The Effectiveness and Safety of Ultrasound Elastography Guided Pleural Biopsy in the Differential Diagnosis of Benign and Malignant Pleural Effusion

NCT ID: NCT05781659

Last Updated: 2024-03-12

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

RECRUITING

Clinical Phase

NA

Total Enrollment

592 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-07

Study Completion Date

2024-12-31

Brief Summary

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The goal of this clinical trial is to evaluate the diagnostic effcacy and safety of ultrasound elastography guided pleural biopsy in the differential diagnosis of benign and malignant pleural effusion. The main question it aims to answer are: the effectiveness and safety of ultrasound elastography guided pleural biopsy in the differential diagnosis of benign and malignant pleural effusion.

Participants will undergo ultrasound elastography guided pleural biopsy or traditional ultrasound-guided pleural biopsy.

Detailed Description

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Conditions

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Pleural Effusion

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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Ultrasound elastography guided pleural biopsy group

Group Type EXPERIMENTAL

Ultrasound elastography guided pleural biopsy

Intervention Type PROCEDURE

The patients will undergo ultrasound elastography (Aixplorer V, SuperSonic Imagine, FRA) guided pleural biopsy.

Traditional ultrasound-guided pleural biopsy group

Group Type EXPERIMENTAL

Traditional ultrasound guided pleural biopsy

Intervention Type PROCEDURE

The patients will undergo traditional ultrasound (Aixplorer V, SuperSonic Imagine, FRA) guided pleural biopsy.

Interventions

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Ultrasound elastography guided pleural biopsy

The patients will undergo ultrasound elastography (Aixplorer V, SuperSonic Imagine, FRA) guided pleural biopsy.

Intervention Type PROCEDURE

Traditional ultrasound guided pleural biopsy

The patients will undergo traditional ultrasound (Aixplorer V, SuperSonic Imagine, FRA) guided pleural biopsy.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Patients with unexplained pleural effusion (patients with pleural effusion with negative aspiration)
2. Sign the informed consent form
3. The patient must have chest CT, biochemical examination of pleural fluid, cytological examination of pleural fluid and other data before operation

Exclusion Criteria

1. The cytological examination of pleural fluid indicates "highly suspicious" patients (unless the cytological examination results of patients are inconsistent with clinical manifestations and CT examination). The pleural fluid cytology proved to be malignant. Patients with severe pleural adhesion who cannot undergo medical thoracoscopic examination will not be randomly selected, and elastic ultrasound-guided biopsy can be performed after informed consent, as a subgroup of population analysis. Those who cannot tolerate closed pleural biopsy due to severe cardiopulmonary dysfunction and poor general condition Coagulation dysfunction. Leakage. The age is less than 18 years old.
2. The pleural fluid cytology proved to be malignant.
3. Patients with severe pleural adhesion who cannot undergo medical thoracoscopic examination will not be randomly selected, and elastic ultrasound-guided biopsy can be performed after informed consent, as a subgroup of population analysis.
4. Those who cannot tolerate closed pleural biopsy due to severe cardiopulmonary dysfunction and poor general condition
5. Coagulation dysfunction.
6. transudate
7. The age is less than 18 years old.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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China-Japan Friendship Hospital

OTHER

Sponsor Role lead

Responsible Party

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Gang Hou

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Anhui Chest Hospital

Hefei, Anhui, China

Site Status RECRUITING

China-Japan Friendship Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Gui Zhou Provincial People's Hospital

Guiyang, Guizhou, China

Site Status RECRUITING

the Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status RECRUITING

the First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status RECRUITING

the First Hospital of China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

The Tenth People's Hospital of Shenyang

Shenyang, Liaoning, China

Site Status RECRUITING

the First People's Hospital of Yunnan Provience

Kunming, Yunnan, China

Site Status RECRUITING

the Second Affiliated Hospital Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Mingming Deng, MD

Role: CONTACT

86 18801336854

Facility Contacts

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Tang Fei, MM

Role: primary

Tong Run, MD

Role: primary

Ye Xianwei, MD

Role: primary

Chen Yan, MD

Role: primary

Xu Fei, MD

Role: primary

Ma Jiangwei, MD

Role: primary

LI Chengjun, MM

Role: primary

Zhang Yunhui, MD

Role: primary

Xia Yang, MD

Role: primary

References

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Deng M, Xia Y, Ye X, Ma J, Zhao S, Zhang Q, Li J, Lin J, Jing A, Li ZY, Jiang B, Wu J, Wen Q, Ma J, Tong R, Zheng Z, Xu W, Li X, Herth FJ, Hou G. Ultrasonic Elastography-guided Pleural Biopsy versus Traditional Thoracic Ultrasound-guided Pleural Biopsy for the Diagnosis of Pleural Effusion: A Multicentre Randomized Trial. Eur Respir J. 2025 Sep 11:2501062. doi: 10.1183/13993003.01062-2025. Online ahead of print.

Reference Type DERIVED
PMID: 40935584 (View on PubMed)

Other Identifiers

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2022-NHLHCRF-LX-01-0201-04

Identifier Type: -

Identifier Source: org_study_id

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