- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02648594
Efficacy Assessment of CT-guided Hook Wire Localization of Lung Nodes Before Thoracoscopy (HARNO)
Efficacy Assessment of CT-guided Hook Wire Localization of Lung Nodes With Medical Device " Fil d'Ariane " Laurane médical Before Thoracoscopy- HARNO Trial
When patient presents a lung node, there is an important risk that this node was a tumor. For patients who have these nodes, the surgery is the best treatment. When the surgery is possible, the thoracoscopy may be more advantageous compared to thoracothomy (decrease of post surgery pains, decrease of recovery time and decrease of drugs consumption). Nevertheless, thoracoscopy needs specific materiels and nécessite un équipement spécifique and trained physicians.
Moreover, this technic needs that nodes was well localized. For this, radiologists use CT-guided hook wire localization of these lung nodes before surgery.
TThe hook wire laying is delicate. It can lead secondaries effects as pneumothorax, dislodgement of the hook wire before and after surgery. The success rate of hook wire fixation in lung near of the node is primary.
The main objective of our study is to assess the success rate localization of node in surgery piece, that is to verify if the hook wire have allowed to localize the lung node in surgery piece.
Study Overview
Detailed Description
For lung cancer patients, the best treatment remains the surgery when tumor is localized.
When patient presents a lung node, there is an important risk that this node was a tumor. For patients who have these nodes, the surgery is the best treatment. When the surgery is possible, the thoracoscopy may be more advantageous compared to thoracothomy (decrease of post surgery pains, decrease of recovery time and decrease of drugs consumption). Nevertheless, thoracoscopy needs specific materiels and nécessite un équipement spécifique and trained physicians. In France, only 1% of surgeries qu'en France, thoracoscopy represents less than 1% of lung cancer surgeries while it represents 30% of interventions in Japan.
Moreover, this technic needs that nodes was well localized. For this, radiologists use CT-guided hook wire localization of these lung nodes before surgery.
According to the litterature, this localization technic is efficient (Chen et al, 2011).
The hook wire laying is delicate. It can lead secondaries effects as pneumothorax, dislodgement of the hook wire before and after surgery. The success rate of hook wire fixation in lung near of the node is primary.
The main objective of our study is to assess the success rate localization of node in surgery piece, that is to verify if the hook wire have allowed to localize the lung node in surgery piece. This implies that:
- the hook wire was well CT-guided in the lung
- the hook wire did not present a dislodgment before or during surgery
- the hook wire is near of the node to be removed Among secondaries objectives, the investigators will assess the safety and possible complications which could occur. The investigators will also measure the distance between hook wire and center of the node
Study Type
Phase
- Phase 2
Contacts and Locations
Study Locations
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-
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Clermont-Ferrand, France, 63000
- Centre Jean Perrin
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age > 18 years
- Patient with suspect lung node, needed surgery
- Signed consent
Exclusion Criteria:
- Too deep node
- Severe co-morbidities : respiratory insufficiency, cardiac insufficiency
- Major emphysema
- Patient with only one lung
- Pregnant women
- Breastfeeding women
- Patient with cognitive and psychiatric troubles
Study Plan
How is the study designed?
Design Details
- Primary Purpose: DIAGNOSTIC
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Intervention: Hook wire CT guided
There is only one arm. When patient undergo surgery , the radiologist will place a CT-guided Hook wire in order to localize it in patient lung. The intervention consists to place a CT-guided hook wire in contact with the pulmonary nodule under local anesthesia. Then, the thoracoscopy will be realised. Then, the surgery piece will be examined to confirm if the node is in the surgery piece |
The intervention consist to place a CT-guided hook wire in lung patient
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Nodule detection in surgery piece (success rate)
Time Frame: At surgery
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At surgery
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Nodule detection under scanner
Time Frame: After patient inclusion, at scan realisation, before surgery. This detection will be realised up to 4 weeks after inclusion.
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After patient inclusion, at scan realisation, before surgery. This detection will be realised up to 4 weeks after inclusion.
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Adverse events assessment graded with NCI -CTCAE v4.0
Time Frame: Before and after surgery, up to 4 weeks after surgery
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Before and after surgery, up to 4 weeks after surgery
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 2015-A00958-41
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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