RejuvenAir Lobectomy for Safety and Histology (LobectomyCAN)
2017年5月10日 更新者:CSA Medical, Inc.
A Prospective Study of RejuvenAir System Radial Spray Cryotherapy to Determine Safety and Delayed Histological Effect in the Lung
RejuvenAir System treatment will be performed during preoperative bronchoscopy 2 to 90 days prior to prescheduled lung resection in Subjects requiring lobectomy for removal of peripheral tumors.
Treatment will be limited to areas of the bronchi within the lobe that will be removed, distal to the anticipated margin of resection.
Treatment should be at least 1 cm from the bronchial resection margins and away from the tumor bed.
Treated airways will be inspected via bronchoscopy at the time of thoracotomy, and examined histologically following surgical resection.
Subject participation will be from 1 to 90 days and enrollment is anticipated to take 3 months.
Subject having a RejuvenAir procedure and not going on to a resection for any reason will be followed for a maximum of 90 days for safety and undergo bronchoscopic evaluation of the treated airways at 90 days (+/- 4 Days)) post treatment.
研究概览
详细说明
The study is a prospective, open label, single arm, single center study.
The objective is to study the safety of the RejuvenAir System in a population of subjects who are scheduled to undergo a planned lobectomy.
A secondary objective is to determine the histological effects of RejuvenAir System treatment in the airways.
The Primary Endpoint is Safety as measured by occurrence of serious adverse events related to metered dose radial spray cryotherapy treatment performed prior to scheduled lobectomy surgery.
The patient population intended to participate in this study are subjects scheduled to undergo lobectomy for peripheral lung lesions suspicious for or known to be cancer.
Secondarily, this will enable an understanding of the histological characteristics and healing outcomes post-treatment in the airways, which will be resected.
CSA Medical has conducted bench and animal studies that support the use of the RejuvenAir System as sufficiently safe and effective to warrant advancing the product into this primary safety study in patients presenting for consideration of lobectomy.
Such patients provide a safe population to further the clinical evaluation of the system in that these subjects will receive their lobectomy or procedure 2 to 14 days following delivery of their metered liquid nitrogen treatment.
At the time of their metered liquid nitrogen treatment they will be in an operating room setting with their thoracic surgeon in attendance.
It is anticipated that subjects who agree to participate in this study will have the metered liquid nitrogen treatment at the time of evaluation of their lung lesion.
This evaluation will include bronchoscopy with ultrasound for evaluation of their lymph nodes prior to the planned surgical resection of their lung abnormality.
研究类型
介入性
注册 (实际的)
6
阶段
- 阶段2
- 阶段1
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习地点
-
-
Ontario
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Brampton、Ontario、加拿大、L6R 3J7
- William Osler Health System
-
-
参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
21年 至 75年 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
Males and females of 21 to 75 years of age.
- Subject is able to read, understand, and sign a written Informed Consent to participate in the study.
- Subject is scheduled within 90 days from date of study treatment for a lobectomy unrelated to this study (upper and lower lobes only). Preferred range is 2-14 days from study treatment.
- Subject has a pre-procedure post bronchodilator FEV1 of greater than or equal to 40% of predicted.
- Subject is able to undergo bronchoscopy in the opinion of the investigator or per hospital guidelines.
- Subject is able to adhere to and undergo a scheduled bronchoscope procedure prior to their clinically scheduled lobectomy surgical procedure.
Exclusion Criteria:
• Subject is pregnant, nursing, or planning to get pregnant during study duration.
- Subject is scheduled to have a pneumonectomy or has had a previous contralateral pneumonectomy.
- Subject has had prior radiation therapy which involved the lungs.
- Subject has received chemotherapy within the past 6 months, or is anticipated to be treated with chemotherapy between initial study treatment and lobectomy procedure.
- Subject has an acute pulmonary infection or pneumonia within 6 weeks prior to study bronchoscopy.
- Subject has had COPD exacerbation within 6 weeks prior to study bronchoscopy.
- Subject has bronchiectasis in the area to be treated.
- Subject has bullous emphysema. Characterized as large bullae >3 centimeters and confirmed on CT.
- Subject has had a Lung transplant.
- Subject has had lung reduction surgery, including implanted emphysema stent (s) implanted, coils or other devices for treatment.
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:其他
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的:RejuvenAir
RejuvenAir if the treatment areas are designated as Segmental, males will be dosed for 11 seconds and females for 10 seconds.
If dosing is in the Lobar area males will be dosed for 12 seconds and females for 11 seconds.
|
RejuvenAir
其他名称:
|
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
Safety measured by occurrence of serious adverse events related to metered dose radial spray cryothreapy
大体时间:prior to lobectomy-up to 14 days
|
prior to lobectomy-up to 14 days
|
次要结果测量
结果测量 |
大体时间 |
|---|---|
|
Histology assessed by description of depth of histological treatment effect per specified treatment dose
大体时间:up to 90 days
|
up to 90 days
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员:Kashif Irshad, MDCM, MSc、WIlliam Osler Health Systems
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2015年8月1日
初级完成 (实际的)
2016年2月1日
研究完成 (实际的)
2016年2月1日
研究注册日期
首次提交
2015年6月24日
首先提交符合 QC 标准的
2015年6月25日
首次发布 (估计)
2015年6月26日
研究记录更新
最后更新发布 (实际的)
2017年5月11日
上次提交的符合 QC 标准的更新
2017年5月10日
最后验证
2017年5月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.