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WithdrawnNCT01389154ALOSPNDYUpdated Jul 18, 2014

Pilot Study to Measure Lung Biopsy Diagnostic Yield Using Always On Electromagnetic Tip Tracked Devices

A Phase 4 interventional study of Lung biopsy using Always On EM Tip Tracked Device in Pulmonary Coin Lesion, sponsored by Veran Medical Technologies. Withdrawn. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2014-07-18.

Sponsored by Veran Medical Technologies (part of Olympus Corporation) · Phase 4, Interventional, and Diagnostic

Why this study was withdrawn
Product Enhancements completed
Phase
Phase 4
Study type
Interventional
Enrollment
0
Allocation
Non-randomized
Ages
50 Years and older
Sex
All
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Study summary

The objective of the prospective, multi-center study is to evaluate the ease of use and effectiveness of the SPiN Drive Electromagnetic (EM) Tip Tracked Steerable Devices as a method of sampling subsegmental, less than 3.0 cm, lung lesions through the airway, and beyond the bronchus. Measures of diagnostic yield will be compared to the diagnostic yield of similar published historical controls using conventional bronchoscopy.

Read the detailed description

Always On EM Tip Tracked Steerable catheters and biopsy devices used with the Veran Medical Technologies system are Food and Durg Administration 510K approved for use in diagnostic pulmonary procedures to locate and sample subsegmental peripheral, less than 3.0 centimeter lung lesions or solitary pulmonary nodules(SPN).

Up to 20 subjects with radiographically confirmed peripheral lung lesions will be asked to participate in the study and proceed with informed consent. An interim analysis of the data will be conducted to determine the need to include an additional 10 patients to achieve statistically significant results at the ninety five percent confidence interval.

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Conditions studied

  • Pulmonary Coin Lesion

Keywords

  • diagnostic yield
  • Electromagnetic Tip Tracked
  • peripheral lung lesion
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In context

Solitary Pulmonary Nodule

88 studies on the registry are indexed under Solitary Pulmonary Nodule; 19 are open to participants now.

Browse Solitary Pulmonary Nodule studies →

Lead sponsor

Veran Medical Technologies is the lead sponsor of 3 studies on the registry; none are open to participants now.

First submitted before Veran Medical Technologies became part of Olympus Corporation.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subject provides informed consent
  • Subject is older than 50 years of age with 50% of patients at least 65 years of age
  • Patient has a minimum of 20 pack years
  • Subject scheduled to undergo conventional bronchoscopy as part of their standard medical care
  • Subject has radiographically confirmed sub-segmental peripheral \< 3.0 cm lung lesions
  • A negative pregnancy test in women of child-bearing potential
  • Subject is willing and able to return for all required follow-up
  • Subject is mentally capable of following study directions

Exclusion criteria

Exclusion Criteria:

  • Subject has pacemaker, implantable cardioverter, and/or defibrillator
  • Subject has any disease or condition that interferes with safe completion of initial or follow-up assessments
  • Pregnant or nursing female subjects, or female subjects of child bearing potential who refuse to take a pregnancy prior to their enrollment in this study
  • Concurrent participation in another study involving investigational drugs or investigational medical devices
  • Inability to read and understand the necessary study documents
05

Study design

Phase
Phase 4
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Single group
Masking
Single (Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Patients recommended for a lung biopsy.

    Patients with a positive diagnosis of a peripheral, less than 3.0 centimeter lung lesion, recommended for bronchoscopic biopsy are eligible to be consented into the study.

    Procedure: Lung biopsy using Always On EM Tip Tracked Device

Interventions

  • ProcedureLung biopsy using Always On EM Tip Tracked Device

    Patients screened by CT to have a subsegmental, less than 3.0 centimeter lung lesion will be assigned to outpatient bronchoscopy. The patient will have a chest CT with the Always on Patient vPad. Access to the lesion will be achieved using Electromagnetic Tip Tracked devices. Once accessed the operator will use the Electromagnetic Tip Tracked devices or standard devices to obtain a biopsy sample to then be to pathology for diagnosis and reporting. Once completed the patient will be moved to recovery and discharged. If the biopsy is negative the patient will be advised by the pulmonologist about other interventions, watchful waiting, or no further treatment. If the biopsy is positive, the patient will be referred to their physician for further treatment.

    Also known as: Always On Electromagnetic Tip Tracked Diagnostic Yield

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What researchers measure

Primary outcomes

  1. Diagnostic yield of a subsegmental pulmonary lesion of less than 3.0 cm.

    Biopsy samples will be sent to the lab for analysis of the presence, absence, or identification of an occult particulate taken from the patient's lung. Patients with a negative biopsy result will be followed if recommended for another intervention and if recommended to watchful waiting. Follow up outcomes will be included in the outcome measures.

