Dual-function Semirigid Thoracoscopy Versus Semirigid Thoracoscopy for the Diagnosis of Pleural Diseases: A Multicenter Open-label Randomized Controlled Trial

NCT ID: NCT06744725

Last Updated: 2024-12-20

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

334 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-01

Study Completion Date

2026-01-01

Brief Summary

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We designed and developed a novel dual-function semirigid thoracoscope (UE FET-680; UE Corporation, Zhejiang, China) with a straight channel adapted to flexible and rigid forceps for pleural biopsy. Our preclinical trial has proven that the dual-function semirigid thoracoscope has larger and deeper sampling while retaining the entire thoracic accessibility and flexible bronchoscopic maneuvering habits of the semirigid thoracoscope. We designed this study to directly compare the diagnostic yield, quality of sampling, and safety between the dual-function semirigid thoracoscope and semirigid thoracoscope.

Detailed Description

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Conditions

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Pleural Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Dual-function semirigid thoracoscopy

Patients received pleural biopsy using dual-function semirigid thoracoscopy.

Group Type EXPERIMENTAL

Pleural biopsy using dual-function semirigid thoracoscopy

Intervention Type DEVICE

Patients will receive pleural biopsy using dual-function semirigid thoracoscopy.

Semirigid thoracoscopy

Patients received pleural biopsy using semirigid thoracoscopy

Group Type EXPERIMENTAL

Pleural biopsy using semirigid thoracoscopy

Intervention Type DEVICE

Patients received pleural biopsy using semirigid thoracoscopy

Interventions

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Pleural biopsy using dual-function semirigid thoracoscopy

Patients will receive pleural biopsy using dual-function semirigid thoracoscopy.

Intervention Type DEVICE

Pleural biopsy using semirigid thoracoscopy

Patients received pleural biopsy using semirigid thoracoscopy

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* Unilateral pleural effusion of unclear etiology after a less invasive diagnosis
* Fully informed of the purpose and method of the study, agreed to participate in the study, and signed an informed consent form.

Exclusion Criteria

* PaO2/FiO2 \< 300
* Tendency for uncontrolled bleeding, unstable cardiovascular status, or severe heart failure
* A complete pleural symphysis, where it is not possible to create a pneumothorax
* Refractory cough
* Eastern Cooperative Oncology Group performance status 4
* Disagreements regarding study participation
* Participation in other studies within three months without withdrawal or termination.
Minimum Eligible Age

18 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

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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China-Japan Friendship Hospital

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Central Contacts

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Gang Hou, MD,PhD

Role: CONTACT

Phone: 010-84205729

Email: [email protected]

Facility Contacts

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Mingming Deng, MD,PhD

Role: primary

References

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Lee P, Colt HG. Rigid and semirigid pleuroscopy: the future is bright. Respirology. 2005 Sep;10(4):418-25. doi: 10.1111/j.1440-1843.2005.00737.x.

Reference Type RESULT
PMID: 16135163 (View on PubMed)

Rozman A, Camlek L, Marc-Malovrh M, Triller N, Kern I. Rigid versus semi-rigid thoracoscopy for the diagnosis of pleural disease: a randomized pilot study. Respirology. 2013 May;18(4):704-10. doi: 10.1111/resp.12066.

Reference Type RESULT
PMID: 23418922 (View on PubMed)

Agarwal R, Aggarwal AN, Gupta D. Diagnostic accuracy and safety of semirigid thoracoscopy in exudative pleural effusions: a meta-analysis. Chest. 2013 Dec;144(6):1857-1867. doi: 10.1378/chest.13-1187.

Reference Type RESULT
PMID: 23928984 (View on PubMed)

Collins TR, Sahn SA. Thoracocentesis. Clinical value, complications, technical problems, and patient experience. Chest. 1987 Jun;91(6):817-22. doi: 10.1378/chest.91.6.817.

Reference Type RESULT
PMID: 3581930 (View on PubMed)

Venekamp LN, Velkeniers B, Noppen M. Does 'idiopathic pleuritis' exist? Natural history of non-specific pleuritis diagnosed after thoracoscopy. Respiration. 2005 Jan-Feb;72(1):74-8. doi: 10.1159/000083404.

Reference Type RESULT
PMID: 15753638 (View on PubMed)

Bhatnagar R, Maskell N. The modern diagnosis and management of pleural effusions. BMJ. 2015 Sep 8;351:h4520. doi: 10.1136/bmj.h4520. No abstract available.

Reference Type RESULT
PMID: 26350935 (View on PubMed)

Other Identifiers

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2024-UE-1

Identifier Type: -

Identifier Source: org_study_id