Diagnostic Yield and Safety of Confocal Laser Endomicroscopy-Assisted Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration

NCT ID: NCT07040670

Last Updated: 2025-06-27

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

469 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-01

Study Completion Date

2027-07-01

Brief Summary

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Comparison of the Diagnostic Yield and Safety Between Confocal Laser Endomicroscopy-Assisted Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration and Endobronchial Ultrasound-Guided Transbronchial Mediastinal Cryobiopsy in patients with mediastinal and/or hilar lymphadenopathy.

Detailed Description

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Conditions

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Mediastinal Lymphadenopathies

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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CLE-assisted EBUS-TBNA

Patients in this arm receive CLE-assisted EBUS-TBNA

Group Type EXPERIMENTAL

Confocal laser endomicroscopy-assisted endobronchial ultrasound-guided transbronchial needle aspiration

Intervention Type PROCEDURE

First, use the EBUS needle to create a hole in the airway wall. Then, insert the CLE into the lymph node via this hole and detect the lymph node. When the specific pathological finding is detected by CLE, record the location. Finally, using the needle to perform EBUS-TBNA in the area under EBUS guidance.

EBUS-TBMC

Patients in this arm receive EBUS-TBMC

Group Type PLACEBO_COMPARATOR

Endobronchial ultrsound-guided Mediastinal cryobiopsy

Intervention Type PROCEDURE

Using the cryoprobe to perform EBUS-TBMC three times per person.

Interventions

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Confocal laser endomicroscopy-assisted endobronchial ultrasound-guided transbronchial needle aspiration

First, use the EBUS needle to create a hole in the airway wall. Then, insert the CLE into the lymph node via this hole and detect the lymph node. When the specific pathological finding is detected by CLE, record the location. Finally, using the needle to perform EBUS-TBNA in the area under EBUS guidance.

Intervention Type PROCEDURE

Endobronchial ultrsound-guided Mediastinal cryobiopsy

Using the cryoprobe to perform EBUS-TBMC three times per person.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. ≥18 years old
2. Patients with at least one mediastinal and/or hilar lymphadenopathy (≥1cm in the short axis) without a known or suspected primary lung cancer, required diagnostic bronchoscopy
3. The selected patients should complete the routine examination of EBUS-TBNA/EBUS-TBMC via a tunnel before operation, such as blood routine examination, coagulation function, electrocardiogram, chest CT, etc
4. There was no contraindication of puncture and cryobiopsy
5. Fully informed of the purpose and method of the study, agreed to participate in the study, and signed the informed consent form.

Exclusion Criteria

1. The lesion is a mediastinal cyst or abscess
2. The patient is allergic to lidocaine and midazolam (3) The site to be biopsied has a high risk of bleeding detected by Doppler and/or contrast CT such as bronchial artery penetration or suspected lung metastasis of renal cancer (4) Unstable angina pectoris, congestive heart failure, severe bronchial asthma
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

Deputy Director of the Department of Pulmonary and Critical Care Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Mingming Deng

Role: CONTACT

+86 18801336854

Other Identifiers

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2025-COLLEBERATION-Ⅲ

Identifier Type: -

Identifier Source: org_study_id

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