CClinicalTrials.gg
CompletedNCT03198468VAPORIZEUpdated Nov 15, 2021

Vapor Ablation for Localized Cancer Lesions of the Lung (VAPORIZE)

An interventional study of Bronchoscopic Thermal Vapor Ablation in Non Small Cell Lung Cancer, Metastatic Lung Cancer and Lung Cancer, sponsored by Uptake Medical Technology, Inc.. Completed at 1 site in Australia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-11-15.

Sponsored by Uptake Medical Technology, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
8
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study is a prospective, single-arm, multi-center, pilot trial of Bronchoscopic Thermal Vapor Ablation for Lung Cancer (BTVA-C) in patients with primary lung cancer or metastatic cancer in the lung. Patients who have consented to participate in this study (enrolled) will be subject to eligibility screening and baseline assessments, prior to undergoing the BTVA-C procedure. Only patients that meet all of inclusion criteria and none of the exclusion criteria will receive vapor ablation treatment.

Patients will receive BTVA-C treatment followed by standard-of-practice surgical resection.

Read the detailed description

This study is a prospective, single-arm, multi-center, pilot trial of Bronchoscopic Thermal Vapor Ablation for Lung Cancer (BTVA-C) in patients with primary lung cancer or metastatic cancer in the lung.

Subjects identified for this study will be those that have a surgical resection already scheduled as part of their lung cancer treatment. Patients who have consented to participate in this study (enrolled) will undergo screening assessments to evaluate the inclusion criteria associated with their lung cancer and general health. Only patients that meet all of the inclusion criteria and none of the exclusion criteria will be scheduled for treatment with the BTVA-C System.

A total of 8 subjects will be treated at up to 2 investigational sites in Australia.

Prior to the vapor ablation procedure, the patient's CT scan is analyzed to evaluate the location and size of the target lesion. The segments and airways associated with the lesion are identified and images are created to aid in the navigation to appropriate treatment locations during the upcoming procedure.

At the time of the vapor ablation procedure, the Uptake catheter is placed in a selected airway with a thin bronchoscope. A balloon at the distal end of the catheter is then inflated to occlude the bronchus prior to vapor infusion. Sterile water is heated to approximately 100°-140°C by a reusable Generator and vapor (steam) is infused into the targeted region for 8 seconds at a precisely controlled flow rate and power. If necessary, the catheter is moved to the next airway and the procedure is repeated until all desired airways have been treated (maximum 3 treatments). The treatment creates a uniform field of necrosis in the parenchyma around the lesion.

The interval between vapor ablation and the surgical resection will be a minimum of 60 hours to a maximum of 105 hours, with the exact scheduling determined by the investigator. The resected tissue will undergo pathological evaluation for tissue viability.

In addition to standard post-operative follow-up, patients will be evaluated at Day 7 (± 2 days) and Day 30 (± 5 days) post-resection to assess safety and feasibility.

02

Conditions studied

  • Non Small Cell Lung Cancer
  • Metastatic Lung Cancer
  • Lung Cancer

Keywords

  • Non Small Cell Lung Cancer
  • Metastatic Lung Cancer
  • Lung Cancer
  • Vapor Ablation
  • BTVA
03

Who can participate

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

Inclusion criteria

  1. Age: ≥ 18 years old
  2. Non-small cell lung cancer tumor(s) ≤ 2cm (T1aN0, T1bN0, T1aN1, or T1bN1) suitable for resection OR Metastatic lung tumor(s) ≤ 2cm suitable for resection
  3. Suitable candidate for resection per standard of practice
  4. Microscopic proof of malignancy obtained.
  5. Location of tumor:

    1. In periphery of lung (outermost 1/3)
    2. Anticipation that resection would remove all gross tumor and ablation with grossly negative margins
    3. Maximum of three vapor ablation applications would target entire margin according to the vapor ablation plan
  6. Signed informed consent

Exclusion criteria

Exclusion Criteria:

  1. Centralized tumor not amenable to resection (abutting main stem bronchus, main pulmonary artery branches, esophagus, or trachea)
  2. Carcinoid lung tumors
  3. Tumor is associated with atelectasis or obstructive pneumonitis or pleural effusion
  4. Pulmonary function tests (PFTs): post-bronchodilator forced expired volume in one second (FEV1) or forced vital capacity (FVC) \< 50% predicted, diffusing capacity of the lung for carbon monoxide (DLCO) \<50% predicted
  5. Requirement for supplemental oxygen at rest or exercise
  6. Hospitalization for cardiac disease within the preceding 6 months
  7. Liver enzymes (ALP, ALT, AST) or total bilirubin > 1.5 upper limit of normal (ULN)
  8. Serum creatinine > 2 mg/dl
  9. Recent infection (within 30 days)
  10. Receiving immunosuppressive medication or prednisone > 10 mg/day (or equivalent)
  11. Pre-existing implants within the airways that impede navigation to the target lesion
  12. Pregnant or breastfeeding women and those of childbearing potential who are not practicing a reliable form of contraception
  13. Disorder of coagulation, history of severe hemoptysis, or receiving anticoagulant medication. Antiplatelet medication is permitted provided that the medication can be held a minimum of 7 days prior to the procedure and 10 days, post-procedure.
  14. Any condition that in the opinion of the investigator or reviewer may interfere with the safety of the patient or evaluation of the study objectives
  15. Any tumor characteristic that in the opinion of the investigator or reviewers may interfere with the safety of the patient or evaluation of the study objectives
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    Vapor Ablation

    Device: Bronchoscopic Thermal Vapor Ablation

Interventions

  • DeviceBronchoscopic Thermal Vapor Ablation

    Vapor (steam) is infused into the targeted region for 8 seconds at a precisely controlled flow rate and power (an energy level of 330 calories).

05

What researchers measure

Primary outcomes

  1. AEs and SAEs related to BTVA-C procedure

    The number of reported adverse events (AEs), serious adverse events (SAEs) related to the BTVA-C procedure.

    Time frame: Day 30 follow-up

  2. Successful BTVA-C Treatment Delivery

    Treatment meets 100% of the required procedural steps/requirements per the Instructions For Use (IFU) and treatment is delivered to the target tumor per the individual patient navigational plan

    Time frame: 1 day post-ablation

  3. Ischemic tissue assessment

    CT Imaging to identify and assess ischemic tissue

    Time frame: 2-4 days post-ablation (pre surgical resection)

  4. Tissue necrosis evaluated by semi-quantitative histological analysis

    Semi-quantitative scoring of necrotic tissue assessed by histology

    Time frame: 1 day post-surgical resection

06

Study locations

1 site
  • The Royal Melbourne Hospital
    Melbourne, Victoria 3050, Australia
07

References and documents

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03198468
Lead sponsor
Uptake Medical Technology, Inc.
Responsible party
Sponsor
First posted
Jun 26, 2017
Start date
Nov 21, 2018
Primary completion
Aug 20, 2019
Completion
Aug 20, 2019
Last update
Nov 15, 2021

Study contacts

Daniel Steinfort, MD, PhD
principal investigator · Melbourne Health, The Royal Melbourne Hospital, City Campus.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion