Status:

COMPLETED

CT-controlled Advanced Navigation Techniques for Transbronchial Pulmonary Lesion Access; Evaluation of Augmented Fluoroscopy Bronchoscopic Navigation Based Diagnostic Yield

Lead Sponsor:

Radboud University Medical Center

Conditions:

Lung Cancer

Eligibility:

All Genders

18+ years

Brief Summary

In this exploratory adaptive clinical trial the investigators will examine the diagnostic yield of a combination of commercially available imaging and navigation techniques for reaching peripheral lun...

Detailed Description

Lung cancer is one of the leading most frequent types of cancer and is the most lethal malignancy in the Netherlands. Mortality is high due to its advanced stage disease at diagnosis. To improve survi...

Eligibility Criteria

Inclusion

  • In order to be eligible to participate in this study, a subject must meet all of the following criteria:
  • ASA physical status 1-3.
  • Age 18 years or older.
  • A pulmonary lesion (i.e. a focal, rounded opacity mostly surrounded by aerated lung or a ground glass opacity or part- or sub-solid lesion) with an indication for diagnostic evaluation following current clinical guidelines and/or as decided by multi-disciplinary team consultation.

Exclusion

  • A potential subject who meets any of the following criteria will be excluded from participation in this study:
  • Bleeding disorders.
  • Less than 18 years old.
  • Contra-indication for temporary interruption of the use of anticoagulant therapy (acenocoumarol, warfarin, therapeutic dose of low molecular weight heparines, clopidrogel, analogs, or, NOAC's).
  • Known allergy for lidocaine.
  • Uncontrolled pulmonary hypertension.
  • Recent and/or uncontrolled cardiac disease.
  • Compromised upper airway (e.g. concomitant head and neck cancer or central airway stenosis for any reason such that endobronchial access is considered unsafe).
  • ASA classification greater than or equal to 4 (unfit for performing non-surgical biopsy).
  • Pregnancy.
  • Inability to consent.

Key Trial Info

Start Date :

December 21 2017

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

November 1 2019

Estimated Enrollment :

47 Patients enrolled

Trial Details

Trial ID

NCT03274609

Start Date

December 21 2017

End Date

November 1 2019

Last Update

December 17 2019

Active Locations (1)

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Radboudumc

Nijmegen, Gelderland, Netherlands, 6525GA