CClinicalTrials.gg
CompletedNCT01908868Updated Dec 30, 2014

A Trial of EBUS-TBNA Versus Conventional TBNA in Diagnosis of Sarcoidosis

An interventional study of EBUS-TBNA and Conventional TBNA in Sarcoidosis, sponsored by Post Graduate Institute of Medical Education and Research, Chandigarh. Completed at 1 site in India. Open to participants aged 15 Years to 75 Years. Per ClinicalTrials.gov, last updated 2014-12-30.

Sponsored by Post Graduate Institute of Medical Education and Research, Chandigarh · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
130
Allocation
Randomized
Ages
15 Years to 75 Years
Sex
All
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Study summary

The investigators hypothesize that conventional or EBUS-TBNA will have equal efficiency in diagnosing sarcoidosis when performed in conjunction with endobronchial and transbronchial lung biopsy.

Read the detailed description

Diagnostic procedures like transbronchial lung biopsy (TBLB), transbronchial needle aspiration (TBNA) and endobronchial biopsy (EBB) are routinely used to obtain pathological confirmation of pulmonary sarcoidosis. Real-time convex probe endobronchial ultrasound-guided TBNA (EBUS-TBNA) has shown immense potential, however it is costly, labor intensive and still has limited availability, especially in low and middle income countries. In the past, TBLB has been the bronchoscopic procedure of choice for diagnosis of sarcoidosis however currently its role is being debated with the advent of EBUS. We have observed that EBUS even though has high yield yet the optimal diagnosis is obtained only when combined with EBB and TBLB. The investigators hypothesize that conventional or EBUS-TBNA will have equal efficiency in diagnosing sarcoidosis when performed in conjunction with endobronchial and transbronchial lung biopsy.

The study compares the diagnostic yield of EBUS-TBNA (plus EBB and TBLB) vs. conventional TBNA (plus EBB and TBLB) for diagnosis of sarcoidosis.

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Conditions studied

  • Sarcoidosis

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03

In context

Sarcoidosis

278 studies on the registry are indexed under Sarcoidosis; 57 are open to participants now.

This study's enrollment of 130 is above the median of 54 across 154 interventional studies indexed under Sarcoidosis.

Browse Sarcoidosis studies →

Lead sponsor

Post Graduate Institute of Medical Education and Research, Chandigarh is the lead sponsor of 290 studies on the registry; 42 are open to participants now.

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

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Who can participate

Ages eligible
15 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Consecutive patients presenting with clinicoradiological features suggestive of sarcoidosis and an indication for transbronchial needle aspiration

Exclusion criteria

Exclusion Criteria:

  • Pregnancy
  • Hypoxemia (SpO2 \<90%) on room air
  • Poor lung function (forced expiratory volume in first second [FEV1] \<1L)
  • Patients with deranged clotting profile (prothrombin time >3 seconds above control; activated partial thromboplastin time >10 seconds above control, platelet count \<50000/µL)
  • Patients already initiated on glucocorticoids
  • Diagnosis of sarcoidosis possible on minimally invasive techniques such as skin biopsy or peripheral lymph node biopsy and failure to provide informed consent
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
130 participants (actual)

Study arms

  • Experimental
    EBUS-TBNA

    EBUS-TBNA (with endobronchial and transbronchial lung biopsy)

    Other: EBUS-TBNA · Other: Endobronchial and transbronchial biopsy

  • Active comparator
    Conventional TBNA

    Conventional TBNA (with endobronchial and transbronchial lung biopsy)

    Other: Conventional TBNA · Other: Endobronchial and transbronchial biopsy

Interventions

  • OtherEBUS-TBNA

    Mediastinal and hilar lymph node aspiration using endobronchial ultrasound

  • OtherConventional TBNA

    Mediastinal and hilar lymph node aspiration using blind transbronchial needle aspiration

  • OtherEndobronchial and transbronchial biopsy

    Endobronchial and transbronchial lung biopsy using flexible bronchoscopy

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What researchers measure

Primary outcomes

  1. Diagnostic yield

    The primary outcome is the diagnostic yield of the procedure defined as demonstration of granulomatous inflammation in two groups in patients finally labelled as sarcoidosis

    Time frame: 18 months

Secondary outcomes

  1. Safety

    Occurrence of serious adverse events (pneumothorax, bleeding \>100 ml, death) in the two groups

    Time frame: 18 months

  2. Diagnostic yield of individual sampling techniques

    To study the diagnostic yield of EBUS-TBNA, conventional TBNA, TBLB and EBB

    Time frame: 18 months

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Study locations

1 site
  • Chest Clinic, PGIMER
    Chandigarh, 160012, India
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References and documents

Publications

  • Gupta D, Dadhwal DS, Agarwal R, Gupta N, Bal A, Aggarwal AN. Endobronchial ultrasound-guided transbronchial needle aspiration vs conventional transbronchial needle aspiration in the diagnosis of sarcoidosis. Chest. 2014 Sep;146(3):547-556. doi: 10.1378/chest.13-2339. PubMed 24481031 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 30, 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
NCT01908868
Lead sponsor
Post Graduate Institute of Medical Education and Research, Chandigarh
Responsible party
Ritesh Agarwal (Associate Professor, Post Graduate Institute of Medical Education and Research, Chandigarh) — Principal investigator
First posted
Jul 26, 2013
Start date
Nov 2011
Primary completion
Dec 2012
Completion
Dec 2012
Last update
Dec 30, 2014

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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