    Time frame: Within 1 week

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Schreiber G, McCrory DC. Performance characteristics of different modalities for diagnosis of suspected lung cancer: summary of published evidence. Chest. 2003 Jan;123(1 Suppl):115S-128S. doi: 10.1378/chest.123.1_suppl.115s. PubMed 12527571 ↗
  • Reichenberger F, Weber J, Tamm M, Bolliger CT, Dalquen P, Perruchoud AP, Soler M. The value of transbronchial needle aspiration in the diagnosis of peripheral pulmonary lesions. Chest. 1999 Sep;116(3):704-8. doi: 10.1378/chest.116.3.704. PubMed 10492275 ↗
  • Tan BB, Flaherty KR, Kazerooni EA, Iannettoni MD; American College of Chest Physicians. The solitary pulmonary nodule. Chest. 2003 Jan;123(1 Suppl):89S-96S. doi: 10.1378/chest.123.1_suppl.89s. PubMed 12527568 ↗
  • Alberg AJ, Samet JM. Epidemiology of lung cancer. Chest. 2003 Jan;123(1 Suppl):21S-49S. doi: 10.1378/chest.123.1_suppl.21s. PubMed 12527563 ↗
  • Edell E, Krier-Morrow D. Navigational bronchoscopy: overview of technology and practical considerations--new Current Procedural Terminology codes effective 2010. Chest. 2010 Feb;137(2):450-4. doi: 10.1378/chest.09-2003. Epub 2009 Dec 4. PubMed 19965952 ↗
  • Herth FJ, Eberhardt R, Becker HD, Ernst A. Endobronchial ultrasound-guided transbronchial lung biopsy in fluoroscopically invisible solitary pulmonary nodules: a prospective trial. Chest. 2006 Jan;129(1):147-50. doi: 10.1378/chest.129.1.147. PubMed 16424425 ↗
  • Shirakawa T, Imamura F, Hamamoto J, Honda I, Fukushima K, Sugimoto M, Shirkakusa T. Usefulness of endobronchial ultrasonography for transbronchial lung biopsies of peripheral lung lesions. Respiration. 2004 May-Jun;71(3):260-8. doi: 10.1159/000077424. PubMed 15133346 ↗
  • Landi S, Cenni MC, Maffei L, Berardi N. Environmental enrichment effects on development of retinal ganglion cell dendritic stratification require retinal BDNF. PLoS One. 2007 Apr 4;2(4):e346. doi: 10.1371/journal.pone.0000346. PubMed 17406670 ↗
  • Makris D, Scherpereel A, Leroy S, Bouchindhomme B, Faivre JB, Remy J, Ramon P, Marquette CH. Electromagnetic navigation diagnostic bronchoscopy for small peripheral lung lesions. Eur Respir J. 2007 Jun;29(6):1187-92. doi: 10.1183/09031936.00165306. Epub 2007 Mar 14. PubMed 17360724 ↗
  • Eberhardt R, Anantham D, Ernst A, Feller-Kopman D, Herth F. Multimodality bronchoscopic diagnosis of peripheral lung lesions: a randomized controlled trial. Am J Respir Crit Care Med. 2007 Jul 1;176(1):36-41. doi: 10.1164/rccm.200612-1866OC. Epub 2007 Mar 22. PubMed 17379850 ↗
  • Gildea TR, Mazzone PJ, Karnak D, Meziane M, Mehta AC. Electromagnetic navigation diagnostic bronchoscopy: a prospective study. Am J Respir Crit Care Med. 2006 Nov 1;174(9):982-9. doi: 10.1164/rccm.200603-344OC. Epub 2006 Jul 27. PubMed 16873767 ↗
  • Lamprecht B, Porsch P, Pirich C, Studnicka M. Electromagnetic navigation bronchoscopy in combination with PET-CT and rapid on-site cytopathologic examination for diagnosis of peripheral lung lesions. Lung. 2009 Jan-Feb;187(1):55-9. doi: 10.1007/s00408-008-9120-8. Epub 2008 Oct 5. PubMed 18836886 ↗
  • Schwarz Y, Greif J, Becker HD, Ernst A, Mehta A. Real-time electromagnetic navigation bronchoscopy to peripheral lung lesions using overlaid CT images: the first human study. Chest. 2006 Apr;129(4):988-94. doi: 10.1378/chest.129.4.988. PubMed 16608948 ↗
  • Hautmann H, Schneider A, Pinkau T, Peltz F, Feussner H. Electromagnetic catheter navigation during bronchoscopy: validation of a novel method by conventional fluoroscopy. Chest. 2005 Jul;128(1):382-7. doi: 10.1378/chest.128.1.382. PubMed 16002960 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 18, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01389154
Collaborators
Institute for Quality Resource Management
Responsible party
Sponsor
First posted
Jul 7, 2011
Start date
Jun 2011
Primary completion
Nov 2011 (estimated)
Completion
Nov 2011 (estimated)
Last update
Jul 18, 2014

Study contacts

Momen Wahidi, MD, MBA
principal investigator · Duke University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Jul 2014. You cannot join it, but the record below documents what was studied.

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