CBCT-Guided Navigational Bronchoscopy For Lung Nodules

NCT ID: NCT04758403

Last Updated: 2024-11-19

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-05

Study Completion Date

2023-04-12

Brief Summary

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The purpose of this study is to determine if the cone beam computed tomography (CBCT)-guided navigation bronchoscopy is better in diagnosing lung nodules compared to navigation bronchoscopy alone.

Detailed Description

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This clinical trial examines the effectiveness of a treatment comparing it to another known treatment.

The U.S. Food and Drug Administration (FDA) has approved the navigation bronchoscopy as a treatment option for this disease.

The U.S. Food and Drug Administration (FDA) has approved the Cone-Beam CT scan as a treatment option for this disease.

This research study involves a screening period, a procedure and follow up visits.

The names of the study interventions involved in this study are:

* Computed tomography (CBCT)-guided navigation bronchoscopy (CBCT-guided NB)
* Navigation bronchoscopy alone

Participants will receive the study procedure and will be followed for up to 6 months.

It is expected that about 136 people will take part in this research study.

Conditions

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Peripheral Pulmonary Nodules Lung; Node Cone Beam Computed Tomography Guided Navigation Bronchoscopy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Navigation Bronchoscopy ALONE

This research study involves a screening period, a procedure and follow up visits

* Procedure Visit Navigation Bronchoscopy Alone
* Follow-Up Visits at Week 1, 4 and 12

Group Type EXPERIMENTAL

Navigation Bronchoscopy

Intervention Type RADIATION

Navigation Bronchoscopy procedure will be performed per product instructions and the institution's standard practice.

CBCT-GUIDED Navigation Bronchoscopy

This research study involves a screening period, a procedure and follow up visits Procedure Visit- Cone Beam Computed Tomography - Guided Navigation Bronchoscopy for Peripheral Pulmonary Nodules

-Follow-Up Visits at Week 1, 4 and 12

Group Type EXPERIMENTAL

Navigation Bronchoscopy

Intervention Type RADIATION

Navigation Bronchoscopy procedure will be performed per product instructions and the institution's standard practice.

Cone beam computed tomography (CBCT)

Intervention Type RADIATION

Per Protocol

Interventions

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Navigation Bronchoscopy

Navigation Bronchoscopy procedure will be performed per product instructions and the institution's standard practice.

Intervention Type RADIATION

Cone beam computed tomography (CBCT)

Per Protocol

Intervention Type RADIATION

Other Intervention Names

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NB

Eligibility Criteria

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Inclusion Criteria

* Participants ≥18 years old.
* Participants with lesions having an intermediate pre-test probability of malignancy (pCA, 0.05 to 0.65) as determined by Swensen-Mayo nodule risk calculator and in whom bronchoscopic biopsy was determined to be the next best treatment step by the treating pulmonologist.
* Participants with higher risk lesions (pCA \> 0.65) in need of a diagnosis for nonsurgical treatment or prior to surgery.
* Participants are willing and able to provide informed consent.

Exclusion Criteria

* The participant is pregnant as confirmed by urine or serum pregnancy testing.
* There is a predetermined plan to pursue stereotactic body radiation therapy (SBRT) in the event of a nondiagnostic study procedure in participant's with a nodule in the outer 1/3 lung zone (i.e. The participant would not go on for a CT guided TTNA).
* Lacked fitness according to physician judgement to undergo bronchoscopy.
* Contraindication for temporary interruption of the use of anticoagulant therapy.
* Uncontrolled or irreversible coagulopathy.
* Known allergy for lidocaine.
* Uncontrolled pulmonary hypertension.
* Recent (\< 4 weeks) and/or uncontrolled cardiac disease.
* Compromised upper airway (eg concomitant head and neck cancer or central airway stenosis such that endobronchial access is considered unsafe).
* ASA classification ≥ 4.
* COVID-19 positive participant at the time of procedure.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Philips Healthcare

INDUSTRY

Sponsor Role collaborator

Dana-Farber Cancer Institute

OTHER

Sponsor Role collaborator

Beth Israel Deaconess Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Adnan Majid, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Adnan Majid, MD

Role: PRINCIPAL_INVESTIGATOR

Beth Israel Deaconess Medical Center

Locations

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Beth Israel Deaconness Medical Center

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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20-580

Identifier Type: -

Identifier Source: org_study_id

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