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CompletedNCT02488928E-PREDICTUpdated Dec 16, 2019

E- Predict: EBUS ELASTOGRAPHY STRAIN in Lung Cancer

An observational study in Lung Cancer, sponsored by Radboud University Medical Center. Completed at 7 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-12-16.

Sponsored by Radboud University Medical Center · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
327
Ages
18 Years and older
Sex
All
01

Study summary

EBUS elastography is a method to determine stiffness of lymph nodes, based on the minute deformation of the node by the beating heart. Whether EBUS elastography may further increase the sensitivity to predict the presence or absence of malignancy is unclear.

We suggest to use EBUS elastography strain pattern analysis for this assessment and correlate these measurements with the final pathology outcome to determine NPV, PPV, sensitivity and specificity of this analysis to predict the presence or absence of malignancy in patients with (suspected) lung cancer in a prospectively obtained observational cohort study.

Read the detailed description

Patients will undergo a routine EBUS and/or EUS or EUSb with Pentax series EBUS or EUS scopes in combination with Hitachi Preirus Hi-Vision ultrasound processor with installed elastography software. Normal international guidelines for staging, diagnosis and specimen acquisition will be followed. For a normal evaluation B-mode measurements from all lymph node regions are obtained assessing size and standard ultrasound characteristics and all lymph nodes in the regions of interest that meet the criteria for fine needle aspiration will be sampled. For this study, in addition to the normal B-mode assessment of five sonographic B-mode characteristics elastography strain graph video, elastography image, and a strain histogram from the region of interest will be obtained.

Fine needle aspiration for cytology evaluation will be obtained from nodes based on imaging characteristics or standard sonography characteristics following current everyday clinical practice and the international guidelines. Subsequently, the patient charts will be retrospectively analysed after completion of the diagnostic and/or surgical treatment of the (suspected) lung cancer to match the obtained imaging data to pathology results (cytology and or histology where present) and clinical follow up until 6 months after the diagnostic procedure.

02

Conditions studied

  • Lung Cancer

Keywords

  • NSCLC
  • EBUS
  • elastography
  • predictive value
  • strain
03

In context

Lung Neoplasms

7,333 studies on the registry are indexed under Lung Neoplasms; 1,554 are open to participants now.

This study's enrollment of 327 is above the median of 190 across 1,547 observational studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Radboud University Medical Center is the lead sponsor of 984 studies on the registry; 135 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with suspected or proven lung cancer are eligible if there is an indication for EBUS, EUS or combined EBUS and EUSb (single scope, EUS with EBUS scope). Eligible are patients with no contra-indications for EBUS.

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

  • Patients with indication for diagnostic or staging EBUS procedure for suspected or proven lung cancer.
  • ASA physical status 1-3.
  • Age 18 years or older.

Exclusion criteria

Exclusion Criteria:

  • Bleeding disorders.
  • Contra-indication for temporary interruption of the use of anticoagulant therapy (acenocoumarol, warfarin, therapeutic dose of low molecular weight heparines or clopidrogel).
  • Known allergy for lidocaine.
  • Uncontrolled pulmonary hypertension.
  • Recent and/or uncontrolled cardiac disease.
  • Compromised upper airway (eg concomitant head and neck cancer or central airway stenosis for any reason).
  • Prior radiotherapy treatment involving the central airways
  • ASA classification greater than or equal to 4.
  • Pregnancy.
  • Inability to consent.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
327 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. stiffness of lymph nodes

    stiffness/strain is a relative measure and has therefor no units

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 4 hours

07

Study locations

7 sites
  • Rigshospitalet
    Copenhagen, Dk 2100, Denmark
  • Interventional Pulmonology Unit Policlinico S. Orsola-Malpighi
    Bologna, 40138, Italy
  • Azienda Ospedaliera Universitaria di Careggi
    Florence, 50100, Italy
  • Ausl Modena - Ospedale Santa Maria Bianca
    Modena, 41037, Italy
  • Pesaro-Fano Hospital
    Pesaro, Italy
  • RadboudUMC
    Nijmegen, Gelderland 6500 HB, Netherlands
  • Academic Medical Center
    Amsterdam, 1105 AZ, Netherlands
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 16, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02488928
Responsible party
Sponsor
First posted
Jul 2, 2015
Start date
Jul 2015
Primary completion
Jul 2018
Completion
Apr 2019
Last update
Dec 16, 2019

Study contacts

Erik van der Heijden, MD, PhD
principal investigator · chest physician

Oversight

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

Not currently enrolling

This study is completed, as verified in May 2018. You cannot join it, but the record below documents what was studied.

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