ablation procedure).
Vascular disorders
Haemorrhage
10.0%
1/10 • Number of events 1 • 1 year following the initial ablation procedure.
Participants were evaluated for AEs and SAEs at every study visit starting with the ablation procedure through the end-of-study (1 year following the initial ablation procedure).

Other adverse events

Other adverse events
Measure
Microwave Ablation
n=10 participants at risk
Each participant underwent microwave ablation to the original soft tissue lesion in the lung at single visit. The treating physician determined the ablation time and power used on a case-by-case basis.
Respiratory, thoracic and mediastinal disorders
Hemoptysis
60.0%
6/10 • Number of events 6 • 1 year following the initial ablation procedure.
Participants were evaluated for AEs and SAEs at every study visit starting with the ablation procedure through the end-of-study (1 year following the initial ablation procedure).
Respiratory, thoracic and mediastinal disorders
Cough
40.0%
4/10 • Number of events 4 • 1 year following the initial ablation procedure.
Participants were evaluated for AEs and SAEs at every study visit starting with the ablation procedure through the end-of-study (1 year following the initial ablation procedure).
Respiratory, thoracic and mediastinal disorders
Chronic Obstructive Pulmonary Disease
20.0%
2/10 • Number of events 9 • 1 year following the initial ablation procedure.
Participants were evaluated for AEs and SAEs at every study visit starting with the ablation procedure through the end-of-study (1 year following the initial ablation procedure).
Respiratory, thoracic and mediastinal disorders
Dyspnea
20.0%
2/10 • Number of events 2 • 1 year following the initial ablation procedure.
Participants were evaluated for AEs and SAEs at every study visit starting with the ablation procedure through the end-of-study (1 year following the initial ablation procedure).
Gastrointestinal disorders
Nausea
30.0%
3/10 • Number of events 4 • 1 year following the initial ablation procedure.
Participants were evaluated for AEs and SAEs at every study visit starting with the ablation procedure through the end-of-study (1 year following the initial ablation procedure).
Musculoskeletal and connective tissue disorders
Musculoskeletal Chest Pain
30.0%
3/10 • Number of events 3 • 1 year following the initial ablation procedure.
Participants were evaluated for AEs and SAEs at every study visit starting with the ablation procedure through the end-of-study (1 year following the initial ablation procedure).
Musculoskeletal and connective tissue disorders
Musculoskeletal Pain
20.0%
2/10 • Number of events 2 • 1 year following the initial ablation procedure.
Participants were evaluated for AEs and SAEs at every study visit starting with the ablation procedure through the end-of-study (1 year following the initial ablation procedure).
General disorders
Fatigue
30.0%
3/10 • Number of events 3 • 1 year following the initial ablation procedure.
Participants were evaluated for AEs and SAEs at every study visit starting with the ablation procedure through the end-of-study (1 year following the initial ablation procedure).
General disorders
Pyrexia
20.0%
2/10 • Number of events 2 • 1 year following the initial ablation procedure.
Participants were evaluated for AEs and SAEs at every study visit starting with the ablation procedure through the end-of-study (1 year following the initial ablation procedure).

Additional Information

Erin Meyers

ETHICON

Phone: 937-681-0322

Results disclosure agreements

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

Restriction type: LTE60