Percutaneous Thermal Ablation in Lung Tumors

NCT ID: NCT06891183

Last Updated: 2025-03-24

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-05-01
• Study Completion Date: 2026-05-01

Brief Summary

Lung cancer has a high incidence globally, with Egypt having it as the third most common and most lethal cancer, affecting 16.9% of males and 3.8% of females. While surgery is the preferred treatment for stage 1 non-small cell lung cancer due to positive outcomes, it carries significant risks due to patient comorbidities. Non-invasive treatments like radio frequency ablation (RFA) and microwave ablation (MWA) are alternatives for those unable to undergo surgery. These techniques use energy to destroy tumor tissue with minimal invasiveness and can be guided by computed tomography to ensure accurate ablation.

Detailed Description

The incidence of lung cancer is one of the highest in the world. In Egypt lung cancer is the third common cancer and the most lethal malignancy in egypt . Where it is responsible for 16.9% and 3.8% of all cancers in males and females respectively.

Surgery is universally accepted as the best choice of therapy in stage 1 non small lung cancer , this is based on favourable outcomes observed in patients who have been surgically treated. However surgery is often high risk procedure because of several comorbidities affecting this cohort of patients.

Therefore non invasive local treatment that makes it possible to avoid resection of functioning parenchyma or prolonged general anaethesia representa key point in management of patients who are not eligible for surgery.

The ablative technologies utilize several sources of energy and different devices to damage targeted tissue using either radio frequency ablation (RFA) or microwave ablation (MWA) which are mini-invasive procedures as they deliver energy to tumour through single or multiple percutaneous needles.

The goal of TA is to induce targeted tissue damage by heating cells to +60 celsius to obtain a complete necrosis of tumour and surrounding tissue, TA may be performed under either conscious sedation or general anaethesia to avoid pain caused by needle insertion and tissue heating.

Computed tomography is today only accurate image guidance method for lung TA, CT guarantees a direct post-procedure .evaluation of ablation, and ground glass opacity is an indicator of extent of ablation achieved to tumour

Conditions

Lung Cancer

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Patients

Thermal ablation of lung tumors

Group Type: EXPERIMENTAL

Percutaneous thermal ablation of lung tumors

Intervention Type: RADIATION

Percutaneous radiofrequency ablation

Interventions

Percutaneous thermal ablation of lung tumors

Percutaneous radiofrequency ablation

Intervention Type: RADIATION

Eligibility Criteria

Inclusion Criteria

• lung cancer smaller than 5 cm
• metastasis to the lung
• patients with lung cancer and multiple comorbidities who are unfit for surgery

Exclusion Criteria

• lung cancer larger than 5 cm
• lung cancer stage II or more
• patients who cannot tolerate CT guided needle placement for thermal ablation of lung tumors

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

Abdelrahman mohamed farid abdelrahman ali

Resident

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Abdulrahman F Ali

Role: PRINCIPAL_INVESTIGATOR

Assiut University

Locations

Faculty of medicine

Asyut, , Egypt

Site Status: RECRUITING

Countries

Egypt

Central Contacts

Abdulrahman F Ali, Bachelor

Role: CONTACT

Abdulrahman_farid@hotmail.com

1200742058

Facility Contacts

Abdulrahman F Ali, Resident

Role: primary

Other Identifiers

Radiofrequency ablation

Identifier Type: -

Identifier Source: org_study_id