Safety and feasibility of bronchoscopic microwave ablation technology for peripheral lung cancer: a multi-center, prospective, single-arm study protocol.
Jason Beattie, Ray Parrish, Laith Ayasa...
https://pubmed.ncbi.nlm.nih.gov/41137055/Actively Recruiting
Led by Beth Israel Deaconess Medical Center · Updated on 2026-04-08
10
Participants Needed
1
Research Sites
26 weeks
Total Duration
Researchers are evaluating the effectiveness of the AveCure Flexible Microwave Ablation Probe for treating cancerous lung nodules up to 3 cm in size in people with Stage I or II primary lung cancer. This pilot study is the first to examine this microwave ablation method using a bronchoscopic approach. The intervention is FDA-approved for this disease and aims to assess its feasibility and efficacy. Participants will undergo the microwave ablation procedure via a bronchoscopic approach guided by Cone Beam Computed Tomography and electromagnetic navigational bronchoscopy. Before ablation, a rapid on-site evaluation will confirm the malignancy of the nodule. After the procedure, a CT scan will check for changes 2 to 4 weeks later, followed by surgery to remove the nodule for pathological examination. Participants will be followed for 30 days post-procedure. During the study, participants will have screening, treatment, and follow-up visits including imaging and tissue evaluations. Researchers will measure the rate of planned ablations and pathological changes in tumor tissue at 4 weeks. Secondary assessments include changes in lung tissue outside the ablation zone and immune-histochemical changes. The total participation time includes the procedure and at least 30 days of follow-up to monitor outcomes and safety.
CONDITIONS
Avecure Flexible Microwave Ablation Probe For Lung Nodules
J
Jason Beattie, MD
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
Beth Israel Deaconess Medical Center
Lead Sponsor
MedWaves, Inc
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Bronchoscopic Microwave Ablation (AveCure) Before Surgery | Standard Surgical Resection Alone |
|---|---|---|
| What is it? | A flexible microwave ablation probe (AveCure) is used via bronchoscopy to ablate solitary early-stage lung cancer nodules before standard surgical resection. All patients then proceed to surgery. | Surgical resection (lobectomy or greater) is the current main treatment for operable Stage I-II primary lung cancer, performed without pre-operative bronchoscopic ablation. |
| Role in the trial | Single assigned intervention: all participants receive bronchoscopic ablation prior to surgery. There is no randomization; this is a one-arm study. | Not included as a control group in this trial; shown for external clinical comparison only. |
| Intended use / clinical purpose | Investigate the feasibility, safety, and tissue effects of bronchoscopic microwave ablation in early-stage operable lung cancer, with the intent to enhance local tumor control before surgery. | Surgically remove the tumor and surrounding lung tissue as definitive cancer treatment for eligible operable patients. |
| How is it given or performed? | A flexible microwave probe is introduced through a bronchoscope to reach the target nodule, which is then ablated using microwave energy; the procedure is performed prior to planned surgical resection in the same operative setting. | Surgical resection (lobectomy or greater) is performed under general anesthesia according to established surgical practices for lung cancer, without any pre-resection bronchoscopic ablation or tumor ablation procedure. |
| Evidence status / supporting data | Feasibility and safety are under active clinical investigation. No published outcome data yet from this trial; earlier data on bronchoscopic microwave ablation in lung cancer are limited but show technical promise. | Well-established as the definitive, guideline-endorsed standard for operable Stage I-II lung cancer; strong long-term data documents efficacy and survival outcomes. |
| Important limitations | Practical experience with bronchoscopic microwave ablation for operable lung cancer is limited; risks, long-term outcomes, and added value before surgery are not yet established. The approach requires further clinical validation. | Surgical resection requires general anesthesia and loss of lung tissue, carries operative and post-operative risks, and is only suitable for patients able to tolerate surgery. Some individuals may not be eligible due to comorbidities. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 1 day
Participants undergo microwave ablation of the solitary pulmonary nodule through a bronchoscopic approach using the AveCure Flexible Microwave Ablation Probe. A rapid on-site evaluation is performed before the ablation to confirm malignancy.
1 procedure visit (in-person)
Duration - 4 weeks
Participants have a CT scan performed 2 to 4 weeks after the ablation procedure to evaluate radiological changes and later undergo surgery to remove the lung nodule for pathological evaluation.
1 follow-up visit and 1 surgery visit (in-person)
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
Have more questions? Get in touch with our team for quick support
Jason Beattie, Ray Parrish, Laith Ayasa...
https://pubmed.ncbi.nlm.nih.gov/41137055/Beth Israel Deaconess Medical Center
Lead Sponsor
MedWaves, Inc
Collaborating Sponsor