Status:

NOT_YET_RECRUITING

General Anesthesia vs Conscious Sedation for Radial Endobronchial Ultrasound

Lead Sponsor:

Institut universitaire de cardiologie et de pneumologie de Québec, University Laval

Conditions:

Lung Cancers

Peripheral Pulmonary Nodules

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The endoscopic investigation of lung lesions is experiencing significant growth with the increasing number of lung cancer screening programs. Peripheral endobronchial ultrasound (pEBUS) is the most wi...

Detailed Description

This is a multicenter randomized clinical trial to compare the diagnostic yield of pEBUS under general anesthesia and conscious sedation in the context of the investigation of peripheral pulmonary les...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years and ability to consent
  • Peripheral lung lesion less than 5cm in average diameter on axial CT images (A lung lesion will be considered peripheral if it is located beyond the origin of the subsegmental bronchi and presumed not to be visible endoscopically in white light during the evaluation of the CT scan by an interventional pulmonologist.)
  • Lesion deemed accessible by pEBUS by an experienced interventional pulmonologist
  • Decision by the medical team and the patient to use pEBUS as a diagnostic modality for the lung lesion

Exclusion

  • Planned use of electromagnetic navigation, augmented fluoroscopy or robotic bronchoscopy in addition to pEBUS. The use of virtual bronchoscopy planning is permitted
  • Presence of suspicious lymph nodes (size ≥ 10mm and/or moderate or greater hypermetabolism) on imaging which are accessible by l-EBUS and for which rapid on-site cytological analysis will be used
  • Contraindication to bronchoscopy or biopsies such as an unstable medical condition or uncorrected coagulopathy
  • Current pregnancy
  • Lack of free and informed consent

Key Trial Info

Start Date :

May 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 1 2029

Estimated Enrollment :

306 Patients enrolled

Trial Details

Trial ID

NCT06950515

Start Date

May 1 2025

End Date

August 1 2029

Last Update

April 30 2025

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Institut universitaire de cardiologie et de pneumologie de Québec

Québec, Quebec, Canada, G1V 4G5