- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03716284
ENB for the Diagnosis of PPNs:a Real World Study
August 2, 2022 updated by: Jiayuan Sun, Shanghai Chest Hospital
Electromagnetic Navigation Bronchoscopy for the Diagnosis of Peripheral Pulmonary Nodules: a Real World Study
The study is designed as a multi-center prospective trial of ENB for the diagnosis of peripheral pulmonary nodules in the real world.
The purpose of the study is to identify the optimal method of using ENB.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The study will be conducted at no less than 5 clinical centers.
Patients with peripheral pulmonary nodules suspicious for malignancy will be enrolled in the study.
ENB will be performed with/without other guided bronchoscopy techniques and/or ROSE.
Different biopsy methods will be recorded as well.
The primary endpoint is the diagnostic yield of ENB.
The secondary endpoints include factors affecting diagnostic yield, operation time, complications, safety and so on.
Study Type
Observational
Enrollment (Actual)
479
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Shanghai
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Shanghai, Shanghai, China, 200030
- Shanghai Chest Hospital
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Probability Sample
Study Population
Patients who meet inclusion/exclusion criteria will be enrolled in the study consecutively in each clinical center.
Description
Inclusion Criteria:
- Patients who are older than 18 year-old.
- Chest CT shows peripheral pulmonary nodule (8mm<longest diameter≤30mm) suspicious for malignant that needs to be confirmed by pathology. The nodule is surrounded by lung parenchyma and invisible with standard bronchoscopy.
- Patients who agree to undergo bronchoscopy without any contraindications.
- Patients who have good compliance and sign informed consent.
Exclusion Criteria:
- Presence of concomitant endobronchial lesion during the brochoscopy procerdure.
- Severe cardiopulmonary dysfunction and other indications that can't receive bronchoscopy.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Diagnostic yield
Time Frame: One year
|
Diagnostic yield is defined as proportion of true positive and true negative.
The primary endpoint is diagnostic yield of ENB with/without other guided bronchoscopy techniques or ROSE.
|
One year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The difference of diagnostic yield among groups of different methods of using ENB
Time Frame: One year
|
ENB will be performed with/without other guided bronchoscopy techniques and/or ROSE.
Different biopsy methods will be recorded as well.The difference of diagnostic yield among groups of different methods of using ENB will be analyzed.
|
One year
|
|
Factors affecting diagnostic yield
Time Frame: One year
|
Factors affecting diagnostic yield including lesion size,bronchus sign, location and so on will be analyzed.
|
One year
|
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The difference of diagnostic yield among groups using different locatable guides
Time Frame: One year
|
There are three kinds of locatable guides with different outer diameters.
The difference of diagnostic yield among groups using different locatable guides will be analyzed.
|
One year
|
|
Operation time
Time Frame: One year
|
Operation time includes total operation time,total GS time and total EBUS time.
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One year
|
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Incidence of complications
Time Frame: One year
|
Complications mean a composite of operation-related serious adverse events (pneumothorax, bleeding, etc.) during and after the operation.
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One year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Gex G, Pralong JA, Combescure C, Seijo L, Rochat T, Soccal PM. Diagnostic yield and safety of electromagnetic navigation bronchoscopy for lung nodules: a systematic review and meta-analysis. Respiration. 2014;87(2):165-76. doi: 10.1159/000355710. Epub 2014 Jan 3.
- Ost DE, Ernst A, Lei X, Kovitz KL, Benzaquen S, Diaz-Mendoza J, Greenhill S, Toth J, Feller-Kopman D, Puchalski J, Baram D, Karunakara R, Jimenez CA, Filner JJ, Morice RC, Eapen GA, Michaud GC, Estrada-Y-Martin RM, Rafeq S, Grosu HB, Ray C, Gilbert CR, Yarmus LB, Simoff M; AQuIRE Bronchoscopy Registry. Diagnostic Yield and Complications of Bronchoscopy for Peripheral Lung Lesions. Results of the AQuIRE Registry. Am J Respir Crit Care Med. 2016 Jan 1;193(1):68-77. doi: 10.1164/rccm.201507-1332OC.
- Khandhar SJ, Bowling MR, Flandes J, Gildea TR, Hood KL, Krimsky WS, Minnich DJ, Murgu SD, Pritchett M, Toloza EM, Wahidi MM, Wolvers JJ, Folch EE; NAVIGATE Study Investigators. Electromagnetic navigation bronchoscopy to access lung lesions in 1,000 subjects: first results of the prospective, multicenter NAVIGATE study. BMC Pulm Med. 2017 Apr 11;17(1):59. doi: 10.1186/s12890-017-0403-9.
- Folch EE, Bowling MR, Gildea TR, Hood KL, Murgu SD, Toloza EM, Wahidi MM, Williams T, Khandhar SJ. Design of a prospective, multicenter, global, cohort study of electromagnetic navigation bronchoscopy. BMC Pulm Med. 2016 Apr 26;16(1):60. doi: 10.1186/s12890-016-0228-y.
- Jiang S, Liu X, Chen J, Ma H, Xie F, Sun J. A pilot study of the ultrathin cryoprobe in the diagnosis of peripheral pulmonary ground-glass opacity lesions. Transl Lung Cancer Res. 2020 Oct;9(5):1963-1973. doi: 10.21037/tlcr-20-957.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
March 20, 2019
Primary Completion (ACTUAL)
June 30, 2022
Study Completion (ACTUAL)
June 30, 2022
Study Registration Dates
First Submitted
October 20, 2018
First Submitted That Met QC Criteria
October 20, 2018
First Posted (ACTUAL)
October 23, 2018
Study Record Updates
Last Update Posted (ACTUAL)
August 3, 2022
Last Update Submitted That Met QC Criteria
August 2, 2022
Last Verified
August 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2017YFC0112701-2
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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